Anatomical double-bundle anterior cruciate ligament reconstruction

Boris A Zelle, Peter U. Brucker, Matthew T. Feng, Freddie H. Fu

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

A careful review of the literature suggests that a significant number of patients undergoing anterior cruciate ligament (ACL) reconstruction have less than optimal results. Although overall outcomes of ACL reconstruction are favourable, there remains considerable room for improvement. Anatomically, the ACL consists of two major functional bundles, the anteromedial and the posterolateral bundle. Biomechanically, both bundles contribute significantly to the anterior and the rotational stability of the knee. Therefore, anatomical double-bundle ACL reconstruction techniques may further improve the outcomes in ACL surgery. Our preferred technique for arthroscopic double-bundle ACL reconstruction includes the use of two femoral and two tibial tunnels to restore both the anteromedial and the posterolateral bundle of the ACL and their anatomical footprints at their tibial and femoral insertion site. We use two tibialis anterior tendon allografts for the restoration of the two ACL bundles. Clinical long-term outcome studies may focus on the evaluation of functional outcomes, restoration of anterior and rotational knee stability, and the risk of degenerative osteoarthritis of the knee joint following anatomical double-bundle ACL reconstruction versus single-bundle ACL reconstruction.

Original languageEnglish (US)
Pages (from-to)99-108
Number of pages10
JournalSports Medicine
Volume36
Issue number2
DOIs
StatePublished - 2006
Externally publishedYes

Fingerprint

Anterior Cruciate Ligament Reconstruction
Anterior Cruciate Ligament
Thigh
Knee
Knee Osteoarthritis
Knee Joint
Tendons
Allografts
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Orthopedics and Sports Medicine

Cite this

Anatomical double-bundle anterior cruciate ligament reconstruction. / Zelle, Boris A; Brucker, Peter U.; Feng, Matthew T.; Fu, Freddie H.

In: Sports Medicine, Vol. 36, No. 2, 2006, p. 99-108.

Research output: Contribution to journalArticle

Zelle, Boris A ; Brucker, Peter U. ; Feng, Matthew T. ; Fu, Freddie H. / Anatomical double-bundle anterior cruciate ligament reconstruction. In: Sports Medicine. 2006 ; Vol. 36, No. 2. pp. 99-108.
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