{"id":4264,"date":"2025-02-24T00:26:39","date_gmt":"2025-02-23T16:26:39","guid":{"rendered":"https:\/\/ndhorth.synology.me\/wordpress\/?p=4264"},"modified":"2025-07-06T22:39:59","modified_gmt":"2025-07-06T14:39:59","slug":"pmmr-reconstruction","status":"publish","type":"post","link":"https:\/\/ndhorth.synology.me\/wordpress\/?p=4264","title":{"rendered":"PMMR Reconstruction"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4264\" class=\"elementor elementor-4264\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-eff6232 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"eff6232\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4785e8d\" data-id=\"4785e8d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d0503d3 elementor-nav-menu--stretch elementor-nav-menu--dropdown-tablet elementor-nav-menu__text-align-aside elementor-nav-menu--toggle elementor-nav-menu--burger elementor-widget elementor-widget-nav-menu\" data-id=\"d0503d3\" data-element_type=\"widget\" data-settings=\"{&quot;full_width&quot;:&quot;stretch&quot;,&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-caret-down\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;toggle&quot;:&quot;burger&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<nav aria-label=\"Menu\" class=\"elementor-nav-menu--main elementor-nav-menu__container elementor-nav-menu--layout-horizontal e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-d0503d3\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3181\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3170\" class=\"elementor-item menu-link\">ACL Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4332\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4327\" class=\"elementor-item menu-link\">ATFL Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3349\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3323\" class=\"elementor-item menu-link\">Arthroscopic assisted reduction of AC joint<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3279\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3267\" class=\"elementor-item menu-link\">Knee Arthroscopy<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3309\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3297\" class=\"elementor-item menu-link\">Hip Arthroscopy<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3209\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3191\" class=\"elementor-item menu-link\">PCL Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4273\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4264\" class=\"elementor-item menu-link\">PMMR Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4304\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4295\" class=\"elementor-item menu-link\">PMMR repair<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3146\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3136\" class=\"elementor-item menu-link\">Shoulder Arthroscopy<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3280\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3253\" class=\"elementor-item menu-link\">Wrist Arthroscopy<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t<div class=\"elementor-menu-toggle\" role=\"button\" tabindex=\"0\" aria-label=\"Menu Toggle\" aria-expanded=\"false\">\n\t\t\t<i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--open fas fa-book\"><\/i><i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--close eicon-close\"><\/i>\t\t\t<span class=\"elementor-screen-only\">Menu<\/span>\n\t\t<\/div>\n\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-d0503d3\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3181\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3170\" class=\"elementor-item menu-link\" tabindex=\"-1\">ACL Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4332\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4327\" class=\"elementor-item menu-link\" tabindex=\"-1\">ATFL Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3349\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3323\" class=\"elementor-item menu-link\" tabindex=\"-1\">Arthroscopic assisted reduction of AC joint<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3279\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3267\" class=\"elementor-item menu-link\" tabindex=\"-1\">Knee Arthroscopy<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3309\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3297\" class=\"elementor-item menu-link\" tabindex=\"-1\">Hip Arthroscopy<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3209\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3191\" class=\"elementor-item menu-link\" tabindex=\"-1\">PCL Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4273\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4264\" class=\"elementor-item menu-link\" tabindex=\"-1\">PMMR Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4304\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4295\" class=\"elementor-item menu-link\" tabindex=\"-1\">PMMR repair<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3146\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3136\" class=\"elementor-item menu-link\" tabindex=\"-1\">Shoulder Arthroscopy<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3280\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3253\" class=\"elementor-item menu-link\" tabindex=\"-1\">Wrist Arthroscopy<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-15ed5ea elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"15ed5ea\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9ec5e9e\" data-id=\"9ec5e9e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a2218b8 elementor-widget elementor-widget-heading\" data-id=\"a2218b8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">PMMR Reconstruction<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1fd6057 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1fd6057\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-52c612b\" data-id=\"52c612b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ea0d13e elementor-widget elementor-widget-shortcode\" data-id=\"ea0d13e\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n<style>\n\t#hotspot-4259 .hotspots-image-container,\n\t#hotspot-4259 .leaflet-container {\n\t\tbackground: #efefef\t}\n\n\t#hotspot-4259 .hotspots-placeholder,\n\t.featherlight .featherlight-content.lightbox-4259 {\n\t\tbackground: #fafbff;\n\t\tborder: 0 #fafbff solid;\n\t\tcolor: #000000;\n\t}\n\n\t#hotspot-4259 .hotspot-title,\n\t#hotspot-4259 .bc-product__title a,\n\t.featherlight .featherlight-content.lightbox-4259 .hotspot-title,\n\t.featherlight .featherlight-content.lightbox-4259 .bc-product__title a {\n\t\tcolor: #156fbf;\n\t}\n\n\t\t\t#hotspot-4259 .hotspot-style-1 {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-4259 .hotspot-style-1:hover,\n\t\t#hotspot-4259 .hotspot-style-1:focus,\n\t\t#hotspot-4259 .hotspot-style-1.hotspot-active {\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\toutline: none;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t\t#hotspot-4259 .hotspot-default {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #20418d;\n\t\t\tfill-opacity: 0.01;\n\t\t\tstroke: #0d1b3a;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-4259 .hotspot-default:hover,\n\t\t#hotspot-4259 .hotspot-default:focus,\n\t\t#hotspot-4259 .hotspot-default.hotspot-active {\n\t\t\tfill: #0d1b3a;\n\t\t\tfill-opacity: 0.01;\n\t\t\toutline: none;\n\t\t\tstroke: #0d1b3a;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-4259 .leaflet-tooltip,\n\t#hotspot-4259 .leaflet-rrose-content-wrapper {\n\t\tbackground: #fafbff;\n\t\tborder-color: #fafbff;\n\t\tcolor: #000000;\n\t}\n\n\t#hotspot-4259 a.leaflet-rrose-close-button {\n\t\tcolor: #156fbf;\n\t}\n\n\t#hotspot-4259 .leaflet-rrose-tip {\n\t\tbackground: #fafbff;\n\t}\n\n\t#hotspot-4259 .leaflet-popup-scrolled {\n\t\tborder-bottom-color: #000000;\n\t\tborder-top-color: #000000;\n\t}\n\n\t#hotspot-4259 .leaflet-tooltip-top:before {\n\t\tborder-top-color: #fafbff;\n\t}\n\n\t#hotspot-4259 .leaflet-tooltip-bottom:before {\n\t\tborder-bottom-color: #fafbff;\n\t}\n\t#hotspot-4259 .leaflet-tooltip-left:before {\n\t\tborder-left-color: #fafbff;\n\t}\n\t#hotspot-4259 .leaflet-tooltip-right:before {\n\t\tborder-right-color: #fafbff;\n\t}\n<\/style>\n\n\n\t<div class=\"hotspots-container  layout-lightbox event-click\" id=\"hotspot-4259\" data-layout=\"lightbox\" data-trigger=\"click\">\n\t\t<div class=\"hotspots-interaction\">\n\t\t\t<div class=\"hotspots-image-container\">\n\t<img\n\t\twidth=\"1280\"\n\t\theight=\"720\"\n\t\tsrc=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2025\/02\/PMMR.png\"\n\t\talt=\"PMMR (Reconstruction)\"\n\t\tclass=\"hotspots-image skip-lazy\"\n\t\tusemap=\"#hotspots-image-4259\"\n\t\tdata-image-title=\"PMMR (Reconstruction)\"\n\t\tdata-image-description=\"PMMR\"\n\t\tdata-event-trigger=\"click\"\n\t\tdata-always-visible=\"on\"\n\t\tdata-id=\"4259\"\n\t\tdata-no-lazy=\"1\"\n\t\tdata-lazy-src=\"\"\n\t\tdata-lazy=\"false\"\n\t\tloading=\"eager\"\n\t\tdata-skip-lazy=\"1\"\n\t\t>\n<\/div>\t\t<\/div>\n\t\t<map name=\"hotspots-image-4259\" class=\"hotspots-map\">\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"100,277,100,228,387,228,387,277\"\n\t\t\t\t\thref=\"#hotspot-hotspot-4259-0\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Position &amp; Draping\"\n\t\t\t\t\talt=\"Position &amp; Draping\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-4259-0\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"114,517,114,466,377,466,377,517\"\n\t\t\t\t\thref=\"#hotspot-hotspot-4259-1\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Procedure\"\n\t\t\t\t\talt=\"Procedure\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-4259-1\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"856,319,856,266,1206,266,1206,319\"\n\t\t\t\t\thref=\"#hotspot-hotspot-4259-2\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Instrument &amp; Consumable\"\n\t\t\t\t\talt=\"Instrument &amp; Consumable\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-4259-2\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t<\/map>\n\n\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-4259-0\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Position & Draping<\/h2>\t\t\t\t\t\t\t\t\t<div class=\"hotspot-thumb\">\n\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"497\" height=\"380\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2025\/02\/PMMR-draping.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2025\/02\/PMMR-draping.png 497w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2025\/02\/PMMR-draping-300x229.png 300w\" sizes=\"(max-width: 497px) 100vw, 497px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-4259-1\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Procedure<\/h2>\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .09in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Procedure<\/span><\/u><\/p>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">1.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Start pneumatic tourniquet\u00a0\u00a0 <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.4pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">2.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Skin incision with surgical blade #10\u00a0\u00a0 <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">3.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Tendon dissected and harvested with tendon stripper\u00a0\u00a0 <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 3.65pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">4.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Prepare tendon with <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">graftmaster<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">\u00a0 II board\u00a0\u00a0 <\/span><\/div>\n<div class=\"O0\" style=\"line-height: normal;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 3.55pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">5.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Create portal for <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">arthroscope<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> with surgical blade 11 and <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">crile\u2019s<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> artery forceps (straight); then insert shaver and instrument\u00a0\u00a0 <\/span><\/div>\n<div class=\"O0\" style=\"line-height: normal;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 3.55pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">6.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Prepare <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">tibial<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> tunnel with ACL guide, 2.4mm drill tip guide pin and appropriated cannulated endoscopic drill accordingly graft size\u00a0\u00a0 <\/span><\/div>\n<div class=\"O0\" style=\"line-height: normal;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 3.55pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">7.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Capsule <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">and meniscus junction suture passed and <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">dilated<\/span><\/div>\n<div class=\"O0\" style=\"line-height: normal;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 3.55pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">8.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Graft passed<\/span><\/div>\n<div class=\"O0\" style=\"line-height: normal;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 3.55pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">9.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Anchor <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">with interference <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">screw<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Posterior<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> horn and graft sutured together with <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">fastfix<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">360<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 3.65pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">10.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Release tourniquet\u00a0\u00a0 <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 3.65pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">11.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Perform <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">haemostasis<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> with diathermy\u00a0\u00a0 <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 3.65pt .38in\"><\/div>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">\u00a0<\/span><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Wound closing <\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">V<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">icryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 1, <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Vicryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 2\/O and <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">E<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">thilon<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 3\/O <\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Cosmopore<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> (S)\u00a0 <\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Plain gauze\u00a0 <\/span><\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-4259-2\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Instrument & Consumable<\/h2>\t\t\t\t\t\t\t\t\t<div class=\"hotspot-thumb\">\n\t\t\t\t\t\t<img decoding=\"async\" width=\"671\" height=\"860\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2025\/02\/pmmr-recon.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2025\/02\/pmmr-recon.jpg 671w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2025\/02\/pmmr-recon-234x300.jpg 234w\" sizes=\"(max-width: 671px) 100vw, 671px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1cc59fb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1cc59fb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-708dc65\" data-id=\"708dc65\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-734ac9e elementor-view-stacked elementor-shape-circle elementor-widget elementor-widget-icon\" data-id=\"734ac9e\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"https:\/\/ndhorth.synology.me\/wordpress\/?page_id=903\">\n\t\t\t<i aria-hidden=\"true\" class=\"fas fa-undo\"><\/i>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>PMMR Reconstruction<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-4264","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/4264","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4264"}],"version-history":[{"count":13,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/4264\/revisions"}],"predecessor-version":[{"id":4316,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/4264\/revisions\/4316"}],"wp:attachment":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4264"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4264"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4264"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}