Meeting News Coverage

Patients report less pain after all-inside technique for ACL reconstruction

SAN ANTONIO — Researchers found similar results between the all-inside and full tibial tunnel techniques for ACL reconstruction, although patients who underwent the all-inside technique reported significantly less pain than the full tibial tunnel technique, according to a study presented here at the Arthroscopy Association of North America Annual Meeting.

“There were no differences in outcomes between all inside and full tibial tunnels,” James H. Lubowitz, MD, said. “The all-inside technique resulted in statistically significantly less pain.”

In the prospective study, researchers randomized 150 patients to undergo either the all-inside or full tibial tunnel technique of ACL reconstruction. Outcome measures included the VAS, IKDC score, IKDC subjective, Knee Society Score (KSS), SF-12 and socket widening. There was a minimum 2-year follow-up.


James H. Lubowitz

The researchers found no significant differences between groups in IKDC, IKDC subjective, KSS, SF-12 or socket widening. However, patients who underwent the all-inside technique experienced statistically significantly less pain than patients in the full tibial tunnel group.


“All-inside ACL technique results in significantly less increase in patient pain on postoperative day 1 compared to full tibial tunnel ACL technique,” the authors wrote in their abstract. “No other differences in clinical outcomes between groups were detected.”


Lubowitz J. Paper #SS-05. Presented at: Arthroscopy Association of North America Annual Meeting; April 25-27, 2013; San Antonio.

Disclosure: Lubowitz receives royalties from Arthrex, Arthroscopy and AANA, is a paid speaker for Donor Services, is a paid consultant for Arthrex Inc. and Ivivi, owns stock in Ivivi, receives research support from Arthrex, Breg, Smith & Nephew, Ivivi, Tornier, Zimmer and DJ Orthopaedics.

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