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Arthroscopic double bundle ACL reconstruction using a bone patellar tendon bone—gracilis tendon composite autograft: a technical note

  • Knee
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

The authors devised an alternative arthroscopic double bundle ACL reconstruction technique using a bone patellar tendon bone (BPTB)–gracilis tendon composite autograft. One tibial and two femoral tunnels were used to reconstruct two bundles of anterior cruciate ligaments (ACL) [an anteromedial bundle (AM) and a post-erolateral bundle (PL)]. BTBB was fixed in the tunnels produced on the isometric points of the tibia and femur using the conventional technique. The gracilis tendon was then fixed in a PL tunnel produced using the outside-in technique. The authors consider that the devised technique based on a combination of autogenous bone patellar bone graft and gracilis tendon, can minimize tunnel widening post-operatively, allow easier revision should the reconstructed ACL fail, and also provides an alternative means of restoring rotation stability.

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Acknowledgments

The author sincerely thank Sung -Ho, Park for surgical assistance and thank Min Joung Song for academic support.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Himchan Hospital, Seoul, South Korea

    Kwang Am Jung, Su Chan Lee & Moon Bok Song

  2. Department of Orthopaedic Surgery, Good Samsun Hospital, Pusan, South Korea

    Choon Key Lee

  3. Joint and Arthritis Research Laboratory, Department of Orthopaedic Surgery, Himchan Hospital, 404-3, Mok-dong, Yangcheon-gu, 158-806, Seoul, South Korea

    Su Chan Lee

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  1. Kwang Am Jung
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  2. Su Chan Lee
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  3. Moon Bok Song
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  4. Choon Key Lee
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Correspondence to Su Chan Lee.

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Jung, K.A., Lee, S.C., Song, M.B. et al. Arthroscopic double bundle ACL reconstruction using a bone patellar tendon bone—gracilis tendon composite autograft: a technical note. Knee Surg Sports Traumatol Arthr 16, 382–385 (2008). https://doi.org/10.1007/s00167-007-0451-4

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  • DOI: https://doi.org/10.1007/s00167-007-0451-4

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