Arthroscopic double bundle ACL reconstruction using a bone patellar tendon bone—gracilis tendon composite autograft: a technical note

The authors devised an alternative arthroscopic double bundle ACL reconstruction technique using a bone patellar tendon bone (BPTB)–gracilis tendon composite autograft. One tibial and two femoral tunnels were used to reconstruct two bundles of anterior cruciate ligaments (ACL) [an anteromedial bundl...

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Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2008-04, Vol.16 (4), p.382-385
Main Authors: Jung, Kwang Am, Lee, Su Chan, Song, Moon Bok, Lee, Choon Key
Format: Article
Language:English
Subjects:
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Arthroscopy
Bone-Patellar Tendon-Bone Grafting - methods
Bones
Humans
Isometrics
Joint Instability - surgery
Knee
Knee Joint - surgery
Knees
Ligaments
Medicine
Medicine & Public Health
Orthopedics
Sports
Stability
Surgery
Techniques
Tendons
Transplantation, Autologous
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Summary:The authors devised an alternative arthroscopic double bundle ACL reconstruction technique using a bone patellar tendon bone (BPTB)–gracilis tendon composite autograft. One tibial and two femoral tunnels were used to reconstruct two bundles of anterior cruciate ligaments (ACL) [an anteromedial bundle (AM) and a post-erolateral bundle (PL)]. BTBB was fixed in the tunnels produced on the isometric points of the tibia and femur using the conventional technique. The gracilis tendon was then fixed in a PL tunnel produced using the outside-in technique. The authors consider that the devised technique based on a combination of autogenous bone patellar bone graft and gracilis tendon, can minimize tunnel widening post-operatively, allow easier revision should the reconstructed ACL fail, and also provides an alternative means of restoring rotation stability.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-007-0451-4