title: Indications for Two-Incision (Outside-In) Anterior Cruciate Ligament Reconstruction.
abstract: Anterior cruciate ligament (ACL) reconstruction is a commonly performed procedure. Drilling the femoral tunnel independent of the tibial tunnel has become popular as surgeons strive to create tunnels in the anatomic locations of the femoral and tibial attachments of the native ligament. The 2-incision technique effectively and reproducibly accomplishes this goal. The 2-incision technique for ACL reconstruction is a valuable tool in the skillset of the reconstructive knee surgeon. Indications for the 2-incision surgery are reviewed in detail. Furthermore, technical tips, complications, and outcomes are discussed.
authors.affiliation: Division of Sports Medicine, Department of Orthopaedic Surgery, College of Medicine, University of Cincinnati, 1103 Holmes Hospital, Mail Loc-0212, Cincinnati, OH 45267, USA. Electronic address: branambr@ucmail.uc.edu.
authors.forename: Barton R
authors.initials: BR
authors.lastname: Branam
authors.affiliation: Division of Sports Medicine, Department of Orthopaedic Surgery, College of Medicine, University of Cincinnati, 1103 Holmes Hospital, Mail Loc-0212, Cincinnati, OH 45267, USA.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Utz
mesh_terms: D000070598:Anterior Cruciate Ligament Injuries / Q000601:surgery*; D059549:Anterior Cruciate Ligament Reconstruction / Q000009:adverse effects / Q000379:methods*; D001182:Arthroscopy / Q000009:adverse effects / Q000379:methods; D064592:Autografts; D001846:Bone Development; D064594:Bone-Patellar Tendon-Bone Grafts; D006801:Humans; D056888:Patient Positioning; D011183:Postoperative Complications; D012086:Reoperation
keywords: Anterior cruciate ligament; Knee instability; Outside-in; Reconstruction; Two-incision