Related Experiment Video
Updated: Jul 24, 2026
Surgical Retrieval, Isolation and In vitro Expansion of Human Anterior Cruciate Ligament-derived Cells for Tissue Engineering Applications
Published on: April 30, 2014
Minimally Invasive 2-Incision Patellar Tendon Autograft Anterior Cruciate Ligament Reconstruction Using Retrograde
Dylan S Koolmees1, Joseph D Lamplot1, Andrew D Nahr1
1Campbell Clinic Orthopaedics, University of Tennessee Health Sciences Center, Germantown, Tennessee, U.S.A.
Abstract:
Graft-tunnel mismatch (GTM) is a known technical challenge that can occur with anterior cruciate ligament reconstruction when using a patellar tendon autograft. Two-incision anterior cruciate ligament reconstruction is a well-established technique with excellent outcomes and can serve as an excellent tool to prevent GTM. Traditionally, 2-incision femoral tunnel drilling has been performed using an over-the-top guide through a lateral incision, but more modern retrograde reamer guides can allow this to be done percutaneously. We detail how a minimally invasive 2-incision femoral tunnel drilling technique can be used in patients with patellar tendon lengths that are longer than average to avoid GTM.
