The application of the advanced arthroscopic technique ALL INSIDE<\/strong> yields significantly better functional and aesthetic outcomes in the repair of Anterior Cruciate Ligament (ACL)<\/strong> ruptures.<\/p>\n\n\n\n This is an even less invasive technique that causes minimal tissue damage, replaces the torn ligament with only one (1) tendon graft<\/strong> instead of two (2) or the patellar tendon, involves less bone removal, and can even be applied to adolescents who are not yet skeletally mature<\/strong>.<\/p>\n\n\n\n Less postoperative pain<\/strong>, excellent stability<\/strong>, and a faster return to daily and athletic activities<\/strong> are some of the many advantages for the patient.<\/p>\n\n\n\n An ACL rupture is one of the most common knee injuries, especially in athletes. The appropriate treatment\u2014whether conservative or surgical\u2014depends on the patient\u2019s individual needs: age, type of work, level of physical activity, possible coexisting injuries, and the degree of knee instability.<\/p>\n\n\n\n In young athletes and active individuals with a complete ACL tear, surgical intervention is recommended<\/strong>. Because the ACL has limited healing capacity<\/strong> compared to other ligaments, conservative treatment usually fails to restore knee stability and function.<\/p>\n\n\n\n Get the Help You Need Today!<\/p>\n<\/div>\n\n\n\n The orthopedic surgeon will replace the torn anterior cruciate ligament (a procedure known as ligamentoplasty<\/strong>) with a graft from the patient\u2019s own tissue. The surgery is performed arthroscopically, using a minimally invasive technique<\/strong> through a few millimeter-sized holes and a small incision.<\/p>\n\n\n\n The modern ALL INSIDE arthroscopic technique<\/strong> is considered technically demanding<\/strong>, and its success largely depends on the surgeon\u2019s specialization and experience.<\/p>\n\n\n\n Details:<\/p>\n\n\n\n The graft is taken from the patient\u2019s hamstring tendon<\/strong> instead of the patellar tendon<\/strong>, which requires an incision on the front of the knee and has been associated with anterior knee pain.<\/p>\n\n\n\n A single tendon graft<\/strong> from the semitendinosus<\/strong> (rather than two tendons used in the classic method) is placed to replace the torn ACL. The gracilis tendon is preserved<\/strong>, resulting in better knee function<\/strong>, greater muscle strength<\/strong>, and less postoperative pain<\/strong>.<\/p>\n\n\n\n Despite using only one tendon<\/strong>, the semitendinosus has sufficient thickness and can be configured as a quadruple-bundle graft<\/strong> for enhanced strength.<\/p>\n\n\n\n The graft is secured using special \u201cbuttons\u201d (suspensory fixation devices)<\/strong> placed outside the bone<\/strong>, on both the femur and tibia. No screws or other materials<\/strong> are inserted into the bone.<\/p>\n\n\n\n As a result, the bone tunnels are significantly smaller<\/strong> than those created for internal fixation devices. Smaller tunnels<\/strong> mean less pain and faster healing<\/strong>. The bone cortex remains almost intact<\/strong>, contributing to better graft stabilization<\/strong> and stronger integration<\/strong>.<\/p>\n\n\n\n Get the Help You Need Today!<\/p>\n<\/div>\n\n\n\nACL Rupture & Treatment<\/h2>\n\n\n\n
The All INSIDE Arthroscopic Technique<\/h2>\n\n\n\n
Graft Selection<\/h3>\n\n\n\n
Graft Fixation<\/h3>\n\n\n\n