Abstract
The single-incision anterior cruciate ligament (ACL) reconstruction evidently has its shortcomings. In an attempt to improve the biomechanical but also the biological state of the knees after an ACL-reconstruction, double, even triple-bundle reconstructions have been popularised recently. As a positive side effect, details concerning ACL-insertion anatomy were brought back into the focus. In our opinion it would be more straight forward and logical to replace the non-anatomical single-incision technique with a more anatomic single-bundle ACL-reconstruction technique.
References
Amiel D, Kleiner JB, Roux RD, Harwood FL, Akeson WH (1986) The phenomenon of “ligamentization”: anterior cruciate ligament reconstruction with autogenous patellar tendon. J Orthop Res 4(2):162–172
Arnold MP, Biedert RM, Diercks RL, Friederich NF, Gokeler A, van Kampen A (2006) Isoanatomische VKB-Rekonstruktion—wenn weniger mehr ist. Sportorthop Sporttraumatol 22(4):256–261
Arnold MP, Biedert RM, Van Loon C, Hirschmann MT (2011) Isoanatomical bone-patellar tendon-bone single-bundle ACL reconstruction: the wedge that gives the edge! Eur J Orthop Surg Traumatol. doi:10.1007/s00590-011-0793-y
Arnold MP, Kooloos J, van Kampen A (2001) Single-incision technique misses the anatomical femoral anterior cruciate ligament insertion: a cadaver study. Knee Surg Sports Traumatol Arthrosc 9(4):194–199
Arnold MP, Verdonschot N, van Kampen A (2005) ACL graft can replicate the normal ligament’s tension curve. Knee Surg Sports Traumatol Arthrosc 13(8):625–631
Bull AM, Andersen HN, Basso O, Targett J, Amis AA (1999) Incidence and mechanism of the pivot shift. An in vitro study. Clin Orthop Relat Res 363:219–231
Chol C, Ait Si Selmi T, Chambat P, Dejourdagger H, Neyret P (2002) Devenir a 17 ans de recul des ligamentoplasties du ligament croise anterieur avec menisque interne sain ou suture. Rev Chir Orthop Reparatrice Appar Mot 88(2):157–162
Colombet P, Robinson J, Jambou S, Allard M, Bousquet V, de Lavigne C (2006) Two-bundle, four-tunnel anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 14(7):629–636
Cooper DE, Small J, Urrea L (1998) Factors affecting graft excursion patterns in endoscopic anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 6(1):S20–S24
Dye SF, Chew MH (1993) Restoration of osseous homeostasis after anterior cruciate ligament reconstruction. Am J Sports Med 21(5):748–750
Eriksson E (2006) Single-bundle, double-bundle or triple-bundle? Knee Surg Sports Traumatol Arthrosc 14(6):503–504
Friederich NF, O’Brien WR (1998) Anterior cruciate ligament graft tensioning versus knee stability. Knee Surg Sports Traumatol Arthrosc 6(1):S38–S42
Fu FH, Ranawat A (2007) Tensioning in double-bundle ACL reconstruction. Arthroscopy 23(9):1027
Fujita N, Kuroda R, Matsumoto T, Yamaguchi M, Yagi M, Matsumoto A, Kubo S, Matsushita T, Hoshino Y, Nishimoto K, Araki D, Kurosaka M (2011) Comparison of the clinical outcome of double-bundle, anteromedial single-bundle, and posterolateral single-bundle anterior cruciate ligament reconstruction using hamstring tendon graft with minimum 2-year follow-up. Arthroscopy 27(7):906–913
Howell SM (1998) Principles for placing the tibial tunnel and avoiding roof impingement during reconstruction of a torn anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 6(1):S49–S55
Howell SM, Clark JA, Farley TE (1991) A rationale for predicting anterior cruciate graft impingement by the intercondylar roof. A magnetic resonance imaging study. Am J Sports Med 19(3):276–282
Howell SM, Taylor MA (1993) Failure of reconstruction of the anterior cruciate ligament due to impingement by the intercondylar roof. J Bone Joint Surg Am 75(7):1044–1055
Iwahashi T, Shino K, Nakata K, Nakamura N, Yamada Y, Yoshikawa H, Sugamoto K (2008) Assessment of the “functional length” of the three bundles of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 16(2):167–174
Kanaya A, Ochi M, Deie M, Adachi N, Nishimori M, Nakamae A (2009) Intraoperative evaluation of anteroposterior and rotational stabilities in anterior cruciate ligament reconstruction: lower femoral tunnel placed single-bundle versus double-bundle reconstruction. Knee Surg Sports Traumatol Arthrosc 17(8):907–913
Kondo E, Merican AM, Yasuda K, Amis AA (2011) Biomechanical comparison of anatomic double-bundle, anatomic single-bundle, and nonanatomic single-bundle anterior cruciate ligament reconstructions. Am J Sports Med 39(2):279–288
Loh JC, Fukuda Y, Tsuda E, Steadman RJ, Fu FH, Woo SL (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
Mommersteeg TJ, Kooloos JG, Blankevoort L, Kauer JM, Huiskes R, Roeling FQ (1995) The fibre bundle anatomy of human cruciate ligaments. J Anat 187(Pt 2):461–471
Müller W (1977) Current aspects of functional anatomy of the knee joint. Hefte Unfallheilkd 129:131–137
Murray MM (2009) Current status and potential of primary ACL repair. Clin Sports Med 28(1):51–61
Pernin J, Verdonk P, Selmi TAS, Massin P, Neyret P (2010) Long-term follow-up of 2.45 years after intra-articular anterior cruciate ligament reconstruction with lateral extra-articular augmentation. Am J Sports Med 38(6):1094–1102
Scheffler SU, Unterhauser FN, Weiler A (2008) Graft remodeling and ligamentization after cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 16(9):834–842
Shino K, Nakata K, Nakamura N, Toritsuka Y, Horibe S, Nakagawa S, Suzuki T (2008) Rectangular tunnel double-bundle anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft to mimic natural fiber arrangement. Arthroscopy 24(10):1178–1183
Siebold R (2011) The concept of complete footprint restoration with guidelines for single- and double-bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 19(5):699–706
Simmons R, Howell SM, Hull ML (2003) Effect of the angle of the femoral and tibial tunnels in the coronal plane and incremental excision of the posterior cruciate ligament on tension of an anterior cruciate ligament graft: an in vitro study. J Bone Joint Surg Am 85-A(6):1018–1029
Slauterbeck JR, Kousa P, Clifton BC, Naud S, Tourville TW, Johnson RJ, Beynnon BD (2009) Geographic mapping of meniscus and cartilage lesions associated with anterior cruciate ligament injuries. J Bone Joint Surg Am 91(9):2094–2103
Vavken P, Murray MM (2011) The potential for primary repair of the ACL. Sports Med Arthrosc 19(1):44–49
Wascher DC, Markolf KL, Shapiro MS, Finerman GA (1993) Direct in vitro measurement of forces in the cruciate ligaments. Part I: the effect of multiplane loading in the intact knee. J Bone Joint Surg Am 75(3):377–386
Zavras TD, Race A, Amis AA (2005) The effect of femoral attachment location on anterior cruciate ligament reconstruction: graft tension patterns and restoration of normal anterior-posterior laxity patterns. Knee Surg Sports Traumatol Arthrosc 13(2):92–100
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No funds were received in support of this study. No benefits in any form have been or will be received from a commercial party.
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Arnold, M.P., Friederich, N.F., Müller, W. et al. From open to arthroscopic anatomical ACL-reconstructions: the long way round. A statement paper. Knee Surg Sports Traumatol Arthrosc 21, 1478–1481 (2013). https://doi.org/10.1007/s00167-012-2029-z
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DOI: https://doi.org/10.1007/s00167-012-2029-z