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Arthroscopic anterior cruciate ligament double-bundle reconstruction using hamstring tendon grafts-fixation with two interference screws: technical note

  • Mario Carneiro
  • Ricardo Dizioli Navarro
  • Gilberto Yoshinobu NakamaEmail author
  • João Mauricio Barretto
  • Antonio Altenor Bessa de Queiroz
  • Marcus Vinicius Malheiro Luzo
Technical Note

Abstract

In this article, an original double-bundle anterior cruciate ligament reconstruction technique is described. The procedure is developed using hamstring tendon grafts while maintaining tibial osseous insertion. Two tibial tunnels are drilled and a simplified and precise outside-in double tunnel femoral drilling technique is utilized. The graft fixation is made using only two interference screws.

Keywords

Anterior cruciate ligament Hamstring tendon autograft 

Notes

Conflict of interest statement

The authors report no conflict of interest.

References

  1. 1.
    Nedeff DD, Bach BR Jr (2001) Arthroscopic anterior cruciate ligament reconstruction using patellar tendon autografts: a comprehensive review of contemporary literature. Am J Knee Surg 14:243–258PubMedGoogle Scholar
  2. 2.
    Muneta T, Sekiya I, Yagishita K, Ogiuchi T, Yamamoto H, Shinomiya K (1999) Two-bundle reconstruction of the anterior cruciate ligament using semitendinosus tendon with EndoButtons: operative technique and preliminary results. Arthroscopy 15:618–624PubMedGoogle Scholar
  3. 3.
    Yasuda K, Kondo E, Ichiyama H et al (2004) Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts. Arthroscopy 20:1015–1025PubMedCrossRefGoogle Scholar
  4. 4.
    Hamada M, Shino K, Horibe S et al (2001) Single-versus bi-socket anterior cruciate ligament reconstruction using autogenous multiple-stranded hamstring tendons with EndoButton femoral fixation: a prospective study. Arthroscopy 17:801–807PubMedGoogle Scholar
  5. 5.
    Takeuchi R, Saito T, Mituhashi S, Suzuki E, Yamada I, Koshino T (2002) Double-bundle anatomic anterior cruciate ligament reconstruction using bone-hamstring-bone composite graft. Arthroscopy 18:550–555PubMedCrossRefGoogle Scholar
  6. 6.
    Zaricznyj B (1987) Reconstruction of the anterior cruciate ligament of the knee using a doubled tendon graft. Clin Orthop 220:162–175PubMedGoogle Scholar
  7. 7.
    Crawford C, Nyland J, Landes S et al (2007) Anatomic double bundle ACL reconstruction: a literature review. Knee Surg Sports Traumatol Arthrosc 15:946–964PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Mario Carneiro
    • 1
  • Ricardo Dizioli Navarro
    • 1
  • Gilberto Yoshinobu Nakama
    • 1
    • 3
    Email author
  • João Mauricio Barretto
    • 2
  • Antonio Altenor Bessa de Queiroz
    • 1
  • Marcus Vinicius Malheiro Luzo
    • 1
  1. 1.Department of Orthopedics and TraumatologySão Paulo Federal University, Paulista School of MedicineSão PauloBrazil
  2. 2.Department of Orthopedics and TraumatologySanta Casa HospitalRio de JaneiroBrazil
  3. 3.São PauloBrazil

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