• Arch Orthop Trauma Surg · Nov 2008

    Trantibial anterior cruciate ligament double bundle reconstruction technique: two tibial bundle in one tibial tunnel.

    • Haeng Kee Noh, Joon Ho Wang, Leela P Bada, Jin Hwan Ahn, Jae Chul Yoo, Kyung Wook Nha, and Yong Seuk Lee.
    • Department of Orthopaedic Surgery, Ansan Hospital, Korea University School of Medicine, 516 Gojan-1 dong, Danwon-gu, Ansan-si, 425-707, Gyeonggi-do, South Korea, ROK.
    • Arch Orthop Trauma Surg. 2008 Nov 1; 128 (11): 124512501245-50.

    AbstractThe anterior cruciate ligament (ACL) consists of two functional bundles that behave independently throughout the range of knee motion. Many two-bundle reconstruction techniques have been introduced to restore the function of the two bundles of the ACL. Generally, two femoral and two tibial tunnels are made during the surgery for a two-bundle ACL reconstruction. However, the procedure is technically demanding and time consuming. This paper describes one-tibial-two-femoral ACL double bundle reconstruction technique with a sextuple-stranded hamstring autograft. The anteromedial femoral tunnel is made using transtibial drilling technique and posterolateral femoral tunnel is made using outside-in technique. The two bundles in a single tibial tunnel are separated using biodegradable interference screw. Stable and adequate femoral fixation of the two bundles with a transtibial fixation and bioabsorbable screw can be obtained. This technique is relatively simple, and replicates the anatomy and differential behavior of the two native bundles of ACL more effectively.

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