ACL Reconstruction Training | Knee Surgery Simulation

Course Overview

The ACL Reconstruction Arthroscopy Simulation Course is an advanced, procedure-specific training program designed to develop technical precision and anatomical understanding required for safe and effective arthroscopic anterior cruciate ligament reconstruction. Using the high-fidelity ACL Reconstruction module, participants engage in immersive simulation that integrates realistic knee anatomy, instrument handling, and biomechanical feedback.

The course enables learners to perform all critical steps of anatomical ACL reconstruction, with particular emphasis on femoral and tibial tunnel placement, graft positioning, and understanding the consequences of malalignment. Through guided and unguided therapeutic cases representing complete and partial ACL ruptures, trainees refine decision-making and procedural flow in both chronic and subacute scenarios. Objective performance metrics and haptic feedback support deliberate practice, allowing participants to achieve measurable improvements in accuracy, efficiency, and reconstructive confidence prior to clinical application.

Learning Objectives

Understand ACL biomechanics and principles of anatomical reconstruction
Identify key arthroscopic landmarks for femoral and tibial tunnel placement
Practice safe handling of ACL reconstruction instruments on simulator
Appreciate the impact of tunnel positioning on knee stability
Develop a structured, stepwise approach to arthroscopic ACL reconstruction

Learning Methodology

High-fidelity mixed-reality ACL reconstruction simulation with 3D anatomical navigation
Stepwise guided and unguided procedural reconstruction scenarios
Deliberate practice with haptic feedback for bone, tendon, and graft handling
Instrument-specific skill training with objective performance metrics
Faculty-led debriefing with pre- and post-simulation proficiency assessment

Learning Outcomes

Perform simulated anatomical ACL reconstruction with accurate tunnel placement
Demonstrate consistent graft positioning aligned with anatomical landmarks
Complete guided and unguided ACL reconstruction cases with reduced technical errors
Show improved procedural efficiency and instrument coordination
Evaluate individual performance using simulator-generated objective metrics

Eligibility Criteria

Orthopaedic residents (PGY-3+), fellows, and practicing orthopaedic surgeons
Prior basic knee arthroscopy experience recommended
Valid medical registration or license
Mandatory completion of the pre-course ACL anatomy and principles module

Course Modules

Module 1: ACL Biomechanics & Injury Mechanisms

ACL function and knee kinematics
Common injury patterns and mechanisms
Indications for reconstruction
Principles of anatomical restoration

Module 2: Arthroscopic Anatomy & Landmark Identification

Intra-articular knee anatomy review
Femoral and tibial footprint identification
Safe zone recognition
Arthroscopic orientation techniques

Module 3: Simulator Orientation & Instrument Handling

Camera navigation and horizon control
Handling of ACL-specific instruments
Portal use and triangulation
Safe instrument–tissue interaction

Module 4: Guided ACL Reconstruction

Step-by-step procedural workflow
Femoral and tibial tunnel preparation (guided)
Graft passage simulation
Error recognition and correction

Module 5: Tunnel Placement & Graft Positioning Concepts

Anatomical tunnel positioning principles
Graft orientation and tensioning concepts
Impact of malposition on knee stability
Visualization of reconstructed ACL

Module 6: Unguided Therapeutic ACL Reconstruction

Independent execution of full procedure
Procedural sequencing and decision-making
Efficiency and flow optimization
Complication avoidance strategies

Module 7: Performance Analysis & Proficiency Benchmarking

Objective assessment of accuracy and efficiency
Tunnel placement and graft positioning metrics
Faculty feedback and performance review
Simulation readiness for live surgery

ACL Reconstruction Arthroscopy

ACL Reconstruction Arthroscopy Simulation Course