Specialized Toolkit Series: ACL Reconstruction-Outside-In ACL Femoral Tunnel Drilling

Video Transcription

Video Summary

Dr. Adnan Saifner and his co-authors discuss the benefits of outside-in femoral tunnel drilling for ACL reconstruction. This technique avoids knee hyperflexion, enhances visualization, minimizes the risk of iatrogenic injury, and allows for easier multi-ligament reconstructions and single-stage revisions. Unlike anteromedial portal drilling, which risks nerve injury and reduced tunnel positioning precision, outside-in drilling is anatomically unconstrained, offering a broader range of entry points on the lateral condyle, crucial for revision surgeries and avoiding tunnel collision. This method ensures stable fixation, even with overlapping tunnels, and facilitates complex procedures like ALL reconstructions. The presentation includes detailed steps and visual aids to demonstrate the procedure and its clinical effectiveness.

Asset Caption

Adnan Saithna, M.D., FAANA, Scottsdale, Arizona
Benjamin Freychet, M.D., Lyon, France
Bertrand Sonnery-Cottet, Lyon, France

Keywords

outside-in femoral tunnel drilling

ACL reconstruction

revision ACL surgeries

Dr. Adnan Saifner

multi-ligament reconstructions

revision surgeries

clinical effectiveness