Reconstruction of the anterior cruciate ligament using a double bundle

Citation
K. Hara et al., Reconstruction of the anterior cruciate ligament using a double bundle, ARTHROSCOPY, 16(8), 2000, pp. 860-864
Citations number
11
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
ARTHROSCOPY
ISSN journal
0749-8063 → ACNP
Volume
16
Issue
8
Year of publication
2000
Pages
860 - 864
Database
ISI
SICI code
0749-8063(200011/12)16:8<860:ROTACL>2.0.ZU;2-K
Abstract
We developed a reconstruction technique for the anterior cruciate ligament using a double bundle that is the combination of bone-tendon-bone (BTB) fro m the patellar tendon and semitendinosus tendon (ST). BTB is fixed in the t unnels produced on the isometric points on the tibia and femur. ST is fixed on the tibial tunnel through the same route as the BTB, but on the femur, through the over-the-top route, which is located posterolateral to the femo ral tunnel. Use of this double bundle realizes a physiologically more durab le reconstruction because BTB corresponds to the anteromedial bundle of the ACL and ST corresponds to the posterolateral bundle, and these produce 2 d ifferent tension patterns within the bundle. This technique is also applica ble to revision surgeries for patients with an extended bone loss on the ti bia.