Trantibial anterior cruciate ligament double bundle reconstruction technique: two tibial bundle in one tibial tunnel
- Authors
- Noh, Haeng Kee; Wang, Joon Ho; Bada, Leela P.; Ahn, Jin Hwan; Yoo, Jae Chul; Nha, Kyung Wook; Lee, Yong Seuk
- Issue Date
- 11월-2008
- Publisher
- SPRINGER
- Keywords
- Anterior cruciate ligament; Double bundle reconstruction; Hamstring tendon; Tibial tunnel
- Citation
- ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, v.128, no.11, pp.1245 - 1250
- Indexed
- SCIE
SCOPUS
- Journal Title
- ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
- Volume
- 128
- Number
- 11
- Start Page
- 1245
- End Page
- 1250
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/122498
- DOI
- 10.1007/s00402-007-0467-8
- ISSN
- 0936-8051
- Abstract
- The anterior cruciate ligament (ACL) consists of two functional bundles that behave independently throughout the range of knee motion. Many two-bundle reconstruction techniques have been introduced to restore the function of the two bundles of the ACL. Generally, two femoral and two tibial tunnels are made during the surgery for a two-bundle ACL reconstruction. However, the procedure is technically demanding and time consuming. This paper describes one-tibial-two-femoral ACL double bundle reconstruction technique with a sextuple-stranded hamstring autograft. The anteromedial femoral tunnel is made using transtibial drilling technique and posterolateral femoral tunnel is made using outside-in technique. The two bundles in a single tibia] tunnel are separated using biodegradable interference screw. Stable and adequate femoral fixation of the two bundles with a transtibial fixation and bioabsorbable screw can be obtained. This technique is relatively simple, and replicates the anatomy and differential behavior of the two native bundles of ACL more effectively.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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