Describes a two-incision arthroscopic technique for ACL reconstruction using a central-third patellar tendon autograft that has yielded good to excellent results.
This technique should not change ACL reconstruction practice; leaves open its comparative efficacy pending prospective trials.
The following article is a discussion of the technique currently used by the senior author (KED) for reconstruction of the anterior cruciate ligament using two incisions and a central one-third patellar tendon autograft. The reconstructive procedure is performed arthroscopically using standard portals and instrumentation. An incision over the patellar tendon is used to harvest the patellar tendon, and a lateral incision is used for femoral tunnel placement and fixation. The technique has allowed us to achieve good and excellent results over the past 6 years.
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Diment et al. (1993) studied this question.
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