Uploaded November 2025 | Updated September 2026, 1 week ago
Accurate tunnel placement remains one of the most critical factors influencing outcomes after ACL reconstruction. In this video, Dr. James Voos demonstrates ACL reconstruction using the Synergy Vision™ Imaging System, showcasing how Pano™ scopic visualization enhances accuracy, efficiency, and confidence throughout every stage of the procedure.
The Synergy Vision™ Pano™ scope allows surgeons to seamlessly transition between standard 30° arthroscopy, panoramic visualization, and 70‑degree viewing with the push of a button—eliminating the need to exchange scopes mid‑procedure. This capability provides a global view of the knee joint, improving visualization during both diagnostic arthroscopy and ACL reconstruction.
The procedure begins with a comprehensive diagnostic arthroscopy of the patellofemoral, medial, and lateral compartments. The Pano™ scopic view offers broader visualization of articular cartilage surfaces, meniscal roots, and subtle pathology that may be missed with a fixed‑angle scope. This is especially valuable when assessing trochlear morphology and patellar instability, where a single panoramic view can contextualize pathology more efficiently.
One of the most impactful applications of the Synergy Vision™ system is during ACL footprint identification. Using traditional 30° arthroscopy, visualization of the femoral and tibial ACL footprints is often limited, frequently requiring scope exchange or knee hyperflexion. With the Pano™ scope, surgeons can visualize the entire ACL footprint en face, improving anatomic tunnel placement while keeping the knee in a more functional 90° position.
As demonstrated in the video, switching to the 70‑degree visualization mode provides:
Direct confirmation of the femoral back wall
Reduces the risk of posterior wall blowout and tunnel mismatch
The ability to measure both anterior and posterior tunnel depths helps prevent graft length mismatch and improves graft integration.
The Synergy Vision™ system also enhances notchplasty precision. Instead of performing excessive bone resection to improve visualization, surgeons can directly visualize the entire notch, removing only the necessary bone to protect the graft while avoiding iatrogenic damage.
During tibial tunnel preparation, the Pano™ scopic view delivers a near‑circumferential assessment of tunnel walls, bleeding bone, and footprint anatomy. This is particularly useful in revision cases or when evaluating cystic change. The system further improves confidence during button passage and TightRope® fixation, allowing direct visualization of button flip and seating rather than relying solely on tactile feedback.
Finally, the Pano™ scope enables a complete inspection of the final ACL construct, from tibial tunnel to femoral tunnel, confirming graft tensioning, internal brace positioning, and absence of residual debris through full knee extension.
💬 If this video was helpful, like, subscribe, and comment below with how advanced visualization has changed your ACL reconstruction workflow.
👇 Helpful Arthrex Reference Links:
arthrex.info/44jOtT5
arthrex.com/resources/VID1-005537-en-US/acl-reconstruction-using-the-presutured-speedgraft-achilles-tendon?objectID=human.resource.en.b1097c2e-1046-4ba7-804b-9ba0d18db6c1.1&queryID=004406fad28a0a254347423a64b2f11b
👍 Like, subscribe, and comment if you’d like to see more patient success stories and innovations in minimally invasive orthopedic procedures.
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
📱 Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
Accurate tunnel placement remains one of the most critical factors influencing outcomes after ACL reconstruction. In this video, Dr. James Voos demonstrates ACL reconstruction using the Synergy Vision™ Imaging System, showcasing how Pano™ scopic visualization enhances accuracy, efficiency, and confidence throughout every stage of the procedure.
The Synergy Vision™ Pano™ scope allows surgeons to seamlessly transition between standard 30° arthroscopy, panoramic visualization, and 70‑degree viewing with the push of a button—eliminating the need to exchange scopes mid‑procedure. This capability provides a global view of the knee joint, improving visualization during both diagnostic arthroscopy and ACL reconstruction.
The procedure begins with a comprehensive diagnostic arthroscopy of the patellofemoral, medial, and lateral compartments. The Pano™ scopic view offers broader visualization of articular cartilage surfaces, meniscal roots, and subtle pathology that may be missed with a fixed‑angle scope. This is especially valuable when assessing trochlear morphology and patellar instability, where a single panoramic view can contextualize pathology more efficiently.
One of the most impactful applications of the Synergy Vision™ system is during ACL footprint identification. Using traditional 30° arthroscopy, visualization of the femoral and tibial ACL footprints is often limited, frequently requiring scope exchange or knee hyperflexion. With the Pano™ scope, surgeons can visualize the entire ACL footprint en face, improving anatomic tunnel placement while keeping the knee in a more functional 90° position.
As demonstrated in the video, switching to the 70‑degree visualization mode provides:
Direct confirmation of the femoral back wall
Reduces the risk of posterior wall blowout and tunnel mismatch
The ability to measure both anterior and posterior tunnel depths helps prevent graft length mismatch and improves graft integration.
The Synergy Vision™ system also enhances notchplasty precision. Instead of performing excessive bone resection to improve visualization, surgeons can directly visualize the entire notch, removing only the necessary bone to protect the graft while avoiding iatrogenic damage.
During tibial tunnel preparation, the Pano™ scopic view delivers a near‑circumferential assessment of tunnel walls, bleeding bone, and footprint anatomy. This is particularly useful in revision cases or when evaluating cystic change. The system further improves confidence during button passage and TightRope® fixation, allowing direct visualization of button flip and seating rather than relying solely on tactile feedback.
Finally, the Pano™ scope enables a complete inspection of the final ACL construct, from tibial tunnel to femoral tunnel, confirming graft tensioning, internal brace positioning, and absence of residual debris through full knee extension.
💬 If this video was helpful, like, subscribe, and comment below with how advanced visualization has changed your ACL reconstruction workflow.
👇 Helpful Arthrex Reference Links:
arthrex.info/44jOtT5
arthrex.com/resources/VID1-005537-en-US/acl-reconstruction-using-the-presutured-speedgraft-achilles-tendon?objectID=human.resource.en.b1097c2e-1046-4ba7-804b-9ba0d18db6c1.1&queryID=004406fad28a0a254347423a64b2f11b
👍 Like, subscribe, and comment if you’d like to see more patient success stories and innovations in minimally invasive orthopedic procedures.
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
📱 Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
