Indications for 2-incision Anterior Cruciate Ligament Surgery

Two-incision anterior cruciate ligament reconstruction uses an outside-in femoral drilling technique. Advantages include anatomic femoral tunnel placement and increased versatility with regard to graft position and fixation in the femoral tunnel or distal femur. The authors believe that transtibial...

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Published inOrthopedics (Thorofare, N.J.) Vol. 36; no. 9; pp. 708 - 711
Main Authors Breland, Ryan, Metzler, Adam, Johnson, Darren L
Format Journal Article
LanguageEnglish
Published United States SLACK INCORPORATED 01.09.2013
Subjects
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Anterior Cruciate Ligament Reconstruction - methods
Drilling
Humans
Iatrogenesis
Joint and ligament injuries
Knee Injuries - surgery
Patients
Sports injuries
Surgeons
Surgery
Visualization
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Summary:Two-incision anterior cruciate ligament reconstruction uses an outside-in femoral drilling technique. Advantages include anatomic femoral tunnel placement and increased versatility with regard to graft position and fixation in the femoral tunnel or distal femur. The authors believe that transtibial femoral tunnel drilling is inferior because of nonanatomic femoral tunnel placement and the requirement of the posterior footprint placement of the tibial tunnel. Indications for outside-in femoral drilling include revision anterior cruciate ligament reconstruction, drilling an all-epiphyseal tunnel in skeletally immature patients, long bone-patellar tendon-bone autografts when using more than 45 mm of tendon, and cases in which the leg cannot be hyperflexed for accessory anteromedial portal drilling.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0147-7447
1938-2367
DOI:10.3928/01477447-20130821-07