Arthroscopic double-bundle anterior cruciate ligament reconstruction using autogenous quadriceps tendon.
Recently, the interest in anatomic anterior cruciate ligament (ACL) reconstruction with double-bundle technique has increased so as to reproduce the original load distribution and kinematics of the knee. We developed an arthroscopic double-bundle ACL reconstruction technique using autogenous quadriceps tendon with 2 split grafts and a patellar bone plug. The anteromedial bundle and posterolateral bundle of the ACL are replicated with each split graft of quadriceps tendon and fixed with biodegradable interference screws on the 2 femoral tunnels. The patellar bone plug of the quadriceps tendon is fixed with a biodegradable interference screw within the 1 tibial tunnel. We suggest that our technique using quadriceps tendon may be an alternative in arthroscopic double-bundle ACL reconstruction.
Kim
Sung-Jae
SJ
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seodaemun-Ku, Seoul, Korea. Sungjaekim@yumc.yonsei.ac.kr
Jung
Kwang-Am
KA
Song
Dae-Heup
DH
D020341:Absorbable Implants; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001182:Arthroscopy; D001863:Bone Screws; D050376:Bone-Patellar Tendon-Bone Grafting / Q000379:methods*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D014182:Transplantation, Autologous