Revision ACL surgery using a two-incision technique

There is an ever increasing number of anterior cruciate ligament (ACL) reconstructions being performed using multiple techniques. With this increase comes an increase in the number of ACL reconstructions that will need revision. Preoperative planning, meticulous surgical technique by a skilled ACL surgeon, and a single technique that can revise the majority of primary ACL reconstructions are necessary. The two-incision technique is a reproducible method that can accommodate nearly all the primary ACL reconstruction failures. Nevertheless, our results confirm that revision surgery has poorer patient-relevant outcomes and further research is necessary to determine why.