Review ArticlesAll-Inside Patellar Tendon Anterior Cruciate Ligament ReconstructionBradley, James P. MD*; Tejwani, Samir G. MD†Author Information * Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA † Division of Sports Medicine, Department of Orthopaedic Surgery, Kaiser Permanente Hospital, Fontana, CA Financial Disclosure: Dr Bradley, research support from Arthrex Inc; Dr Tejwani, none. Reprints: Samir Tejwani, MD, Division of Sports Medicine, Department of Orthopaedic Surgery, Kaiser Permanente Hospital, 9985 Sierra Avenue, MOB 3 Fontana, CA 92335 (e-mail: email@example.com). Sports Medicine and Arthroscopy Review: December 2009 - Volume 17 - Issue 4 - p 252-258 doi: 10.1097/JSA.0b013e3181bf664f Buy Metrics Abstract In the continued evolution of arthroscopic surgery for anterior cruciate ligament (ACL) reconstruction, the “All-Inside” technique has been developed in an attempt to further decrease surgical trauma. By replicating standard anatomic ACL reconstruction techniques, the RetroConstruction System (Arthrex, Naples, FL) eliminates tibial tunnels by creating “Retrodrilled” sockets. This All-Inside technique reduces the size and number of incisions and associated soft-tissue trauma, while eliminating the violation of distal cortices, thereby potentially decreasing patient morbidity, facilitating rehabilitation, and improving cosmesis. The technique is suitable for numerous graft options and can be used either in primary, revision augmentation, or multiligament reconstructions. The rationale and technique for All-Inside bone-patellar tendon-bone autograft or allograft single-bundle ACL reconstruction is presented. © 2009 Lippincott Williams & Wilkins, Inc.