# Separate 2-Incision Harvesting Technique for Bone–Patellar Tendon–Bone Autograft Using a Circular Hollow Burr in Arthroscopic Anterior Cruciate Ligament Reconstruction

## TL;DR

A new surgical technique for harvesting bone-patellar tendon-bone grafts reduces knee pain and cosmetic issues during ACL reconstruction.

## Contribution

A novel two-incision technique using a circular hollow burr to harvest grafts with reduced donor site complications.

## Key findings

- The technique minimizes soft tissue and bone damage during graft harvesting.
- It reduces anterior knee pain and nerve injury risks while improving cosmetic outcomes.
- The hollow burr allows precise extraction, enhancing graft integration and cartilage protection.

## Abstract

Bone–patellar tendon–bone autografts are the gold standard for anterior cruciate ligament reconstruction but are associated with donor site morbidity. This Technical Note describes a separate vertical 2-incision approach using a circular hollow burr for bone–patellar tendon–bone autograft harvesting. The technique minimizes soft tissue and bone damage, reduces anterior knee pain and nerve injury, and improves cosmetic outcomes. The oscillating circular hollow burr enables precise bone plug extraction, enhancing graft integration and stability while protecting the articular cartilage. Our unique technique suggests a reliable alternative to traditional techniques, as well as provides a clinically effective and cosmetically favorable option, thus reducing donor site morbidity while minimizing risks associated with the harvesting procedure.