All-inside ACL reconstruction: How does it compare to standard ACL reconstruction techniques?

Connaughton, Alexander J; Geeslin, Andrew G; Uggen, Christopher W · J Orthop · 2017

review · Level V

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Abstract

The all-inside ACL reconstruction technique is a relatively new development in ACL surgery. Some features of this technique include closed-socket tunnels, dual suspensory graft fixation, decreased bone removal, and smaller skin incisions. The purpose of this review was to compare the unique features of the all-inside ACL versus standard ACL techniques using biomechanical and clinical studies. The all-inside ACL appears to have similar overall results on subjective and objective outcomes studies compared to standard ACL techniques and may be associated with decreased post-operative pain. There is also a concern for a higher graft failure rate with the all-inside ACL.