title: A modified arthroscopic anterior cruciate ligament double-bundle reconstruction technique with autogenous quadriceps tendon graft: remnant-preserving technique.
abstract: Several techniques of anterior cruciate ligament (ACL) double-bundle reconstruction have been introduced to improve the functional outcome and restore normal kinematics of the knee. Meanwhile, a remnant-preserving technique was developed to preserve the proprioception and to enhance the revascularization of the reconstructed ACL. We developed double-bundle ACL reconstruction technique using autogenous quadriceps tendon graft while preserving the remnant. With this technique, two femoral sockets and one tibial tunnel are made. To preserve the remnant of the ACL, the rotational direction of the reamer was set to counterclockwise just before perforation of the tibial tunnel. To pass the graft more easily without disturbance of the remnant, the graft passage was achieved through the tibial tunnel. We suggest that the remnant-preserving technique could be an effective alternative considering its mechanical stability as well as the proprioception and vascularization recovery in arthroscopic double-bundle ACL reconstruction.
authors.affiliation: Department of Orthopaedic Surgery, Yonsei University Health System, Yonsei University Arthrosocopy Joint Research Institute, Seoul, South Korea.
authors.forename: Sung-Jae
authors.initials: SJ
authors.lastname: Kim
authors.forename: Seung-Bae
authors.initials: SB
authors.lastname: Jo
authors.forename: Tai-Won
authors.initials: TW
authors.lastname: Kim
authors.forename: Ji-Hoon
authors.initials: JH
authors.lastname: Chang
authors.forename: Heon-Sik
authors.initials: HS
authors.lastname: Choi
authors.forename: Kyung-Soo
authors.initials: KS
authors.lastname: Oh
mesh_terms: D016118:Anterior Cruciate Ligament / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D052097:Quadriceps Muscle / Q000637:transplantation; D019651:Plastic Surgery Procedures / Q000379:methods; D013536:Suture Techniques; D013710:Tendons / Q000637:transplantation*; D014182:Transplantation, Autologous