Anterior Cruciate Ligament Reconstruction Using a Two-Incision Arthroscopy-Assisted Technique With Patellar Tendon Autograft

Sumary: While a single-incision arthroscopy-assisted reconstruction of the ACL is our preferred technique for primary ACL reconstructions, under certain circumstances the two-incision approach is recommended. All ACL surgeons should be familiar with this technique. In revision cases or in the case of posterior wall blow-out, the two-incision technique provides an excellent alternative. Advantages of this technique are numerous. The problem of graft-tunnel mismatch is minimized, and the problem of screw divergence or screw laceration of the graft is eliminated. The disadvantage rests only in the additional incision required. The technical aspects of this procedure are similar to those described in the single-incision technique. Overall, results using the two incision technique compare favorably with those of a single-incision.