title: Anatomically oriented anterior cruciate ligament reconstruction with a bone-patellar tendon-bone graft via rectangular socket and tunnel: a snug-fit and impingement-free grafting technique.
abstract: An anterior cruciate ligament (ACL) reconstruction technique is described to place bone-patellar tendon-bone (BPTB) graft in an anatomically oriented fashion to mimic the 2 bundles of the normal ACL, based on the concept of twin tunnel ACL reconstruction, to maximize the graft-tunnel interface. In this technique, the attached bone plug is introduced into a rectangular femoral socket via a halfway rectangular tibial tunnel for the anterior portion of the graft to function as the anteromedial bundle and for its posterior portion to behave as the posterolateral bundle. A snug fitting of the graft is achieved not only at the femoral socket, but also in the tibial tunnel.
authors.affiliation: Faculty of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino-Osaka, Japan. k-shino@rehab.osakafu-u.ac.jp
authors.forename: Konsei
authors.initials: K
authors.lastname: Shino
authors.forename: Ken
authors.initials: K
authors.lastname: Nakata
authors.forename: Norimasa
authors.initials: N
authors.lastname: Nakamura
authors.forename: Yukiyoshi
authors.initials: Y
authors.lastname: Toritsuka
authors.forename: Shigeto
authors.initials: S
authors.lastname: Nakagawa
authors.forename: Shuji
authors.initials: S
authors.lastname: Horibe
mesh_terms: D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001858:Bone Nails; D001863:Bone Screws; D005269:Femur / Q000601:surgery / Q000637:transplantation*; D006801:Humans; D007718:Knee Injuries / Q000534:rehabilitation; D017847:Patellar Ligament / Q000637:transplantation*; D013165:Splints; D013536:Suture Techniques; D013977:Tibia / Q000601:surgery / Q000637:transplantation*; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous