Total arthroscopic reconstruction of cranial cruciate ligament rupture in dogs.
 
 Short Inside view, instruction film with attention
 to proximal and distal footprint
 >>
         
    
       Click on the photo for enlargement >>



Shaved and washed stifle joint ready for dressing.



Drilling equipment.







Arthroscopy equipment.
 



Dressings.



Saline solution ready for use.



Arthroscopy monitor and control units.



Patient on surgery table.







X-ray unit.



Surgery theatre with sedated patient ready for surgery.



Surgery theatre with sedated patient ready for surgery.



Established lateral portal.


Established portals.


Arthroscopic intraarticular diagnosis.


Arthroscopic intraarticular diagnosis.


Applied 3 mm guide wire with length scale .
 


Drilling of the guide wire to give a femur tunnel with native CCL foot print entrance and extraarticular exit.


Guide wire tip that aims at the center of the CCL femur footprint.


Guide wire tip that aims at the center of the CCL femur footprint.


Exiting guide wire.


Femur tunnel length determination.


Assemblance of cannulated 6 mm drill bit.
 


Overdrilling of the femur tunnel.
 


Retrobutton, graft fixation element for the femur tunnel.


Application of passing sutures used to pull the Retrobutton through the femur tunnel.


Application of passing sutures used to pull the Retrobutton through the femur tunnel.


Intraarticular view of loop of passing suture. The loop is later pulled through the tibia tunnel to retrieve the Retrobutton and graft.


Assemblance of the drill head on the tibia drill guide.
 


Assemblance of the drill head on the tibia drill guide.


Assemblance of the drill head on the tibia drill guide.
 


Tibia drill guide in place to aim for the tibia CCL footprint.


Tibia drill guide in place to aim for the tibia CCL footprint.


Tibia drill guide in place to aim for the tibia CCL footprint.


Intraarticular view of Retrodrill head in place.


Tibia guide wire ready for drilling.


Drill shaft with threaded tip.


Retrievement of passing suture loop.


Retrobutton and graft.


Retrobutton and graft.


Retrobutton and graft.


Retrobutton with applied graft.


Passing suture loop holding femur fixation device and graft.


Passing suture with attached hold suture.


 


Pull of femur fixation device and graft through tibia tunnel and into femur tunnel.


Pull of femur fixation device and graft through tibia tunnel and into femur tunnel.


Pull of femur fixation device and graft through tibia tunnel and into femur tunnel.


Pull of femur fixation device and graft through tibia tunnel and into femur tunnel.


Retrobutton in place and flip of the same.


Tibia fixation by cannulated interference screw placed inbetween graft portions.


Tibia fixation by cannulated interference screw placed inbetween graft portions.


Check of proper screw placement by translucence detection of the screw driver tip.


Check of proper screw placement by translucence detection of the screw driver tip.






Intraarticular view of screw placement by translucence detection of the screw driver tip.


Trimmed off graft and closure of wounds in layers.
 


Stapled wounds.
 
A total arthroscopic reconstruction of cranial cruciate ligament rupture with autograft.
Today the most used method..

Främre korsbandsoperation med autograft dvs eget kroppsmaterial. Denna metod användes mest idag..

Cleaned muscle tendon as autograft.

Prepared to a perfect autograft.


Testing the thickness.


Preparing the tibial CCL footprint.



Drilling the tibial canal.


        
Pull off femur fixation and autograft through tibial tunnel and into femur tunnel.



Check of proper screw and endobutton placement with-Xray  device.

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 A short live inside veiw from the ccl reconstruktion>>               Click on the photo for enlargement

 
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