One-stage anatomic double-bundle anterior and posterior cruciate ligament reconstruction using the autogenous hamstring tendons

This is the first report of an anatomic double-bundle ACL and PCL reconstruction procedure with the autogenous hamstring tendons. We prepare two pairs of the doubled tendon grafts, to which a polyester tape and an Endobutton-CL are attached using our original technique at the tibial and femoral ends...

Full description

Saved in:
Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2009-07, Vol.17 (7), p.800-805
Main Authors: Yasuda, Kazunori, Kitamura, Nobuto, Kondo, Eiji, Hayashi, Riku, Inoue, Masayuki
Format: Article
Language:English
Subjects:
Anterior Cruciate Ligament - anatomy & histology
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Arthroscopy
Humans
Injuries
Knee
Ligaments
Medicine
Medicine & Public Health
Multiple Trauma - surgery
Orthopedic Procedures - methods
Orthopedics
Polyesters
Posterior Cruciate Ligament - anatomy & histology
Posterior Cruciate Ligament - injuries
Posterior Cruciate Ligament - surgery
Postoperative Care - rehabilitation
Surgeons
Surgery
Tendons
Tendons - transplantation
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This is the first report of an anatomic double-bundle ACL and PCL reconstruction procedure with the autogenous hamstring tendons. We prepare two pairs of the doubled tendon grafts, to which a polyester tape and an Endobutton-CL are attached using our original technique at the tibial and femoral ends, respectively. Under arthroscopic and fluoroscopic observations, two tibial tunnels for PCL reconstruction are created so that they pass through the posteromedial and anterolateral bundle attachments, respectively. Then, we create two tibial tunnels for anatomic double-bundle ACL reconstruction so that each tunnel axis is aimed at a targeted point on the femoral condyle. Using the outside-in technique, two femoral tunnels for PCL reconstruction are created so that the tunnel outlets are located at the center of the anterolateral and posteromedial bundle attachments. Then, two femoral tunnels for anatomic double-bundle ACL reconstruction are created with the trans-tibial tunnel technique. After the two grafts have been placed for PCL reconstruction, the two grafts are placed for ACL reconstruction. After all the femoral graft ends are fixed, the knee joint is reduced to the full extension position, and then, the four tibial tape portions are simultaneously fixed with the turn-buckle stapling technique.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-009-0800-6