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Peer-reviewedCC BYArthroscopy techniques

All-Inside Anterior Cruciate Ligament Reconstruction With Accurate Measurement Technique.

  • Daoliang Xu1,2,3
  • Wei Yu1,2,3
  • Jian Lin1,2,3
  • Renjie Li4
  • Zhikai Lu5
  • Yulong Zhou1,2,3
  • Xiaoyun Pan1,2,3
5 affiliations
  1. 1Department of Orthopaedics The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University Wenzhou Zhejiang China.
  2. 2Key Laboratory of Orthopedics of Zhejiang Province Wenzhou Zhejiang China.
  3. 3The Second Clinical School of Medicine Wenzhou Medical University Wenzhou Zhejiang China.
  4. 4Department of Orthopaedics The Third People's Hospital of Cangnan Wenzhou Zhejiang China.
  5. 5Department of Orthopedics No. 906 Hospital of Joint Logistic Support Force of PLA Ningbo Zhejiang China.
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Abstract

The all-inside anterior cruciate ligament reconstruction technique is characterized by closed bone sockets for anterior cruciate ligament graft passage and typically adopts suspensory fixation instead of screw fixation. Inaccurate determination of the intra-articular length (IAL) of the graft is associated with an elevated risk of graft "bottoming out" and excessive length consumption of the tibial sockets. Notably, the IAL is dependent on the patient's knee dimensions and intraoperative tunnel positioning, thus requiring individualized measurement. Herein, we propose an intraoperative method for accurate IAL measurement in all-inside anterior cruciate ligament reconstruction, which enables the creation of bone sockets with appropriate lengths based on individual IAL values. This technique effectively mitigates graft-tunnel mismatch and improves the stability of graft fixation, thereby optimizing the clinical outcomes of the all-inside anterior cruciate ligament reconstruction.

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Cite

BibTeXRIS
BibTeX
@article{xu2026allinside,
  title = {{All-Inside Anterior Cruciate Ligament Reconstruction With Accurate Measurement Technique.}},
  author = {Daoliang Xu and Wei Yu and Jian Lin and Renjie Li and Zhikai Lu and Yulong Zhou and Xiaoyun Pan},
  journal = {Arthroscopy techniques},
  year = {2026},
  month = oct,
  doi = {10.1002/atn2.70284},
  url = {https://europepmc.org/article/MED/42903403},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - All-Inside Anterior Cruciate Ligament Reconstruction With Accurate Measurement Technique.
AU  - Daoliang Xu
AU  - Wei Yu
AU  - Jian Lin
AU  - Renjie Li
AU  - Zhikai Lu
AU  - Yulong Zhou
AU  - Xiaoyun Pan
PY  - 2026
DA  - 2026/10/19
JO  - Arthroscopy techniques
DO  - 10.1002/atn2.70284
UR  - https://europepmc.org/article/MED/42903403
AB  - The all-inside anterior cruciate ligament reconstruction technique is characterized by closed bone sockets for anterior cruciate ligament graft passage and typically adopts suspensory fixation instead of screw fixation. Inaccurate determination of the intra-articular length (IAL) of the graft is associated with an elevated risk of graft "bottoming out" and excessive length consumption of the tibial sockets. Notably, the IAL is dependent on the patient's knee dimensions and intraoperative tunnel positioning, thus requiring individualized measurement. Herein, we propose an intraoperative method for accurate IAL measurement in all-inside anterior cruciate ligament reconstruction, which enables the creation of bone sockets with appropriate lengths based on individual IAL values. This technique effectively mitigates graft-tunnel mismatch and improves the stability of graft fixation, thereby optimizing the clinical outcomes of the all-inside anterior cruciate ligament reconstruction.
SN  - 2212-6287
ER  -