Work

The Solo Anterior Cruciate Ligament Technique: Using an Articulated Arm Holder for Anterior Cruciate Ligament Reconstruction Without a Surgical Assistant

Year: 2024

Type: article

Abstract: The Federal No Surprises Act was passed to avoid surprise out-of-network billing to patients, particularly after surgical procedures from independent third parties hired as assistants. This has resulted in a scarcity of "for-hire" surgical first assistants. Anterior cruciate ligament (ACL) surgery is challenging to perform without an assistant. During arthroscopy, the leg must be manipulated simultaneously while performing surgery. This usually requires multiple hands and can be physically demanding. This Technical Note will describe the use of an articulated arm holder adapted to hold and manipulate a leg during ACL surgery without an assistant as well as the use of a self-retractor to aid in quadriceps tendon graft harvest and repair when performing a solo quadriceps tendon autograft ACL reconstruction.

Source: Arthroscopy Techniques

DOI: 10.1016/j.eats.2024.103196

Authors: Rafael A. Buerba, Jorge Garavito, Nickolas F. Fretes

Institutions: Banner - University Medical Center Phoenix, University of Arizona College of Medicine- Phoenix, Brown University, Charles R. Drew University of Medicine and Science

Language: English

Topic: Knee injuries and reconstruction techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $975