The miniarthrotomy technique for anterior cruciate ligament reconstruction

Abstract

Anterior cruciate ligament (ACL) reconstruction is performed in a variety of different surgical approaches. Techniques available include a miniarthrotomy, through the patellar tendon defect, arthroscopically assisted, and, most recently, the endoscopic technique. Methods of fixation used to secure the graft include interference fit with screw fixation, screw and spiked washer, barbed staples, suture and button, and sutures around a post. It is our opinion that the visualization of the notch and the access to the posterior lateral wall for placement of the femoral tunnel afforded the surgeon by the miniarthrotomy is superior to other techniques for ACL reconstruction. The miniarthrotomy technique, as described in this article, offers reproducible excellent results and remains our method of choice for ACL reconstruction surgery.