All-Inside Double-Bundle Anterior Cruciate Ligament Reconstruction via the Transtibial Approach With a Laser-Tip Guide System for Drilling

Anterior cruciate ligament reconstruction using an all-inside method to reduce bone damage caused by drill hole preparation and enhance the stability of the reconstructed ligament in the drill hole has been reported in recent years. We made a custom-designed drill guide pin and reamer, which are assembled in the joint, to create drill holes in the femur and tibia. For the transtibial method, our femoral drill hole–positioning technique, which uses a laser, is extremely convenient for accurate positioning of the drill holes. Therefore, a combination of these methods facilitates implementation of the all-inside double-bundle anterior cruciate ligament reconstruction technique.