Advances in the three-portal technique for anatomical single- or double-bundle ACL reconstruction

Paulo H. Araujo, Carola F. van Eck, Jeffrey A. Macalena, Freddie H. Fu

Research output: Contribution to journalArticlepeer-review

72 Scopus citations


Purpose: To describe the "three-portal technique for anatomical ACL single- or double-bundle reconstruction" and the arthroscopic viewing improvement provided by this technique. Methods: A "high" anterolateral portal was placed 1 cm lateral to the patellar tendon and the most inferior portion of the portal at the level of the inferior pole of the patella. A "central" portal was placed using a spinal needle under arthroscopic visualization following the orientation of the previous ACL fibers. An accessory medial portal was also placed using a spinal needle respecting a 2-mm distance to the medial femoral condyle. Results: The "high" anterolateral portal permitted a broad and unobstructed view of the ACL tibial attachment. The "central" portal allowed a straightforward view of the ACL femoral remnant and bony landmarks in the intercondylar notch. The accessory medial portal enabled to reach the femoral native insertion site of the ACL. Conclusion: The three-portal technique provides a proper view of the soft tissue remnants and bony landmarks facilitating an anatomical positioning of the graft.

Original languageEnglish (US)
Pages (from-to)1239-1242
Number of pages4
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Issue number8
StatePublished - Aug 2011


  • ACL reconstruction
  • Double bundle
  • Portal technique
  • Single bundle

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