Darthroscopic Double- Bundle Reconstruction of Anterior Cruciate Ligament Using Hamstring Tendon Grafts - Fixation with Two Interference Screws

نویسندگان

  • Mario Carneiro
  • Ricardo Dizioli Navarro
  • Gilberto Yoshinobu Nakama
  • João Mauricio Barretto
  • Antonio Altenor Bessa de Queiroz
  • Marcus Vinicius Malheiro Luzo
چکیده

Surgical procedures for double-bundle reconstruction of anterior cruciate ligament, which currently use semitendinous and gracilis tendon grafts, have been described in the last decade. Most of the techniques utilize twice the hardware used in single-bundle reconstructions. We report an original anterior cruciate ligament double-bundle reconstruction technique using semitendinous and gracilis tendon grafts, maintaining their tibial bone insertions with two tibial and two femoral tunnels. A simplified and precise outside-in femoral drilling technique is utilized, and the graft fixation is made utilizing only two interference screws.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Anterior cruciate ligament graft fixation. Comparison of hamstring and patellar tendon grafts.

This study assessed the tensile properties of hamstring and patellar tendon anterior cruciate ligament reconstructions in older cadaveric knees (age range, 48 to 79 years). Mechanical testing to failure was conducted by translating the tibia anteriorly at 1 mm/sec with the knee in 20 degrees of flexion. The strongest gracilis-semitendinosus graft fixation technique (103% of intact anterior cruc...

متن کامل

A prospective randomized comparison of patellar tendon versus semitendinosus and gracilis tendon autografts for anterior cruciate ligament reconstruction.

Seventy patients with patellar tendon or hamstring tendon autografts for single-incision anterior cruciate ligament reconstruction were evaluated at least 2 years after surgery. All reconstructions were performed by the same surgeon, and metal interference screws were used for fixation of all grafts. No significant differences were noted between groups for Lysholm score, reduction in activity, ...

متن کامل

Multistranded hamstring tendon graft fixation with a central four-quadrant or a standard tibial interference screw for anterior cruciate ligament reconstruction.

BACKGROUND Tibial fixation of hamstring tendon grafts has been the weak link in anterior cruciate ligament reconstruction. HYPOTHESIS Use of a central four-quadrant sleeve and screw provides superior fixation when compared with standard interference screw fixation. STUDY DESIGN Controlled laboratory study. METHODS In eight pairs of cadaveric knees each anterior cruciate ligament was recon...

متن کامل

Biomechanical Comparison Between Bashti Bone Plug Technique and Biodegradable Screw for Fixation of Grafts in Ligament surgery

  Background: Ligament reconstruction is a common procedure in orthopedic surgery. Although several popular techniques are currently in use, new methods are proposed for secure fixation of the tendon graft into the bone tunnel. Purposes: We sought to introduce our new technique of Bashti bone plug for fixation of soft tissue graft in anterior cruciate ligament (ACL) reconstruction and to compar...

متن کامل

Revision anterior cruciate ligament reconstruction with hamstring tendon autograft: 5- to 9-year follow-up.

BACKGROUND The results of revision anterior cruciate ligament reconstruction are limited in the current literature, and no studies have previously documented the outcome of revision anterior cruciate ligament reconstruction using solely hamstring tendon grafts. HYPOTHESIS Revision anterior cruciate ligament reconstruction with 4-strand hamstring tendon graft affords acceptable results and is ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 44  شماره 

صفحات  -

تاریخ انتشار 2009