Abstract
With the abundance of anatomic double bundle ACL reconstruction techniques that currently exist and limited patient outcome data, one has to ask whether or not they should be used and if so, which one, and what is the learning curve for the average knee surgeon to become competent with the technique that they select? The purpose of this literature review is to summarize existing anatomic double bundle ACL reconstruction surgical and rehabilitation techniques and the clinical and biomechanical study evidence that currently exists. In choosing to perform anatomic double bundle ACL reconstruction we suggest that the knee surgeon should look for evidence of: (1) control of the pivot shift phenomenon, (2) improved transverse plane rotatory knee control during the performance of sports type movements, (3) a decreased likelihood of revision procedures either for ACL reconstruction or for treatment of associated primary or recurrent meniscal injuries, (4) improved patient self-reports of perceived function, satisfaction, and quality of life, and (5) radiographic evidence of a lower incidence and/or magnitude of osteoarthritic changes compared to conventional single bundle ACL reconstruction.
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References
Adachi N, Ochi M, Uchio Y, Iwasa J, Kuriwaka M, Ito Y (2004) Reconstruction of the anterior cruciate ligament. Single- versus double-bundle multistranded hamstring tendons. J Bone Joint Surg 86B(4):515–520
Aglietti P, Cuomo P, Giron F, Boerger TO (2005) Double-bundle anterior cruciate ligament reconstruction: Surgical technique. Oper Tech Orthop 15(2):111–115
Aglietti P, Giron F, Cuomo P, Losco M, Mondanelli N (2007) Single- and double-incision double-bundle ACL reconstruction. Clin Orthop 454:108–113
Ahn JH, Lee SH (2007) Anterior cruciate ligament double-bundle reconstruction with hamstring tendon autografts. Arthroscopy 23(1):109.e1–109.e4
Amis AA, Bull AMJ, Lie DTT (2005) Biomechanics of rotational instability and anatomic anterior cruciate ligament reconstruction. Oper Tech Orthop 15(1):29–35
Amis AA, Dawkins GPC (1991) Functional anatomy of the anterior cruciate ligament: fibre bundle actions related to ligament replacements and injuries. J Bone Joint Surg 73B(2):260–267
Arnoczky SP (1983) Anatomy of the anterior cruciate ligament. Clin Orthop 172:19–25
Asano H, Muneta T, Ikeda H et al (2004) Arthroscopic evaluation of the articular cartilage after anterior cruciate ligament reconstruction: a short-term prospective study of 105 patients. Arthroscopy 20(5):474–481
Bell K, Egan M, Fu F, Gilbertson L, Smolinski P (2006) Assessment of femoral fracture risk: a finite element analysis of single versus double-bundle ACL reconstruction. Proceedings of the 12th ESSKA 2000 Congress, Innsbruck, Austria, May 24–27, 2006, Oral Presentation #41
Bellier G, Christel P, Colombet P et al (2004) Double-stranded hamstring graft for anterior cruciate ligament reconstruction. Arthroscopy 20(8):890–894
Brucker PU, Zelle BA, Fu FH (2005) Inflammatory response to intraarticular suture placement in anatomic anterior cruciate ligament double-bundle reconstruction: a case study. Oper Tech Orthop 15(2):151–153
Buoncristiani AM, Tjoumakaris FP, Starman JS, Ferretti M, Fu FH (2006) Anatomic double-bundle anterior cruciate ligament reconstruction. Arthroscopy 22(9):1000–1006
Caborn DN, Chang HC (2005) Single femoral socket double-bundle anterior cruciate ligament reconstruction using tibialis anterior tendon: description of a new technique. Arthroscopy 21(10):1273.e1–1273.e8
Cha PS, Brucker PU, West RV et al (2005) Arthroscopic double-bundle anterior cruciate ligament reconstruction: an anatomic approach. Arthroscopy 21:1277.e1–1277.e8
Christel P, Franceschi JP, Sbihi A et al (2005) Anatomic anterior cruciate ligament reconstruction: the French experience. Oper Tech Orthop 15(2):103–110
Colombet P, Robinson J, Christel P et al (2006) Morphology of anterior cruciate ligament attachments for anatomic reconstruction: a cadaveric dissection and radiographic study. Arthroscopy 22(9):984–992
Cuomo P, Boddu Siva Rama RK, Bull AMJ, Amis AA (2006) The effect of different tensioning strategies on knee kinematics after double-bundle anterior cruciate ligament reconstruction. Proceedings of the 12th ESSKA 2000 Congress, Innsbruck, Austria, May 24–27, 2006, Oral Presentation #40
Dodds JA, Arnoczky SP (1994) Anatomy of the anterior cruciate ligament: A blueprint for repair and reconstruction. Arthroscopy 10(2):132–139
Englund M, Roos EM, Lohmander LS (2003) Impact of type of meniscal tear on radiographic and symptomatic knee osteoarthritis: a 16-year follow-up of meniscectomy with matched controls. Arth Rheum 48(8):2178–2187
Eriksson E (2005) Preface. Do we need to perform double-bundle anterior cruciate ligament reconstructions? Oper Tech Orthop 15(1):4
Eriksson E (2006) Single-bundle, double-bundle or triple-bundle? Knee Surg Sports Traumatol Arthrosc 14(6):503–504
Feller JA (2005) Graft choices for anterior cruciate ligament reconstruction. ISAKOS Winter Newsletter
Ferretti M, Levicoff E, McPherson T, Zelle B, Fu F (2006) The two bundles of the anterior cruciate ligament: anatomical and histological study in human fetuses. Proceedings of the 12th ESSKA 2000 Congress, Innsbruck, Austria, May 24–27, 2006, Oral Presentation #36
Fink C, Hoser C, Hackl W, Navarro RA, Benedetto KP (2001) Long-term outcome of operative or nonoperative treatment of anterior cruciate ligament rupture—is sports activity a determining variable? Int J Sports Med 22:304–309
Fink C, Pflüglmayer M, Tecklenburg K, Irenberger A, Hoser C (2006) 20–25-year follow-up of operative versus non-operative treatment of anterior cruciate ligament rupture. Proceedings of the 12th ESSKA 2000 Congress, Innsbruck, Austria, May 24–27, 2006, Oral Presentation #44
Fu FH (2005) Editorial: anatomic anterior cruciate ligament reconstruction: the next evolution. Oper Tech Orthop 15(2):85
Fu FH, Zelle BA, Beasley LS (2005) The double-bundle technique: the restoration of normal kinematics. Proceedings of Arthroscopy Association of North America 2005 Specialty Day, Washington, DC, February 26, 2005, pp 284–289
Fu FH, Starman JS, Ferretti M (2006) Anatomic double bundle ACL reconstruction: the restoration of normal knee kinematics. In: Symposia sports/arthroscopy: controversies in soft tissues ACL reconstruction: Allograft vs. autograft, double tunnel vs. single tunnel, cortical vs. aperture fixation. Symposium at the 73rd Annual Meeting of the American Academy of Orthopaedic Surgeons, Chicago, IL, March 22–26, 2006, pp 384–385
Gabriel MT, Wong EK, Woo SL, Yagi M, Debski RE (2004) Distribution of in situ forces in the anterior cruciate ligament in response to rotatory loads. J Orthop Res 22(1):85–89
Georgoulis AD, Papadonikolakis A, Papageorgiou CD, Mitsou A, Stergiou N (2003) Three-dimensional tibiofemoral kinematics of the anterior cruciate ligament-deficient and reconstructed knee during walking. Am J Sports Med 31(1):75–79
Girgis FG, Marshall JL, Monajem A (1975) The cruciate ligaments of the knee joint. Anatomical, functional and experimental analysis. Clin Orthop 106:216–231
Giron F, Aglietti P, Cuomo P, Losco M, Mondanelli N (2006) Double-bundle ACL reconstruction: Single versus double incision. Proceedings of the 12th ESSKA 2000 Congress, Innsbruck, Austria, May 24–27, 2006, Oral Presentation #43
Giron F, Aglietti P, Mondanelli N, Cuomo P (2006) Single versus double bundle techniques in ACL reconstruction using a DSTG graft. Preliminary results. Proceedings of the 5th Biennial ISAKOS Congress, Hollywood, Florida, April 3–7, 2005, Oral Presentation #56
Giron F, Buzzi R, Aglietti P (1999) Femoral tunnel position in anterior cruciate ligament reconstruction using three techniques. A cadaver study. Arthroscopy 15(7):750–756
Griffin LY, Agel J, Albohm MJ et al (2000) Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. J Am Acad Orthop Surg 8(3):141–150
Ha CW (2005) Improved technique of anatomic reconstruction of anteromedial and posterolateral bundles of ACL—a split double-bundle technique. Proceedings of the 5th Biennial ISAKOS Congress, Hollywood, Florida, April 3–7, 2005, E-poster # 337
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(8):801–807
Hara K, Arai Y, Ohta M et al (2005) A new double-bundle anterior cruciate ligament reconstruction using the posteromedial portal technique with hamstrings. Arthroscopy 21(10):1274.e1–1274.e6
Hara K, Kubo T, Suginoshita T, Shimizu C, Hirasawa Y (2000) Reconstruction of the anterior cruciate ligament using a double bundle. Arthroscopy 16(8):860–864
Harner CD, Baek GH, Vogrin TM et al (1999) Quantitative analysis of human cruciate ligament insertions. Arthroscopy 15(7):741–749
Harner CD, Fu FH, Irrgang JJ, Vogrin TM (2001) Anterior and posterior cruciate ligament reconstruction in the new millennium: A global perspective. Knee Surg Sports Traumatol Arthrosc 9:330–336
Harner CD, Poehling GG (2004) Double bundle or double trouble? Arthroscopy 20(10):1013– 1014
Hart AJ, Buscombe J, Malone A, Dowd GSE (2005) Assessment of osteoarthritis after reconstruction of the anterior cruciate ligament: a study using single-photon emission computed tomography at 10 years. J Bone Joint Surg 87B(11):1483–1487
Hill PF, Vedi V, Williams A et al (2000) Tibiofemoral movement 2: The loaded and unloaded living knee studied by MRI. J Bone Joint Surg 82B:1196–1198
Hole RL, Lintner DM, Kamaric E, Moseley JB (1996) Increased tibial translation after partial sectioning of the anterior cruciate ligament: the posterolateral bundle. Am J Sports Med 24(4):556–560
Hufner T, Meller R, Kendoff D et al (2005) The role of navigation in knee surgery and evaluation of three-dimensional knee kinematics. Oper Tech Orthop 15:64–69
Ichiyama H, Yasuda K, Kondo E, Azuma C, Tohyama H (2005) An in vivo study on tension changes in the anteromedial and posterolateral bundles created with the anatomical two-route anterior cruciate ligament reconstruction procedure. Proceedings of the 5th Biennial ISAKOS Congress, Hollywood, Florida, April 3–7, 2005, Oral Presentation #119
Irrgang JJ (1993) Modern trends in anterior cruciate ligament rehabilitation: Nonoperative and postoperative management. Clin Sports Med 12:797–813
Ishibashi Y, Tsuda E, Tazawa K, Sato H, Toh S (2005) Intraoperative evaluation of the anatomical double-bundle anterior cruciate ligament reconstruction with the OrthoPilot navigation system. Orthop 28(10):s1277–s1282
Ito M, Murase K, Tanaka S, Takahei T, Nakamura, N (2005) Clinical and anatomical study about double bundles in the anterior cruciate ligament. Proceedings of the 5th Biennial ISAKOS Congress, Hollywood, Florida, April 3–7, 2005, E-poster #156
Iwaki H, Pinskerova V, Freeman MA (2000) Tibiofemoral movement 1: the shapes and relative movements of the femur and tibia in the unloaded cadaver knee. J Bone Joint Surg 82B:1189–1195
Johnson D (2006) Pro single bundle ACL reconstruction. In: Symposia sports/arthroscopy: controversies in soft tissues ACL reconstruction: Allograft vs. autograft, double tunnel vs. single tunnel, cortical vs. aperture fixation. Symposium at the 73rd Annual Meeting of the American Academy of Orthopaedic Surgeons, Chicago, IL, March 22–26, 2006, pp 388–389
Jonsson H, Riklund-Ahlstrom K, Lind J (2004) Positive pivot shift after ACL reconstruction predicts later osteoarthrosis: 63 patients followed 5–9 years after surgery. Acta Orthop Scand 75(5):594–599
Kanamori A, Woo SLY, Ma CB et al (2000) The forces in the anterior cruciate ligament and knee kinematics during a simulated pivot shift test: a human cadveric study using robotic technology. Arthroscopy 16:633–639
Khalfayan EE, Sharkey SF, Alexander HA et al (1996) The relationship between tunnel placement and clinical results after anterior cruciate ligament reconstruction. Am J Sports Med 24:335–341
Kim SJ, Jung KA, Song DH (2006) Arthroscopic double-bundle anterior cruciate ligament reconstruction using autogenous quadriceps tendon. Arthroscopy 22(7):797.e1–797.e5
Kocher M, Steadman J, Briggs K, Sterett W, Hawkins R (2004) Relationships between objective assessment of ligament stability and subjective assessment of symptoms and function after anterior cruciate ligament reconstruction. Am J Sports Med 32:629–634
Kocher MS, Steadman JR, Briggs K et al (2002) Determinants of patient satisfaction with outcome after anterior cruciate ligament reconstruction. J Bone Joint Surg 84A(9):1560–1572
Koh JSB, Nagai T, Motojima S, Sell TC, Lephart SM (2005) Concepts and measurement of in vivo tibiofemoral kinematics. Oper Tech Orthop 15:43–48
Kubo T, Hara K, Suginoshita T et al (2000) Anterior cruciate ligament reconstruction using the double bundle method. J Orthop Surg (Hong Kong) 8(2):59–63
Kummer B, Yamamoto Y (1988) Funktionelle anatomie der kruzbaender. Arthroscopie 1:2–10
Kurosawa H, Yamakoshi K, Yasuda K, Sasaki T (1991) Simultaneous measurement of changes in length of the cruciate ligaments during knee motion. Clin Orthop 265:233–240
Levicoff EA, Ferretti M, Macpherson TA et al (2006) An anatomical and histological evaluation of the developing ACL in the fetus. Proceedings of the 52nd Annual Meeting of the Orthopaedic Research Society. Chicago, IL, March 19–26, 2006, Paper #1160
Li G, Moses JM, Papannagari R et al (2006) Anterior cruciate ligament deficiency alters the in vivo motion of the tibiofemoral cartilage contact points in both the anteroposterior and mediolateral directions. J Bone Joint Surg 88A(8):1826–1834
Loh JC, Fukuda Y, Tsuda E et al (2003) Knee stability and graft function following anterior cruciate ligament reconstruction: Comparison between 11 o’clock and 10 o’clock femoral tunnel placement. Arthroscopy 19(3):297–304
Mae T, Shino K, Matsumoto N et al (2006) Force sharing between two grafts in the anatomical two-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 14(6):505–509
Mae T, Shino K, Miyama T et al (2001) Single- versus two-femoral socket anterior cruciate ligament reconstruction technique: Biomechanical analysis using a robotic simulator. Arthroscopy 17(7):708–716
Marcacci M, Molgora AP, Zaffagnini S et al (2003) Anatomic double-bundle anterior cruciate ligament reconstruction with hamstrings. Arthroscopy 19(5):540–546
Marcacci M, Zaffagnini S, Iacono F et al (2006) Prospective randomized study of single plus lateral plasty versus double bundle ACL technique at minimum 3 years follow-up. Proceedings of the 12th ESSKA 2000 Congress, Innsbruck, Austria, May 24–27, 2006, Oral Presentation #37
Marcacci M, Zaffagnini S, Marchesini L, Delcogliano M, Bruni D (2005) Anatomic anterior cruciate ligament reconstruction using the over-the-top passage of hamstring tendons. Oper Tech Orthop 15(2):123–129
Markolf KL, Burchfield DM, Shapiro MM et al (1995) Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res 13:930–935
Martelli S, Zaffagnini S, Bignozzi S, Bontempi M, Marcacci M (2006) Validation of a new protocol for computer-assisted evaluation of kinematics of double-bundle ACL reconstruction. Clin Biomech 21(3):279–287
Min B, Roh J, Jin C, Song K (2005) Intra-articular triple bundle technique for anterior cruciate ligament reconstruction. Proceedings of the 5th Biennial ISAKOS Congress, Hollywood, Florida, April 3–7, 2005, E-poster #442
Miyasaka T, Matsumoto H, Suda Y et al (2002) Coordination of the anterior and posterior cruciate ligaments in constraining the varus-valgus and internal-external rotatory instability of the knee. J Orthop Sci 7:348–353
Mochizuki T, Muneta T, Nagase T et al (2006) Cadaveric knee observation study for describing anatomic femoral tunnel placement for two-bundle anterior cruciate ligament reconstruction. Arthroscopy 22:356–361
Morgan CD, Caborn D (2005) Anatomic graft fixation using a retrograde biointerference screw for endoscopic anterior cruciate ligament reconstruction single-bundle and 2-bundle techniques. Tech Orthop 20(3):297–302
Mott HW (1983) Semitendinosus anatomic reconstruction for cruciate ligament insufficiency. Clin Orthop 172:90–92
Muneta T, Sekiya I, Yagishita K et al (1999) Two-bundle reconstruction of the anterior cruciate ligament using semitendinosus tendon with endobuttons: operative technique and preliminary results. Arthroscopy 15(6):618–624
Musahl V, Plakseychuk A, VanScyoc A et al (2005) Varying femoral tunnels between the anatomical footprint and isometric positions: Effect on kinematics of the anterior cruciate ligament-reconstructed knee. Am J Sports Med 33(5):712–718
Myer GD, Paterno MW, Ford KR et al (2006) Rehabilitation after anterior cruciate ligament reconstruction: Criteria-based progression through the return-to-sport phase. J Orthop Sports Phys Ther 36(6):385–402
Myklebust G, Bahr R (2005) Return to play guidelines after anterior cruciate ligament surgery. Br J Sports Med 39:127–131
Norwood LA, Cross MJ (1979) Anterior cruciate ligament: Functional anatomy of its bundles in rotatory instabililities. Am J Sports Med 7:23–26
Noyes F, Mooar P, Matthews D et al (1983) The symptomatic anterior cruciate-deficient knee. Part I The long-term functional disability in athletically active individuals. J Bone Joint Surg 65A:154–162
Odensten M, Gillquist J (1985) Functional anatomy of the anterior cruciate ligament and a rationale for reconstruction. J Bone Joint Surg 67A:257–262
Ogawa T, Takeda Y, Fujii K et al (2006) Can the double-bundle technique restore the normal tibiofemoral relationship after successful ACL reconstruction? Proceedings of the 12th ESSKA 2000 Congress, Innsbruck, Austria, May 24–27, 2006, Oral Presentation #42
Otsubo H, Nakamura N, Nakata K et al (2006) Arthroscopic evaluation of anatomic two-bundle anterior cruciate ligament reconstruction using hamstring tendon autograft. Proceedings of the 12th ESSKA 2000 Congress, Innsbruck, Austria, May 24–27, 2006, Oral Presentation #33
Paessler H (1997) Revisionseingriffe nach vorderer Kreuzbandoperation underneuerlicher Instabilitat: Ursachenanalyse und taktische Vorgehen. Hefte zu “Der Unfallchirurg” 268:447–450
Pederzini L, Adriani E, Botticella C, Tosi M (2000) Technical note: double tibial tunnel using quadriceps tendon in anterior cruciate ligament reconstruction. Arthroscopy 16(5):9e
Petersen W, Tretow H, Weimann A et al (2006) Biomechanical evaluation of two techniques for double bundle ACL reconstruction: One tibial tunnel versus two tibial tunnels. Proceedings of the 12th ESSKA 2000 Congress, Innsbruck, Austria, May 24–27, 2006, Oral Presentation #38
Powers DL, Jacob PA, Drews MJ (1991) Anatomical reconstruction of the anterior cruciate ligament in goats. J Investigative Surg 4(2):191–202
Prodromos C, Joyce B (2006) Five strand hamstring anterior cruciate ligament reconstruction: presentation of a new technique with better stability at 7–9-year follow-up than four strand. Proceedings of the 12th ESSKA 2000 Congress, Innsbruck, Austria, May 24–27, 2006, Oral Presentation #84
Radford WJ, Amis AA, Kempson SA, Stead AC, Camburn M (1994) A comparative study of single-and double-bundle ACL reconstructions in sheep. Knee Surg Sports Traumatol Arthrosc 2(2):94–99
Radford WJ, Amis AA (1990) Biomechanics of a double prosthetic ligament in the anterior cruciate deficient knee. J Bone Joint Surg 72B(6):1038–1043
Ristanis S, Giakas G, Papageorgiou CD et al (2003) The effects of anterior cruciate ligament reconstruction on tibial rotation during pivoting after descending stairs. Knee Surg Sports Traumatol Arthrosc 11(6):360–365
Ristanis S, Stergiou N, Patras K et al (2006) Follow-up evaluation 2 years after ACL reconstruction with bone-patellar tendon-bone graft shows that excessive tibial rotation persists. Clin J Sports Med 16:111–116
Ristanis S, Stergiou N, Patras K et al (2005) Excessive tibial rotation during high-demand activities is not restored by anterior cruciate ligament reconstruction. Arthroscopy 21:1323–1329
Rodeo SA, Kawamura S, Kim HJ et al (2006) Tendon healing in a bone tunnel differs at the tunnel entrance versus the tunnel exit. Am J Sports Med 34(11):1790–1800
Sakane M, Fox RJ, Woo SL et al (1997) In situ forces in the anterior cruciate ligament and its bundles in response to anterior tibial loads. J Orthop Res 15(2):285–293
Sbihi A, Franceschi JP, Christel P et al (2004) Anterior cruciate ligament reconstruction: biomechanical comparison on cadaver specimens using a single or double hamstring technique. Rev Chir Orthop Reparatrice Appar Mot 90(7):643–650
Shafizadeh S, Huber HJ, Grote S et al (2005) Principles of fluoroscopic-based navigation in anterior cruciate ligament reconstruction. Oper Tech Orthop 15:70–75
Shino K, Nakata K, Nakamura N et al (2005) Anatomic anterior cruciate ligament reconstruction using two double-looped hamstring tendon grafts via twin femoral and triple tibial tunnels. Oper Tech Orthop 15:130–134
Shino K, Nakata K, Nakamura N et al (2005) Anatomically oriented anterior cruciate ligament reconstruction with a bone-patellar tendon-bone graft via rectangular socket and tunnel: a snug- fit and impingement-free grafting technique. Arthroscopy 21(11):1402.e1–1402.e5
Siebold R, Dehler C (2006) ACL reconstruction with hamstrings: prospective randomized comparison of “double-bundle” to “single-bundle” technique. Proceedings of the 12th ESSKA 2000 Congress, Innsbruck, Austria, May 24–27, 2006, Oral Presentation #45
Steckel H, Starman JS, Baums MH et al (2006) Anatomy of the anterior cruciate ligament double bundle structure: a macroscopic evaluation. Scand J Med Sci Sports (online first)
Suginoshita T, Tsukahara T, Yoshiaki K, Komiyama H, Kubo T (2005) Suprcondylar femoral fracture after double bundle anterior cruciate ligament reconstruction using hamstring tendons: report of a case. Proceedings of the 5th Biennial ISAKOS Congress, Hollywood, FL, April 3–7, 2005, EPoster #387
Takahashi M, Doi M, Abe M, Suzuki D, Nagano A (2006) Anatomical study of the femoral and tibial insertions of the anteromedial and posterolateral bundles of human anterior cruciate ligament. Am J Sports Med 34:787–792
Takeuchi R, Saito T, Mituhashi S et al (2002) Double-bundle anatomic anterior cruciate ligament reconstruction using bone-hamstring-bone composite graft. Arthroscopy 18(5):550–555
Tashman S, Collon D, Anderson K, Kolowich P, Anderst W (2004) Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction. Am J Sports Med 32(4):975–983
Toritsuka Y, Shino K, Horibe S et al (2004) Second-look arthroscopy of anterior cruciate ligament grafts with multistranded hamstring tendons. Arthroscopy 20(3):287–293
Vidal AF, Brucker PU, Fu FH (2005) Anatomic double-bundle anterior cruciate ligament reconstruction using tibialis anterior tendon allografts. Oper Tech Orthop 15(2):140–145
Von Porat A, Roos EM, Roos H (2004) High prevalence of osteoarthritis 14 years after an anterior cruciate ligament tear in male soccer players: a study of radiographic and patient relevant outcomes. Ann Rheum Dis 63(3):269–273
Weimann A, Tretow H, Zantop T et al (2006) Biomechanical evaluation of two techniques for double bundle ACL reconstruction: one tibial tunnel versus two tibial tunnels. Proceedings of the 52nd Annual Meeting of the Orthopaedic Research Society. Chicago, IL, March 19–26, 2006. Paper #1140
Woo SL, Kanamori A, Zeminski J et al (2002) The effectiveness of reconstruction of the anterior cruciate ligament with hamstrings and patellar tendon. A cadaveric study comparing anterior tibial and rotational loads. J Bone Joint Surg 84A(6):907–914
Yagi M, Kuroda R, Hoshino Y et al (2006) Prospective-randomized comparison of single antero-medial, single postero-lateral and anatomic ACL reconstruction. 12th ESSKA 2000 Congress, Innsbruck, Austria, May 24–27, 2006, Oral Presentation #32
Yagi M, Wong EK, Kanamori A et al (2002) Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med 30(5):660–666
Yamamoto Y, Hsu WH, Woo SL et al (2004) Knee stability and graft function after anterior cruciate ligament reconstruction: a comparison of a lateral and an anatomical femoral tunnel placement. Am J Sports Med 32(8):1825–1832
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(10):1015–1025
Yasuda K, Kondo E, Ichiyama H, Tanabe Y, Tohyama H (2006) Clinical evaluation of anatomic double-bundle anterior cruciate ligament reconstruction procedure using hamstring tendon grafts: comparisons among three different procedures. Arthroscopy 22(3):240–251
Yasuda K, Kondo E, Ichiyama H, Tanabe Y, Tohyama H (2005) Surgical and biomechanical concepts of anatomic anterior cruciate ligament reconstruction. Oper Tech Orthop 15(2):96–102
Zantop T, Haase A, Weimann A et al (2006) Bridge stability: Impact of bridge width in double bundle ACL reconstructions on the structural properties of the graft/femur complex. Proceedings of the 52nd Annual Meeting of the Orthopaedic Research Society. Chicago, IL, March 19–26, 2006, Paper #1139
Zaricznyj B (1987) Reconstruction of the anterior cruciate ligament of the knee using a doubled tendon graft. Clin Orthop 220:162–175
Zelle BA, Brucker PU, Feng MT, Fu FH (2006) Anatomical double-bundle anterior cruciate ligament reconstruction. Sports Med 36(2):99–108
Zelle BA, Herzka AS, Harner CD, Irrgang JJ (2005) Evaluation of clinical outcomes in anterior cruciate ligament surgery. Oper Tech Orthop 15:76–84
Zhao J, Peng X, He Y, Wang J (2006) Two-bundle anterior cruciate ligament reconstruction with eight-stranded hamstring tendons: Four-tunnel technique. Knee 13:36–41
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Crawford, C., Nyland, J., Landes, S. et al. Anatomic double bundle ACL reconstruction: a literature review. Knee Surg Sports Traumatol Arthr 15, 946–964 (2007). https://doi.org/10.1007/s00167-007-0343-7
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DOI: https://doi.org/10.1007/s00167-007-0343-7