Anatomic ACL reconstruction using hamstring tendons ( Linvatec graft tensioner)


Learn the Anatomic ACL reconstruction using hamstring tendons ( Linvatec graft tensioner) surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Anatomic ACL reconstruction using hamstring tendons ( Linvatec graft tensioner) surgical procedure.

The incidence of anterior cruciate ligament rupture is estimated at 0.3 per thousand patient years and are often combined with other ligament damage. Daniel et al (1994) showed that up to 49% have an  associated meniscal tear. ACL ruptures have a  has a significant and long term affect upon future knee function. Accurate early diagnosis is important with careful examination and MRI the investigation of choice. Careful vigilance for concomitant ligament or meniscal injuries is vital.

Considerable data has been published on the outcome following ACL injury both with and without reconstruction. Treatment has significantly changed over the past thirty years with the advent of arthroscopic surgery. Understanding the anatomic location of the ACL is imperative when choosing a technique. The objectives have evolved from isometric tunnel placement and prevention of notch impingement to attempts to restore the anatomy of the native ACL.

The Linvatec graft tensioner is a very useful device that helps a Surgeon with one key step of the operation.




Author:Mr Faisal Hussain FRCS (Tr & Orth)

Institution: The Royal Orthopaedic Hospital, Birmingham, UK.

  • Each operation and the questions associated become a named course in the CPD section
  • The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
  • You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
  • The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
  • There are four possible answers of which one is correct (or on occasion more correct) than the others.
  • There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
  • The course is completed once all the lessons are read and quizzes submitted and passed.
  • On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
  • Your dashboard also will contain a record of the time you have spent logged onto and using the site.
  • The timer suspends after 5 minutes though if there is no activity.
  • When you restart you will resume at the same point in the module.
  • Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
    The pass mark is 75%.
  • If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
  • Once these have been read you can re-do just the questions you failed on.
  • Once you have passed the quiz you can return at a future stage & resit .

CPD Points:

  • Operation Quiz – 1 CPD point
  • Surgical steps Quiz – 1/4 CPD point
  • Implants Quiz – 1/4 CPD point
  • Problem case Quiz – 1/2 CPD point

One CPD point equates to one hour of academic activity


Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.

Our content is designed for both Surgeons in independent practice and Surgeons in training.


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