Anatomical Inside-Out Remnant-Preserving Anterior Cruciate Ligament Reconstruction: A Surgical Technique for Biological Anterior Cruciate Ligament Reconstruction.

Alayane, Ali; Mouarbes, Dany; Vari, Nicolas; Ripoll, Thomas; Philippe, Corentin; Teulieres, Maxime; Marot, Vincent; Cavaignac, Etienne · Arthrosc Tech · 2025

expert_opinion · Level V

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Abstract

Preservation of anterior cruciate ligament (ACL) remnants during ACL reconstruction is highly recommended, as it enhances graft healing and contributes to superior functional outcomes. Additionally, preserving ACL remnants is associated with a decreased risk of graft re-rupture. In this Technical Note, we describe an anatomical inside-out ACL reconstruction technique focusing on the optimal preservation of the ACL remnant tissues.