title: Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction With Remnant Preservation Using Outside-In Technique.
abstract: This report describes a modified anatomic single-bundle anterior cruciate ligament (ACL) reconstruction technique using the FlipCutter guide pin (Arthrex, Naples, FL) as a retrograde drill and a cortical suspensory fixation device (TightRope; Arthrex) with an adjustable graft loop length. Preservation of the ACL remnant as a biological sleeve for the graft is an important issue from the viewpoints of acceleration of revascularization and ligamentization, preservation of the proprioceptive nerve fibers, enhancement of the biological environment for healing, and maintenance of the anchor point at the native tibial attachment, in addition to yielding a lower incidence of tibial bone tunnel enlargement. The goal of our technique is to obtain some advantages of the remnant-preserving technique through an anatomic single-bundle ACL reconstruction, which is performed to minimize damage to the ACL tibial remnant.
authors.affiliation: Division of Arthroscopy, Department of Orthopaedic Surgery, School of Medicine, Soonchunhyang University, Seoul, Republic of Korea.
authors.forename: Byung-Ill
authors.initials: BI
authors.lastname: Lee
authors.affiliation: Division of Arthroscopy, Department of Orthopaedic Surgery, School of Medicine, Soonchunhyang University, Seoul, Republic of Korea.
authors.forename: Sai-Won
authors.initials: SW
authors.lastname: Kwon
authors.affiliation: Division of Arthroscopy, Department of Orthopaedic Surgery, School of Medicine, Soonchunhyang University, Seoul, Republic of Korea.
authors.forename: Hyung-Suk
authors.initials: HS
authors.lastname: Choi
authors.affiliation: Division of Arthroscopy, Department of Orthopaedic Surgery, School of Medicine, Soonchunhyang University, Seoul, Republic of Korea.
authors.forename: Dong-Il
authors.initials: DI
authors.lastname: Chun
authors.affiliation: Division of Arthroscopy, Department of Orthopaedic Surgery, School of Medicine, Soonchunhyang University, Seoul, Republic of Korea.
authors.forename: Yong-Beom
authors.initials: YB
authors.lastname: Kim
authors.affiliation: Division of Arthroscopy, Department of Orthopaedic Surgery, School of Medicine, Soonchunhyang University, Seoul, Republic of Korea.
authors.forename: Byoung-Min
authors.initials: BM
authors.lastname: Kim