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Double-Bundle ACL Reconstruction with Hamstrings

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Book cover Anterior Cruciate Ligament Reconstruction

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Abstract

Different factors may influence the decision of whether to perform a single-bundle (SB) or double-bundle (DB) ACL reconstruction. The size of the knee may play the most important role [11, 16, 18]. The smaller the knee, the more difficult it is to perform an anatomically and technically correct DB ACL reconstruction. The required ap length for DB measured at the tibial and femoral insertion sites was suggested to be 14mm or more – also depending on the diameters of the two grafts [11, 16, 18]. In case of large grafts, more space is needed to perform a DB ACL reconstruction. The “insertion site table” (see Chap. 22) displays the size of the insertion site needed to perform a SB or DB ACL reconstruction. It can be measured preoperatively on MRI or – more reliable – intraoperatively using a ruler [11, 16, 18].

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Author information

Authors and Affiliations

  1. Department of Orthopaedics, Sports Clinic and Hospital Mehiläinen, Tampere, Finland

    Timo Järvelä MD, PhD

  2. Medical Faculty, Tampere University, Tampere, Finland

    Timo Järvelä MD, PhD

  3. Institute for Anatomy and Cell Biology, Ruprecht-Karls University Heidelberg, Im Neuenheimer Feld 307, Heidelberg, 69120, Germany

    Rainer Siebold MD

  4. HKF: Center for Spezialised Hip-Knee-Foot Surgery, ATOS Hospital Heidelberg, Bismarckstr. 9-15, Heidelberg, 69115, Germany

    Rainer Siebold MD

Authors
  1. Timo Järvelä MD, PhD
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  2. Rainer Siebold MD
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Corresponding author

Correspondence to Timo Järvelä MD, PhD .

Editor information

Editors and Affiliations

  1. ATOS Hospital Heidelberg, Heidelberg, Germany

    Rainer Siebold

  2. Lyon Ortho Clinic, Lyon, France

    David Dejour

  3. Istituti Ortopedico Rizzoli Clinica Ortopedica Traumatologica III, Bologna, Italy

    Stefano Zaffagnini

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© 2014 ESSKA

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Järvelä, T., Siebold, R. (2014). Double-Bundle ACL Reconstruction with Hamstrings. In: Siebold, R., Dejour, D., Zaffagnini, S. (eds) Anterior Cruciate Ligament Reconstruction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45349-6_28

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  • DOI: https://doi.org/10.1007/978-3-642-45349-6_28

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-45348-9

  • Online ISBN: 978-3-642-45349-6

  • eBook Packages: MedicineMedicine (R0)

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