Anatomic anterior cruciate ligament reconstruction: the two-incision technique.
This article describes the anatomical two-incision reconstruction of anterior cruciate ligament (ACL) of knee. The major part of currently single incision tibial endoscopic techniques attempts to reproduce the most isometric anteromedial bundle of ACL. Often a relatively vertical femoral tunnel, respect to the notch, is drilled, which is not really efficacious in providing rotatory stability. The single incision technique was developed to obviate the necessity of the lateral femoral incision and dissection. This technical note describes a two-incision ACL reconstruction using an instrumentation, which avoids a large lateral femoral soft tissue dissection, and discusses the rational use of the two-incision ACL reconstruction technique.
Garofalo
Raffaele
R
Hopital Orthopedique, de la Suisse Romande, Avenue Pierre Decker 4, 1005, Lausanne, Switzerland.
Mouhsine
Elyazid
E
Chambat
Pierre
P
Siegrist
Olivier
O
D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D050376:Bone-Patellar Tendon-Bone Grafting / Q000379:methods*; D005269:Femur / Q000601:surgery; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods*; D010329:Patella; D013710:Tendons / Q000637:transplantation; D013977:Tibia / Q000601:surgery; D014182:Transplantation, Autologous