Arthroscopic Double-Bundle Anterior Cruciate Ligament Reconstruction: An Anatomic Approach

The anterior cruciate ligament consists of 2 functional bundles, the anteromedial and the posterolateral bundle. Anterior cruciate ligament reconstruction has traditionally focused on recreating the anteromedial bundle, while the reconstruction of the posteromedial bundle has not routinely been addr...

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Bibliographic Details
Published in:	Arthroscopy Vol. 21; no. 10; pp. 1275.e1 - 1275.e8
Main Authors:	Cha, Peter S., Brucker, Peter U., West, Robin V., Zelle, Boris A., Yagi, Masayoshi, Kurosaka, Masahiro, Fu, Freddie H.
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-10-2005
Subjects:	Anterior cruciate ligament Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Anteromedial bundle Arthroscopy Arthroscopy - methods Biomechanical Phenomena Double-bundle Femur - surgery Humans Posterolateral bundle Prostheses and Implants Reconstruction Tendons - transplantation Tibia - surgery Tissue and Organ Harvesting - methods Transplantation, Autologous Transplantation, Homologous Reconstruction Anteromedial bundle Double-bundle Arthroscopy Posterolateral bundle Anterior cruciate ligament
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Summary:	The anterior cruciate ligament consists of 2 functional bundles, the anteromedial and the posterolateral bundle. Anterior cruciate ligament reconstruction has traditionally focused on recreating the anteromedial bundle, while the reconstruction of the posteromedial bundle has not routinely been addressed. The authors, from 2 academic centers, present a technique of arthroscopic anterior cruciate ligament reconstruction that restores both the anteromedial and the posterolateral bundle using either semitendinosus and gracilis autografts or tibialis anterior allografts. This technique represents a novel approach to restore the anteromedial and the posterolateral bundle at their anatomic insertion sites on both the tibia and the femur through separate bone tunnels. We believe that our double-bundle anatomic anterior cruciate ligament reconstruction closely reapproximates the native insertion sites of the anterior cruciate ligament on the tibia and the femur while more closely recreating the biomechanical function of the native ligament.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0749-8063 1526-3231
DOI:	10.1016/j.arthro.2005.07.018