ACL reconstruction involves replacing the torn ACL with tissue taken from the patient (autograft) or taken from a tissue donor (allograft). This procedure is usually done arthroscopically and involves making tunnels in the femur and tibia, allowing passage of the graft material to reconstruct the ACL. The All-Inside technique offers surgeons a minimally invasive, completely arthroscopic that helps reduce postoperative pain.
Our accumulated experience and constant innovation in knee reconstruction has redefined knee surgery with next-generation knee ligament reconstruction and repair technology products. Arthrex ACL reconstruction techniques include: hamstring or BTB graft harvest preparation, ACL RetroConstruction / FlipCutter® drill or All-Inside ACL reconstruction / FlipCutter drill medial portal femoral socket preparation, transtibial ACL reconstruction, ACL soft-tissue graft fixation, and ACL BTB graft fixation. For more information on these techniques, refer to the educational resources tab.
- See also:
- ACL BTB Graft Fixation,
- ACL BTB Graft Harvest and Preparation,
- ACL Hamstring Graft Harvest and Preparation,
- ACL RetroConstruction™ System / FlipCutter® III Drill,
- ACL Soft-Tissue Graft Fixation,
- All-Inside ACL Reconstruction / FlipCutter® III Reamer,
- GraftLink® Technique,
- Medial Portal Femoral Socket Preparation,
- Quad Tendon Graft ACL Reconstruction,
- Transtibial™ ACL Reconstruction
- Tags:
- transtibial ACL reconstruction ACL repair cruciate reconstruction minimally invasive ACL reconstruction Arthrex ACL reconstruction hamstring ACL reconstruction BTB ACL reconstruction multiligament knee reconstruction anatomic ACL reconstruction medial portal ACL reconstruction ACL reconstruction
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All-epiphyseal Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients
J. Todd R. Lawrence, MD, PhD, Andrea L. Bowers, MD; Jonathan Belding, MD; Stephanie R. Cody, BS; and Theodore J. Ganley, MD
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All-Epiphyseal, All-Inside Anterior Cruciate Ligament Reconstruction Technique for Skeletally Immature Patients
Moira M. McCarthy, MD; Jessica Graziano, PT, DPT; Daniel W. Green, MD; Frank A. Cordasco, MD
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All-Inside Anterior Cruciate Ligament Graft-Link Technique: Second-Generation, No-Incision Anterior Cruciate Ligament Reconstruction
James H. Lubowitz, MD; Christopher H. Amhad, MD; Kyle Anderson, MD
Arthroscopy: The Journal of Arthroscopic and Related Surgery
2011
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All-inside Anterior Cruciate Ligament Reconstruction
Andrew Blackman, MD; Michael J. Stuart, MD
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All-Inside, All-Epiphyseal Autograft Reconstruction of the Anterior Cruciate Ligament in the Skeletally Immature Athlete: A Surgical Technique
Peter D. Fabricant, MD, MPH; Moira M. McCarthy, MD; Frank A. Cordasco, MD, MS; and Daniel W. Green, MD, MS
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All-inside, physeal-sparing anterior cruciate ligament reconstruction does not significantly compromise the physis in skeletally immature athletes: a postoperative physeal magnetic resonance imaging analysis
Danyal H. Nawabi, Kristofer J. Jones, Brett Lurie, Hollis G. Potter, Daniel W. Green, and Frank A. Cordasco
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Anatomic landmarks utilized for physeal-sparing, anatomic anterior cruciate ligament reconstruction: an MRI-based study
John W. Xerogeanes, MD; Kyle E. Hammond, MD; Dane Todd, BS
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Anterior cruciate ligament femoral footprint anatomy: systematic review of the 21st century literature
Jason W. Piefer, MD; T. Ryan Pflugner, MD; Michael D. Hwang, MD; James H. Lubowitz, MD
Arthroscopy: The Journal of Arthroscopic and Related Surgery
2012 -
Anterior Cruciate Ligament Femoral Tunnel Length: Cadaveric Analysis Comparing Anteromedial Portal Versus Outside-In Technique
James H. Lubowitz, MD and John Konicek, BS
Arthroscopy: The Journal of Arthroscopic and Related Surgery
2010
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Anterior cruciate ligament reconstruction in the skeletally immature: an anatomical study utilizing 3-dimensional magnetic resonance imaging reconstructions.
Kercher J, Xerogeanes J, Tannenbaum A, Al-Hakim R, Black JC, Zhao J.
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Anterior cruciate ligament reconstruction in the young athlete: a treatment algorithm for the skeletally immature
Milewski MD, Beck NA, Lawrence JT, Ganley TJ
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Anterior cruciate ligament reconstruction with doubled semitendinosus and gracilis tendon graft in rugby players
Carlo Fabbriciani, Giuseppe Milano, Pier Damiano Mulas, Fabio Ziranu and Gabriele Severini
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Anteromedial Portal Technique for Creating the Anterior Cruciate Ligament Femoral Tunnel
Christopher Harner, MD and Nicholas Honkamp, MD and Anil Ranawat MD
Arthroscopy: The Journal of Arthroscopic and Related Surgery
2008 -
Biomechanical Testing of Three Alternative Quadrupled Tendon Graft Constructs With Adjustable Loop Suspensory Fixation for Anterior Cruciate Ligament Reconstruction Compared With Four-Strand Grafts Fixed With Screws and Femoral Fixed Loop Devices
CJ Vertullo, M Piepenbrink, PA Smith, AJ Wilson, CA Wijdicks
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Clinical Degradation and Biocompatibility of Different Bioabsorbable Interference Screws: A Report of Six Cases
Andreas Stähelin MD, Andreas Weiler MD, Hansjorg Rüfenacht MD, Reinhard Hoffmann MD, Alfred Geissmann MD, Richard Feinstein MD
Arthroscopy: The Journal of Arthroscopic and Related Surgery
1997 -
Clinical Outcome of Anterior Cruciate Ligament Reconstruction with Quadrupled Hamstring Tendon Graft and Bioabsorbable Interference Screw Fixation
William Charlton MD and Donald Randolph Jr, MD and Stephen Lemos MD, Clarence Shields Jr. MD
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Comparison Between Different Femoral Fixation Devices for ACL Reconstruction With Doubled Hamstring Tendon Graft: A Biomechanical Analysis
Giuseppe Milano MD, Pier Damiano Mulas MD, Fabio Ziranu MD, Stefano Piras MD, Andrea Manunta MD, Carlo Fabbriciani MD
Arthroscopy: The Journal of Arthroscopic and Related Surgery
2006
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Contact Stress and Kinematic Analysis of All-Epiphyseal and Over-the-Top Pediatric Reconstruction Techniques for the Anterior Cruciate Ligament
McCarthy MM, Tucker S, Nguyen JT, Green DW, Imhauser CW, Cordasco FA.
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Cortical Suspensory Button Versus Aperture Interference Screw Fixation for Knee Anterior Cruciate Ligament Soft-Tissue Allograft: A Prospective, Randomized Controlled Trial
James H. Lubowitz, MD; Randy Schwartzberg, MD; Pat Smith, MD
Arthroscopy: The Journal of Arthroscopic and Related Surgery
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Cross-Pin Femoral Fixation Versus Metal Interference Screw Fixation in Anterior Cruciate Ligament Reconstruction With Hamstring Tendons: Results of a Controlled Prospective Randomized Study With 2-Year Follow-up
Arsi Harilainen MD, Jerker Sandelin MD, Kim Jansson MD
Arthroscopy: The Journal of Arthroscopic and Related Surgery
2005
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Direct Visualization of Existing Footprint and Outside-In Drilling of the Femoral Tunnel in Anterior Cruciate Ligament Reconstruction in the Knee
E. Grant Sutter, MD, MS; John A. Anderson, MD, MSc; William E. Garrett Jr., MD, PhD
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Does adjustable-loop femoral cortical suspension loosen after anterior cruciate ligament reconstruction? A retrospective comparative study
Matthew J. Boyle; Tyler J. Vovos; Cameron G. Walker; Kathryne J. Stabile; Jonathan M. Roth; William E. Garrett Jr.
The Knee Journal
2015 -
Femoral Tunnel Placement During Anterior Cruciate Ligament Reconstruction An In Vivo Imaging Analysis Comparing Transtibial and 2-Incision Tibial Tunnel–Independent Techniques
Ermias S. Abebe; C. T. Moorman III, MD; T. Scott Dziedzic, MD; Charles E. Spritzer, MD; R. Lee Cothran, MD; Dean C. Taylor, MD; William E. Garrett, Jr, MD and Louis E. DeFrate, PhD
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Hamstring Anterior Cruciate Ligament Reconstruction: Is It Necessary to Sacrifice the Gracilis?
Alberto Gobbi, MD; Marcin Domzalski MD; Jose Pascual, MD; Milco Zanazzo, PT
Arthroscopy: The Journal of Arthroscopic and Related Surgery
2005 -
Influence of Medial Hamstring Tendon Harvest on Knee Flexor Strength after Anterior Cruciate Ligament Reconstruction A Detailed Evaluation with Comparison of Single- and Double-Tendon Harvest
Toshiyuki Tashiro, MD; Hisashi Kurosawa, MD; Akira Kawakami, MD; Atsuhiko Hikita, MD; and Naoshi Fukui, MD
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Mechanical analysis of fixation methods for anterior cruciate ligament reconstruction with hamstring tendon graft. An experimental study in sheep knees
Carlo Fabbriciani MD, Pier Damiano Mulas MD, Fabio Ziranu, Laura Deriu, Donatella Zarelli, Giuseppe Milano
The Knee Journal
2005
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Mechanical Properties of Soft Tissue Femoral Fixation Devices for Anterior Cruciate Ligament Reconstruction
Christopher Ahmad MD, Thomas Gardner ME, Megan Groh, Johnny Arnouk, William Levine MD
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Posterior Single-Incision Semitendinosus Harvest for a Quadrupled Anterior Cruciate Ligament Graft Construct: Determination of Graft Length and Diameter Based on Patient Sex, Height, Weight, and Body Mass Index
Clayton Nuelle, MD; James L. Cook, DVM, PhD; Michael A. Gallizzi, MD, MS; Patrick A. Smith, MD
Arthroscopy: The Journal of Arthroscopic and Related Surgery
2014 -
Quadriceps Tendon Autograft for Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Literature and Systematic Review of Clinical Results
Harris S. Slone, MD; Spencer E. Romine, MD; Ajay Premkumar; John W. Xerogeanes, MD
Arthroscopy: The Journal of Arthroscopic and Related Surgery
2014
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Randomized Controlled Trial Comparing All-Inside Anterior Cruciate Ligament Reconstruction Technique With Anterior Cruciate Ligament Reconstruction With a Full Tibial Tunnel
James H. Lubowitz, MD; Randy Schwartzberg, MD; Patrick Smith, MD
Arthroscopy: The Journal of Arthroscopic and Related Surgery
2013 -
Reconstruction of the Anterior Cruciate Ligament in the Skeletally Immature Athlete: A review of current concepts
Peter D. Fabricant, MD; Kristofer J. Jones, MD; Demetris Delos, MD; Frank A. Cordasco, MD, MS; Robert G. Marx, MD, MSc; Andrew D. Pearle, MD; Russell F. Warren, MD; Daniel W. Green, MD, MS
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Reconstruction Technique Affects Femoral Tunnel Placement in ACL Reconstruction
William E. Garrett, Jr. MD PhD, Maria Kaseta, MD, Brian Charnock, AB and Robert Sullivan, MD and Louis DeFrate, ScD
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Return to Play and Clinical Outcomes after All-Inside, Anterior Cruciate Ligament Reconstruction in Skeletally Immature Athletes
Danyal H. Nawabi, MD; Moira McCarthy, MD; Jessica Graziano; Polly deMille; Theresa Chiaia,PT; Daniel W. Green, MD; Frank A. Cordasco, MD, MS
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Surgical Management of Anterior Cruciate Ligament Injuries in Patients With Open Physes
Mitchell Larsen MD, William E. Garrett Jr, MD, PhD, Jesse C. Delee MD, and Claude Moorman 3rd, MD
Journal of the American Academy of Orthopaedic Surgeons
2006 -
The Effect of Anterior Cruciate Ligament Graft Fixation at the Tibia on Knee Stability: Evaluation Using a Robotic Testing System
Yasuyuki Ishibashi, M.D., Theodore W. Rudy, M.D., Glen A. Livesay, M.D., Jeffrey D. Stone, M.D., Freddie H. Fu, M.D., Savio L.-Y. Woo, Ph.D.
Arthroscopy: The Journal of Arthroscopic and Related Surgery
1997
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The effects of femoral graft placement on in vivo knee kinematics after anterior cruciate ligament reconstruction
ES Abebe; GM Utturkar; DC Taylor; CE Spritzer; JP Kim; CT Moorman III; WE Garrett; LE DeFrate
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The Incidence and Significance of Femoral Tunnel Widening After Quadrupled Hamstring Anterior Cruciate Ligament Reconstruction Using Femoral Cross Pin Fixation
Jason Klein MD, David Lintner MD, David Downs MD, Kimberly Vavrenka RN
Arthroscopy: The Journal of Arthroscopic and Related Surgery
2003 -
Tibial Fixation Properties of a Continuous-Loop ACL Hamstring Graft Construct with Suspensory Fixation in Porcine Bone
Patrick A. Smith, MD; Thomas M. DeBarardino, MD
Smith et al compared Arthrex® TightRope Attachable Button System (ABS) fixation of the GraftLink ACL construct to standard interference screw (IF) fixation.1 The TightRope/GraftLink construct outperformed IF screw fixation in both yield and ultimate load and was statistically equivalent in cyclic displacement. The GraftLink technique not only increases tibial fixation strength but allows for greater graft diameter, eliminates foreign bodies in the tibial and femoral socket, allows continued graft tensioning after fixation is complete and facilitates an all-inside technique.
- Smith PA, DeBerardino TM. Tibial Fixation Properties of a Continuous Loop ACL Hamstring Graft Construct with Suspensory Fixation in Porcine Bone [published online ahead of print October 27, 2014]. J Knee Surg. doi: 10.1055/s-0034-1394167.
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