Over the Top Fixation

Indications

 

Back wall blow out

 

Technique

 

Lateral incision

- divide ITB at posterior aspect of femoral condyle

 

Over the top ACL Fixation 1Over the top ACL Fixation 2Over the top ACL Fixation 3

 

Pass curved hemostat

- from inside knee via medial arthrotomy

- pass around femoral condyle

- pass suture, retrieve graft

 

Over the top ACL Fixation 4Over the top ACL Fixation 5Over the top ACL Fixation 6

 

Need to make second incision in ITB

- pass graft anteriorly

- so can staple to femur

 

Over the top ACL Fixation 7Over the top ACL Fixation 8