Soft tissue allograft and double-bundle reconstruction.
The anterior cruciate ligament (ACL) is composed of two functional bundles, the anteromedial and posterolateral. Multiple biomechanical and clinical studies have demonstrated that the posterolateral bundle plays a critical role in rotatory stability of the knee. Anatomic double-bundle reconstruction of the ACL best restores knee function and kinematics when the ACL is ruptured. For double-bundle ACL reconstruction, the use of allograft is safe, minimizes graft harvest morbidity, expedites recovery, and is associated with successful clinical results in short-term follow-up.
Tejwani
Samir G
SG
Kaiser Permanente, Department of Orthopaedic Surgery, 9985 Sierra Avenue, Fontana, CA 92335, USA.
Shen
Wei
W
Fu
Freddie H
FH
D016118:Anterior Cruciate Ligament / Q000033:anatomy & histology / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods*; D013710:Tendons / Q000637:transplantation*; D014184:Transplantation, Homologous