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Double-Bundle Anterior Cruciate Ligament Reconstruction

  • Sebastián Irarrázaval
  • Jonathan N. Watson
  • Marcio Albers
  • Daniel Guenther
  • Freddie H. FuEmail author
Chapter
  • 1.1k Downloads

Abstract

The concept of anatomic anterior cruciate ligament (ACL) reconstruction aims to restore the ACL to its native dimensions, collagen orientation, and insertion sites with the goal of providing the patient with the best potential for a successful outcome. Double-bundle (DB) ACL reconstruction is one application of the anatomic ACL reconstruction concept. According to biomechanical studies, this technique restores knee laxity closer to normal than transtibial single-bundle (SB) ACL reconstruction techniques. Several studies have shown that restoration of anteroposterior (AP) and rotational knee laxity, as measured by KT arthrometry and pivot-shift testing, respectively, is superior in DB reconstruction when compared to nonanatomic SB reconstruction. Evidence from high-quality meta-analyses also demonstrates that anatomic DB reconstruction allows for improved control of AP and rotational knee laxity when compared with nonanatomic SB reconstruction. Considering the heterogeneity of numerous studies, including the variability in femoral tunnel location, future biomechanical and long-term clinical cohort studies should be focused on further evaluation of laxity and functional outcomes of anatomic ACL reconstruction.

Keywords

Anterior Cruciate Ligament Anterior Cruciate Ligament Reconstruction Femoral Tunnel Pivot Shift International Knee Documentation Committee 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Sebastián Irarrázaval
    • 1
  • Jonathan N. Watson
    • 1
  • Marcio Albers
    • 1
  • Daniel Guenther
    • 1
  • Freddie H. Fu
    • 1
    Email author
  1. 1.Department of Orthopaedic SurgeryUniversity of Pittsburgh Medical CenterPittsburghUSA

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