Outside-In Drilling Allows Avoidance of Two-Stage Surgery in Revision Anterior Cruciate Ligament Reconstruction

Ibrahim M Haidar; Julien Billières; Adnan Saithna; Johnny El Rayes; Thomas Fradin; Cédric Ngbilo; Thais Dutra Vieira; Etienne Cavaignac; Bertrand Sonnery-Cottet

doi:10.1016/j.eats.2020.10.057

Outside-In Drilling Allows Avoidance of Two-Stage Surgery in Revision Anterior Cruciate Ligament Reconstruction

Arthrosc Tech. 2021 Feb 8;10(3):e691-e696. doi: 10.1016/j.eats.2020.10.057. eCollection 2021 Mar.

Authors

Ibrahim M Haidar¹, Julien Billières², Adnan Saithna³, Johnny El Rayes¹, Thomas Fradin¹, Cédric Ngbilo¹, Thais Dutra Vieira¹, Etienne Cavaignac⁴, Bertrand Sonnery-Cottet¹

Affiliations

¹ Centre Orthopédique Santy and Hopital Privé Jean Mermoz, Ramsay-Générale de Santé, Lyon, France.
² Division of Orthopedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland.
³ Kansas City University of Medicine and Biosciences, Kansas City, Missouri, USA.
⁴ Department of Orthopedic Surgery and Trauma, Hôpital Pierre-Paul Riquet, Toulouse, France.

Abstract

The presence of preoperative tunnel widening and/or malposition can pose technical challenges for revision anterior cruciate ligament reconstruction. This Technical Note describes the use of outside-in drilling to avoid the need for 2-stage reconstruction in the presence of tunnel widening or semi-anatomic tunnels.