All-Inside Anterior Cruciate Ligament Reconstruction

Abstract

All-inside anterior cruciate ligament (ACL) reconstruction has undergone a series of modifications over the past 20 years. Current techniques offer the advantages of improved cosmesis, less postoperative pain, decreased bone removal, and gracilis preservation. Few all-inside ACL reconstruction outcome studies are available; therefore, additional research is necessary to compare the results to conventional techniques. The purpose of this article is to review the evolution of all-inside ACL reconstruction, the advantages and disadvantages, our preferred technique, and clinical experience to date.

Keywords

all-inside - ACL - minimally invasive - GraftLink - semitendinosus

• References

• 1 DeHaven KE. Arthroscopy in the diagnosis and management of the anterior cruciate ligament deficient knee. Clin Orthop Relat Res 1983; (172) 52-56
• 2 Harner CD, Marks PH, Fu FH, Irrgang JJ, Silby MB, Mengato R. Anterior cruciate ligament reconstruction: endoscopic versus two-incision technique. Arthroscopy 1994; 10 (5) 502-512
• 3 Morgan CD, Kalmam VR, Grawl DM. Isometry testing for anterior cruciate ligament reconstruction revisited. Arthroscopy 1995; 11 (6) 647-659
• 4 Stähelin AC, Weiler A. All-inside anterior cruciate ligament reconstruction using semitendinosus tendon and soft threaded biodegradable interference screw fixation. Arthroscopy 1997; 13 (6) 773-779
• 5 Wilson AJ, Yasen SK, Nancoo T, Stannard R, Smith JO, Logan JS. Anatomic all-inside anterior cruciate ligament reconstruction using the translateral technique. Arthrosc Tech 2013; 2 (2) e99-e104
• 6 Lubowitz JH, Ahmad CS, Anderson K. All-inside anterior cruciate ligament graft-link technique: second-generation, no-incision anterior cruciate ligament reconstruction. Arthroscopy 2011; 27 (5) 717-727
• 7 McCarthy MM, Graziano J, Green DW, Cordasco FA. All-epiphyseal, all-inside anterior cruciate ligament reconstruction technique for skeletally immature patients. Arthrosc Tech 2012; 1 (2) e231-e239
• 8 Morgan CD, Stein DA, Leitman EH, Kalman VR. Anatomic tibial graft fixation using a retrograde bio-interference screw for endoscopic anterior cruciate ligament reconstruction. Arthroscopy 2002; 18 (7) E38
• 9 Smith PA. An alternative method for “all-inside” anterior cruciate ligament reconstruction. Arthroscopy 2007; 23 (4) 451
• 10 Bradley JP, Tejwani SG. All-inside patellar tendon anterior cruciate ligament reconstruction. Sports Med Arthrosc 2009; 17 (4) 252-258
• 11 Lubowitz JH. No-tunnel anterior cruciate ligament reconstruction: the transtibial all-inside technique. Arthroscopy 2006; 22 (8) e1-e11
• 12 Kim SG, Kurosawa H, Sakuraba K, Ikeda H, Takazawa S, Takazawa Y. Development and application of an inside-to-out drill bit for anterior cruciate ligament reconstruction. Arthroscopy 2005; 21 (8) 1012
• 13 Cerulli G, Zamarra G, Vercillo F, Pelosi F. ACL reconstruction with “the original all-inside technique”. Knee Surg Sports Traumatol Arthrosc 2011; 19 (5) 829-831
• 14 Lubowitz JH. All-inside ACL: retroconstruction controversies. Sports Med Arthrosc 2010; 18 (1) 20-26
• 15 Benea H, d'Astorg H, Klouche S, Bauer T, Tomoaia G, Hardy P. Pain evaluation after all-inside anterior cruciate ligament reconstruction and short term functional results of a prospective randomized study. Knee 2014; 21 (1) 102-106
• 16 Lubowitz JH, Schwartzberg R, Smith P. Randomized controlled trial comparing all-inside anterior cruciate ligament reconstruction technique with anterior cruciate ligament reconstruction with a full tibial tunnel. Arthroscopy 2013; 29 (7) 1195-1200
• 17 Lubowitz JH, Konicek J. Anterior cruciate ligament femoral tunnel length: cadaveric analysis comparing anteromedial portal versus outside-in technique. Arthroscopy 2010; 26 (10) 1357-1362
• 18 Gobbi A, Domzalski M, Pascual J, Zanazzo M. Hamstring anterior cruciate ligament reconstruction: is it necessary to sacrifice the gracilis?. Arthroscopy 2005; 21 (3) 275-280
• 19 Tashiro T, Kurosawa H, Kawakami A, Hikita A, Fukui N. Influence of medial hamstring tendon harvest on knee flexor strength after anterior cruciate ligament reconstruction. A detailed evaluation with comparison of single- and double-tendon harvest. Am J Sports Med 2003; 31 (4) 522-529
• 20 Yosmaoglu HB, Baltaci G, Ozer H, Atay A. Effects of additional gracilis tendon harvest on muscle torque, motor coordination, and knee laxity in ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 2011; 19 (8) 1287-1292
• 21 Ishibashi Y, Rudy TW, Livesay GA, Stone JD, Fu FH, Woo SL. The effect of anterior cruciate ligament graft fixation site at the tibia on knee stability: evaluation using a robotic testing system. Arthroscopy 1997; 13 (2) 177-182
• 22 Shaffer B, Gow W, Tibone JE. Graft-tunnel mismatch in endoscopic anterior cruciate ligament reconstruction: a new technique of intraarticular measurement and modified graft harvesting. Arthroscopy 1993; 9 (6) 633-646