Anatomic double-bundle anterior cruciate ligament reconstruction with anatomic aimers.
Graft positioning is a key issue in anterior cruciate ligament (ACL) reconstruction and even more sensitive in double-bundle reconstruction, where 2 tunnels have to be drilled within the ACL footprints at both the femoral and tibial insertion sites. Specific ancillary instruments have been developed to facilitate the positioning of the 4 sockets necessary when performing anatomic double-bundle ACL reconstruction. This technical note describes the rationale and the step-by-step method of using the specific aimers developed for this purpose. However, a prerequisite for successful double-bundle ACL reconstruction is a good knowledge of ACL footprint anatomy.
Christel
Pascal
P
Habib Medical Center, Riyadh, Saudi Arabia. pascal.christel485@gmail.com
Sahasrabudhe
Amit
A
Basdekis
Georges
G
D016118:Anterior Cruciate Ligament / Q000033:anatomy & histology* / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001178:Arthroplasty / Q000295:instrumentation* / Q000379:methods; D005269:Femur / Q000033:anatomy & histology / Q000601:surgery; D006801:Humans; D007718:Knee Injuries / Q000601:surgery; D007719:Knee Joint / Q000033:anatomy & histology / Q000601:surgery; D017888:Medial Collateral Ligament, Knee / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000295:instrumentation* / Q000379:methods; D013710:Tendons / Q000601:surgery / Q000637:transplantation; D013977:Tibia / Q000033:anatomy & histology / Q000601:surgery; D020858:Tissue and Organ Harvesting / Q000379:methods