Anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft two-incision technique

Anterior cruciate ligament (ACL) reconstruction can be performed with a variety of techniques. Multiple graft sources for reconstruction are also available. The senior author (JRS) has used an arthroscopically assisted technique with 2 incisions that has achieved consistently good results. One incision is made over the patellar tendon, allowing harvest of the bone-patellar tendon-bone graft and tibial tunnel placement and graft fixation. A second lateral incision is used for femoral tunnel placement and fixation. This method has produced predictably good results and avoids some of the potential complications of endoscopic ACL reconstruction.