Remnant-Preserving Tibial Tunnel Positioning Using Anatomic Landmarks in Double-Bundle Anterior Cruciate Ligament Reconstruction

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction

A review of the literature suggests that a significant number of patients undergoing anterior cruciate ligament (ACL) reconstruction continue to suffer residual pain and instability after surgery. Consequently, there remains considerable room for improvement in surgical ACL reconstruction. Anatomically, the ACL can be divided into 2 major functional bundles, the anteromedial and the posterolate...

A pilot study of anatomic double-bundle anterior cruciate ligament reconstruction with ligament remnant tissue preservation.

PURPOSE The purpose of this pilot study was to evaluate the preliminary results of an anatomic double-bundle anterior cruciate ligament (ACL) reconstruction procedure with ligament remnant tissue preservation. METHODS By use of the transtibial technique, 2 doubled semitendinosus tendons were grafted into 4 tunnels created at the center of each bundle attachment, penetrating the ACL remnant ti...

Radiologic assessment of femoral and tibial tunnel placement based on anatomic landmarks in arthroscopic single bundle anterior cruciate ligament reconstruction

BACKGROUND Accurate tibial and femoral tunnel placement has a significant effect on outcomes after anterior cruciate ligament reconstruction (ACLR). Postoperative radiographs provide a reliable and valid way for the assessment of anatomical tunnel placement after ACLR. The aim of this study was to examine the radiographic location of tibial and femoral tunnels in patients who underwent arthrosc...

Double bundle arthroscopic Anterior Cruciate Ligament reconstruction with remnant preserving technique using a hamstring autograft

BACKGROUND Preservation of the Anterior Cruciate Ligament (ACL) remnant is important from the biological point of view as it enhances revascularization, and preserves the proprioceptive function of the graft construct. Additionally, it may have a useful biomechanical function. Double bundle ACL reconstruction has been shown to better replicate the native ACL anatomy and results in better restor...