Anatomic anterior cruciate ligament double-bundle reconstruction using 2 tibial and 2 femoral tunnels

Mario Ferretti, Boris A. Zelle, Anikar Chhabra, Freddie H. Fu

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Over the last decade, anterior cruciate ligament (ACL) reconstruction has been continuously improved. Although the current outcomes of the single-bundle ACL reconstruction are good, there remains significant room for improvement. A high percentage of patients do not return to their previous level of activity, and progressive cartilage degeneration continues to be a common problem after ACL injury. The evaluation of the 3-dimensional in vivo kinematics of the knee joint after single-bundle ACL reconstruction has demonstrated good restoration of the anteroposterior stability, whereas the rotational stability cannot be restored. Similarly, biomechanical studies in cadavers reveal that anatomic double-bundle ACL reconstruction restores the rotational knee stability more closely to normal than single-bundle ACL reconstruction. Based on these considerations, we suggest an anatomic double-bundle ACL reconstruction technique using 2 tibial and 2 femoral tunnels. This technique restores both the anteromedial and the posterolateral bundle of the ACL.

Original languageEnglish (US)
Pages (from-to)218-223
Number of pages6
JournalTechniques in Orthopaedics
Issue number3
StatePublished - Sep 2005
Externally publishedYes


  • Anterior cruciate ligament
  • Double-bundle
  • Rotational stability

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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