All-Inside Anterior Cruciate Ligament Reconstruction Technique: Tips and Tricks

The all-inside anterior cruciate ligament reconstruction (ACLR) technique was developed to improve patient outcomes by reducing the procedure’s invasiveness, minimizing complications and pain, and enabling faster postoperative recovery. This study presents a detailed description of the all-inside AC...

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Main Authors: Francesco Bosco, Fortunato Giustra, Alessandro Ghirri, Giorgio Cacciola, Alessandro Massè, Marcello Capella
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/18/5793
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author Francesco Bosco
Fortunato Giustra
Alessandro Ghirri
Giorgio Cacciola
Alessandro Massè
Marcello Capella
author_facet Francesco Bosco
Fortunato Giustra
Alessandro Ghirri
Giorgio Cacciola
Alessandro Massè
Marcello Capella
author_sort Francesco Bosco
collection DOAJ
description The all-inside anterior cruciate ligament reconstruction (ACLR) technique was developed to improve patient outcomes by reducing the procedure’s invasiveness, minimizing complications and pain, and enabling faster postoperative recovery. This study presents a detailed description of the all-inside ACLR technique, which involves the use of quadrupled semitendinosus (ST) graft and suspension devices at both tibial and femoral sites, as well as valuable tips for avoiding complications that may arise during the procedure. The surgical procedure employs retrograde drills to create bony sockets for graft passage, which are then fixed with suspension devices at both the tibial and femoral sites. This technique has no specific restrictions and may be applied to all patients with anterior cruciate ligament (ACL) injuries. The literature reports the advantages, good clinical outcomes, and medium- to long-term graft survival achieved with the all-inside ACLR technique. However, the complications and disadvantages associated with the technique must be considered.
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spelling doaj.art-aceb1b743f6b4db991c648dd4a6fb2462023-11-19T11:17:25ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011218579310.3390/jcm12185793All-Inside Anterior Cruciate Ligament Reconstruction Technique: Tips and TricksFrancesco Bosco0Fortunato Giustra1Alessandro Ghirri2Giorgio Cacciola3Alessandro Massè4Marcello Capella5Department of Orthopaedics and Traumatology, University of Turin, Centro Traumatologico Ortopedico (CTO), 10124 Turin, ItalyDepartment of Orthopaedics and Traumatology, University of Turin, Centro Traumatologico Ortopedico (CTO), 10124 Turin, ItalyDepartment of Orthopaedics and Traumatology, Ospedale San Giovanni Bosco di Torino—ASL Città di Torino, 10154 Turin, ItalyDepartment of Orthopaedics and Traumatology, University of Turin, Centro Traumatologico Ortopedico (CTO), 10124 Turin, ItalyDepartment of Orthopaedics and Traumatology, University of Turin, Centro Traumatologico Ortopedico (CTO), 10124 Turin, ItalyDepartment of Orthopaedics and Traumatology, University of Turin, Centro Traumatologico Ortopedico (CTO), 10124 Turin, ItalyThe all-inside anterior cruciate ligament reconstruction (ACLR) technique was developed to improve patient outcomes by reducing the procedure’s invasiveness, minimizing complications and pain, and enabling faster postoperative recovery. This study presents a detailed description of the all-inside ACLR technique, which involves the use of quadrupled semitendinosus (ST) graft and suspension devices at both tibial and femoral sites, as well as valuable tips for avoiding complications that may arise during the procedure. The surgical procedure employs retrograde drills to create bony sockets for graft passage, which are then fixed with suspension devices at both the tibial and femoral sites. This technique has no specific restrictions and may be applied to all patients with anterior cruciate ligament (ACL) injuries. The literature reports the advantages, good clinical outcomes, and medium- to long-term graft survival achieved with the all-inside ACLR technique. However, the complications and disadvantages associated with the technique must be considered.https://www.mdpi.com/2077-0383/12/18/5793anterior cruciate ligamentACLanterior cruciate ligament reconstructionACLRall-insideknee
spellingShingle Francesco Bosco
Fortunato Giustra
Alessandro Ghirri
Giorgio Cacciola
Alessandro Massè
Marcello Capella
All-Inside Anterior Cruciate Ligament Reconstruction Technique: Tips and Tricks
Journal of Clinical Medicine
anterior cruciate ligament
ACL
anterior cruciate ligament reconstruction
ACLR
all-inside
knee
title All-Inside Anterior Cruciate Ligament Reconstruction Technique: Tips and Tricks
title_full All-Inside Anterior Cruciate Ligament Reconstruction Technique: Tips and Tricks
title_fullStr All-Inside Anterior Cruciate Ligament Reconstruction Technique: Tips and Tricks
title_full_unstemmed All-Inside Anterior Cruciate Ligament Reconstruction Technique: Tips and Tricks
title_short All-Inside Anterior Cruciate Ligament Reconstruction Technique: Tips and Tricks
title_sort all inside anterior cruciate ligament reconstruction technique tips and tricks
topic anterior cruciate ligament
ACL
anterior cruciate ligament reconstruction
ACLR
all-inside
knee
url https://www.mdpi.com/2077-0383/12/18/5793
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AT fortunatogiustra allinsideanteriorcruciateligamentreconstructiontechniquetipsandtricks
AT alessandroghirri allinsideanteriorcruciateligamentreconstructiontechniquetipsandtricks
AT giorgiocacciola allinsideanteriorcruciateligamentreconstructiontechniquetipsandtricks
AT alessandromasse allinsideanteriorcruciateligamentreconstructiontechniquetipsandtricks
AT marcellocapella allinsideanteriorcruciateligamentreconstructiontechniquetipsandtricks