Anatomic Oblong Double Bundle Anterior Cruciate Ligament Reconstruction

Kurume Med J. 2016;62(3-4):53-8. doi: 10.2739/kurumemedj.MS66002. Epub 2016 May 25.

Abstract

Double-bundle anterior cruciate ligament (ACL) reconstruction using hamstring tendon grafts is a standard procedure for ACL injury. However, its clinical effectiveness is not always satisfactory. One cause of this was problems with the graft-tunnel healing of the posterolateral bundle (PLB) on the femur. To solve this problem, we devised a new anatomic ACL reconstruction technique to improve the graft-tunnel healing of the femoral PLB by using a single-bundle with one bone tunnel on the femoral side and a double-bundle on the tibial side. We have performed 40 procedures with excellent results and no cases of intra- or postoperative complication. This procedure can help improve the graft-tunnel healing around the femoral bone tunnel aperture for the PLB.

MeSH terms

  • Anterior Cruciate Ligament Reconstruction / methods*
  • Humans
  • Middle Aged