Anatomic anterior cruciate ligament double-bundle reconstruction using 2 tibial and 2 femoral tunnels

Mario Ferretti, Boris A. Zelle, Anikar Chhabra, Freddie H. Fu

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Over the last decade, anterior cruciate ligament (ACL) reconstruction has been continuously improved. Although the current outcomes of the single-bundle ACL reconstruction are good, there remains significant room for improvement. A high percentage of patients do not return to their previous level of activity, and progressive cartilage degeneration continues to be a common problem after ACL injury. The evaluation of the 3-dimensional in vivo kinematics of the knee joint after single-bundle ACL reconstruction has demonstrated good restoration of the anteroposterior stability, whereas the rotational stability cannot be restored. Similarly, biomechanical studies in cadavers reveal that anatomic double-bundle ACL reconstruction restores the rotational knee stability more closely to normal than single-bundle ACL reconstruction. Based on these considerations, we suggest an anatomic double-bundle ACL reconstruction technique using 2 tibial and 2 femoral tunnels. This technique restores both the anteromedial and the posterolateral bundle of the ACL.

Original languageEnglish (US)
Pages (from-to)218-223
Number of pages6
JournalTechniques in Orthopaedics
Volume20
Issue number3
DOIs
StatePublished - Sep 2005
Externally publishedYes

Fingerprint

Anterior Cruciate Ligament Reconstruction
Anterior Cruciate Ligament
Thigh
Knee Joint
Cadaver
Biomechanical Phenomena
Cartilage
Knee

Keywords

  • Anterior cruciate ligament
  • Double-bundle
  • Rotational stability

ASJC Scopus subject areas

  • Surgery

Cite this

Anatomic anterior cruciate ligament double-bundle reconstruction using 2 tibial and 2 femoral tunnels. / Ferretti, Mario; Zelle, Boris A.; Chhabra, Anikar; Fu, Freddie H.

In: Techniques in Orthopaedics, Vol. 20, No. 3, 09.2005, p. 218-223.

Research output: Contribution to journalArticle

Ferretti, Mario ; Zelle, Boris A. ; Chhabra, Anikar ; Fu, Freddie H. / Anatomic anterior cruciate ligament double-bundle reconstruction using 2 tibial and 2 femoral tunnels. In: Techniques in Orthopaedics. 2005 ; Vol. 20, No. 3. pp. 218-223.
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