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A modified arthroscopic anterior cruciate ligament double-bundle reconstruction technique with autogenous quadriceps tendon graft: remnant-preserving technique

  • Arthroscopy and Sports Medicine
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Abstract

Several techniques of anterior cruciate ligament (ACL) double-bundle reconstruction have been introduced to improve the functional outcome and restore normal kinematics of the knee. Meanwhile, a remnant-preserving technique was developed to preserve the proprioception and to enhance the revascularization of the reconstructed ACL. We developed double-bundle ACL reconstruction technique using autogenous quadriceps tendon graft while preserving the remnant. With this technique, two femoral sockets and one tibial tunnel are made. To preserve the remnant of the ACL, the rotational direction of the reamer was set to counterclockwise just before perforation of the tibial tunnel. To pass the graft more easily without disturbance of the remnant, the graft passage was achieved through the tibial tunnel. We suggest that the remnant-preserving technique could be an effective alternative considering its mechanical stability as well as the proprioception and vascularization recovery in arthroscopic double-bundle ACL reconstruction.

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Acknowledgments

The authors thank to Dong-Su Jang, B.A. (Research Assistant, Department of Anatomy) for his help with figures of surgical procedure.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Yonsei University Health System, Yonsei University Arthrosocopy Joint Research Institute, C.P.O. Box 8044, 134, Shinchon-Dong, Seodaemun-Ku, Seoul, 120-752, South Korea

    Sung-Jae Kim, Seung-Bae Jo, Tai-Won Kim, Ji-Hoon Chang & Kyung-Soo Oh

  2. Cheong-ju Choi Hospital, Seoul, South Korea

    Heon-Sik Choi

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  1. Sung-Jae Kim
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  2. Seung-Bae Jo
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  3. Tai-Won Kim
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  4. Ji-Hoon Chang
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  5. Heon-Sik Choi
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  6. Kyung-Soo Oh
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Correspondence to Kyung-Soo Oh.

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Kim, SJ., Jo, SB., Kim, TW. et al. A modified arthroscopic anterior cruciate ligament double-bundle reconstruction technique with autogenous quadriceps tendon graft: remnant-preserving technique. Arch Orthop Trauma Surg 129, 403–407 (2009). https://doi.org/10.1007/s00402-008-0764-x

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  • DOI: https://doi.org/10.1007/s00402-008-0764-x

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