J Knee Surg 2014; 27(05): 343-346
DOI: 10.1055/s-0034-1384217
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Two-Incision Anterior Cruciate Ligament Reconstruction

Rick W. Wright
1   Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri
› Author Affiliations
Further Information

Publication History

01 May 2014

07 May 2014

Publication Date:
03 July 2014 (online)

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Abstract

Two-incision or rear-entry anterior cruciate ligament (ACL) reconstruction has value from a historical perspective as the original method for arthroscopically assisted reconstructions. As endoscopic approaches became popular it became less commonly utilized. It remains an important technique and has become even more relevant as the discussion of tunnel placement has evolved. It allows independent placement from the tibial tunnel and can be easier to accomplish than anteromedial tunnel drilling. It has also gained favor as a technique to ease performing revision reconstructions following previous endoscopic reconstructions. This review discusses the historical and clinical issues involved with two-incision ACL reconstruction.