Table 1.

Step-by-step Procedure for 2-Stage ACL Reconstruction With Extra-articular Stage

First Surgical Stage: joint Lavage and Tunnel filling

Patient preparation

Examination under anesthesia

Diagnostic arthroscopy

Joint lavage and tunnel debridement

Tunnel filling with graft

Surgical wound closure

Rehabilitation and follow-up between first and second surgical stages

Second surgical stage: revision ACL and ALL reconstruction

Patient preparation

Examination under anesthesia

Diagnostic arthroscopy

Graft preparation

Femoral tunnel drilling

Tibial tunnel drilling

Intra-articular passage of graft and tibial fixation

Femoral fixation of graft

Extra-articular passage of graft and anterolateral tibial fixation

Final check

Surgical wound closure

ACL, anterior cruciate ligament; ALL, anterolateral ligament.