Double-bundle anterior cruciate ligament reconstruction using two different suspensory femoral fixation: a technical note

We describe a novel double-bundle reconstruction method for ACL deficient knee. Grafts are tibialis allograft for AMB (anteromedial bundle) and semitendinosus autograft for PLB (posterolateral bundle). Femoral fixations are done by Bio-TransFix for AMB and EndoButton for PLB. Tibial fixations are do...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2007-08, Vol.15 (8), p.1023-1027
Main Authors: Lee, Yong Seuk, Kim, Sung Kon, Park, Jung Ho, Park, Jong Woong, Wang, Joon Ho, Jung, Young Bok, Ahn, Jin Hwan
Format: Article
Language:English
Subjects:
anterior cruciate ligament
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Arthroscopy
Autografts
Femur
Femur - surgery
Humans
Knee
Knees
Ligaments
Reconstruction
Reconstructive Surgical Procedures - methods
Sports
Sports medicine
Surgery
Suture Anchors
Techniques
Tendons - transplantation
Tenodesis - instrumentation
Tenodesis - methods
Tibia
Tibia - surgery
Tissue and Organ Harvesting
Transplantation, Autologous
Transplantation, Homologous
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Summary:We describe a novel double-bundle reconstruction method for ACL deficient knee. Grafts are tibialis allograft for AMB (anteromedial bundle) and semitendinosus autograft for PLB (posterolateral bundle). Femoral fixations are done by Bio-TransFix for AMB and EndoButton for PLB. Tibial fixations are done by Bio-interference screw for AMB at 60-70 degrees knee flexion and secure the PLB and remnant AMB graft simultaneously onto anteromedial aspect of tibia at 10-20 degrees knee flexion with spiked washer and screw. With our technique, graft lengths are not restricted and we provide strong femoral and tibial fixation if it is compared with previous techniques.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-007-0336-6