Download PDF
J Knee Surg 2014; 27(05): 343-346
DOI: 10.1055/s-0034-1384217
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Two-Incision Anterior Cruciate Ligament Reconstruction

Rick W. Wright
1   Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri
› Author Affiliations
Further Information

Publication History

01 May 2014

07 May 2014

Publication Date:
03 July 2014 (online)

    Permissions and Reprints

Abstract

Two-incision or rear-entry anterior cruciate ligament (ACL) reconstruction has value from a historical perspective as the original method for arthroscopically assisted reconstructions. As endoscopic approaches became popular it became less commonly utilized. It remains an important technique and has become even more relevant as the discussion of tunnel placement has evolved. It allows independent placement from the tibial tunnel and can be easier to accomplish than anteromedial tunnel drilling. It has also gained favor as a technique to ease performing revision reconstructions following previous endoscopic reconstructions. This review discusses the historical and clinical issues involved with two-incision ACL reconstruction.

Keywords

ACL reconstruction - rear-entry - two-incision
 

  • References

  • 1 Gill TJ, Steadman JR. Anterior cruciate ligament reconstruction the two-incision technique. Orthop Clin North Am 2002; 33 (4) 727-735 , vii
    CrossrefPubMedSearch in Google Scholar
  • 2 Ninomiya T, Tachibana Y, Miyajima T, Yamazaki K, Oda H. Fixation strength of the interference screw in the femoral tunnel: The effect of screw divergence on the coronal plane. Knee 2011; 18 (2) 83-87
    CrossrefPubMedSearch in Google Scholar
  • 3 Lemos MJ, Jackson DW, Lee TQ, Simon TM. Assessment of initial fixation of endoscopic interference femoral screws with divergent and parallel placement. Arthroscopy 1995; 11 (1) 37-41
    CrossrefPubMedSearch in Google Scholar
  • 4 Dworsky BD, Jewell BF, Bach Jr BR. Interference screw divergence in endoscopic anterior cruciate ligament reconstruction. Arthroscopy 1996; 12 (1) 45-49
    CrossrefPubMedSearch in Google Scholar
  • 5 Jennings S, Rasquinha V, Dowd GS. Medium term follow up of endoscopically assisted BPTB ACL reconstruction using a two-incision technique—return to sporting activity. Knee 2003; 10 (4) 329-333
    CrossrefPubMedSearch in Google Scholar
  • 6 Garofalo R, Mouhsine E, Chambat P, Siegrist O. Anatomic anterior cruciate ligament reconstruction: the two-incision technique. Knee Surg Sports Traumatol Arthrosc 2006; 14 (6) 510-516
    CrossrefPubMedSearch in Google Scholar
  • 7 Merchant TC. Comparison of three patellar tendon anterior cruciate ligament reconstruction techniques with emphasis on tunnel location and outcome. Are our results improving?. Iowa Orthop J 2001; 21: 25-30
    PubMedSearch in Google Scholar
  • 8 O'Neill DB. Revision arthroscopically assisted anterior cruciate ligament reconstruction with previously unharvested ipsilateral autografts. Am J Sports Med 2004; 32 (8) 1833-1841
    CrossrefPubMedSearch in Google Scholar
  • 9 Wright RW, Huston LJ, Spindler KP , et al; MARS Group. Descriptive epidemiology of the Multicenter ACL Revision Study (MARS) cohort. Am J Sports Med 2010; 38 (10) 1979-1986
    CrossrefPubMedSearch in Google Scholar
  • 10 Howell SM, Deutsch ML. Comparison of endoscopic and two-incision techniques for reconstructing a torn anterior cruciate ligament using hamstring tendons. Arthroscopy 1999; 15 (6) 594-606
    CrossrefPubMedSearch in Google Scholar
  • 11 Karlsson J, Kartus J, Brandsson S, Magnusson L, Lundin O, Eriksson BI. Comparison of arthroscopic one-incision and two-incision techniques for reconstruction of the anterior cruciate ligament. Scand J Med Sci Sports 1999; 9 (4) 233-238
    PubMedSearch in Google Scholar
  • 12 Ogilvie-Harris DJ, Sekyi-Otu A. Periarticular heterotopic ossification: a complication of arthroscopic anterior cruciate ligament reconstruction using a two-incision technique. Arthroscopy 1995; 11 (6) 676-679
    PubMedSearch in Google Scholar
  • 13 Hess T, Duchow J, Roland S, Kohn D. Single-versus two-incision technique in anterior cruciate ligament replacement: influence on postoperative muscle function. Am J Sports Med 2002; 30 (1) 27-31
    PubMedSearch in Google Scholar
  • 14 Segawa H, Koga Y, Omori G, Sakamoto M, Hara T. Contact pressure in anterior cruciate ligament bone tunnels: comparison of endoscopic and two-incision technique. Arthroscopy 2005; 21 (4) 439-444
    CrossrefPubMedSearch in Google Scholar
  • 15 Dalldorf PG, Alexander J, Lintner DM. One- and two-incision anterior cruciate ligament reconstruction: a biomechanical comparison including the effect of simulated closed-chain exercise. Arthroscopy 1998; 14 (2) 176-181
    CrossrefPubMedSearch in Google Scholar
  • 16 George MS, Huston LJ, Spindler KP. Endoscopic versus rear-entry ACL reconstruction: a systematic review. Clin Orthop Relat Res 2007; 455 (455) 158-161
    CrossrefPubMedSearch in Google Scholar
  • 17 Gerich TG, Lattermann C, Fremerey RW, Zeichen J, Lobenhoffer HP. One- versus two-incision technique for anterior cruciate ligament reconstruction with patellar tendon graft. Results on early rehabilitation and stability. Knee Surg Sports Traumatol Arthrosc 1997; 5 (4) 213-216
    CrossrefPubMedSearch in Google Scholar
  • 18 O'Neill DB. Arthroscopically assisted reconstruction of the anterior cruciate ligament. A prospective randomized analysis of three techniques. J Bone Joint Surg Am 1996; 78 (6) 803-813
    Search in Google Scholar
  • 19 O'Neill DB. Arthroscopically assisted reconstruction of the anterior cruciate ligament. A follow-up report. J Bone Joint Surg Am 2001; 83-A (9) 1329-1332
    PubMedSearch in Google Scholar
  • 20 Reat JF, Lintner DM. One-versus two-incision ACL reconstruction. A prospective, randomized study. Am J Knee Surg 1997; 10 (4) 198-208
    PubMedSearch in Google Scholar
  • 21 Brandsson S, Faxén E, Eriksson BI, Swärd L, Lundin O, Karlsson J. Reconstruction of the anterior cruciate ligament: comparison of outside-in and all-inside techniques. Br J Sports Med 1999; 33 (1) 42-45
    CrossrefPubMedSearch in Google Scholar
  • 22 Arciero RA, Scoville CR, Snyder RJ, Uhorchak JM, Taylor DC, Huggard DJ. Single versus two-incision arthroscopic anterior cruciate ligament reconstruction. Arthroscopy 1996; 12 (4) 462-469
    CrossrefPubMedSearch in Google Scholar
  • 23 Sgaglione NA, Schwartz RE. Arthroscopically assisted reconstruction of the anterior cruciate ligament: initial clinical experience and minimal 2-year follow-up comparing endoscopic transtibial and two-incision techniques. Arthroscopy 1997; 13 (2) 156-165
    CrossrefPubMedSearch in Google Scholar
  • 24 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
    CrossrefPubMedSearch in Google Scholar