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A simple technique for imaging of anterior cruciate ligament graft after anterior cruciate ligament reconstruction surgery in the immediate post-operative period
Arthrosc Orthop Sports Med 2021;8:20-22
Published online May 1, 2021;
© 2021 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Tunglut Pausiam, Prashant Arya, Sunil Baliga, Manabendra N. Basu Mallick

Department of Orthopedics, Apollo Gleneagles Hospital, Kolkata, India
Correspondence to: Tunglut Pausiam,
Department of Orthopedics, Apollo Gleneagles Hospital, Salt Lake sector 2, AL-135, kolkatta-700091, India. Tel: +91-8787767322, Fax: +91-8413067063, E-mail:
Received March 9, 2020; Revised March 12, 2021; Accepted March 21, 2021.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Post-operative radiography performed after anterior cruciate ligament (ACL) reconstruction surgery only shows the position of the tunnels; however, no information about the ACL graft, the actual focus of the surgery, is revealed. Videography during surgery and magnetic resonance imaging (MRI) after surgery is rarely documented in the immediate post-operative period. Here, we describe a simple technique for visualization of ACL graft and tunnels immediately after the surgery. For this, the graft is soaked in an iodine-containing radio-opaque dye iohexol injection after harvesting and before implantation into the joint. A radiograph of the knee is taken immediately after the surgery and the iodine-soaked graft shows up clearly. This technique is easy, reproducible, does not prolong the surgical duration, does not alter the graft properties, and does not pose any risk to the patient.
Keywords : Iohexol; Anterior cruciate ligament; Semitendinosus tendon
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