title: Rectangular tunnel double-bundle anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft to mimic natural fiber arrangement.
abstract: We describe our current technique of anatomic, double-bundle (DB), rectangular tunnel anterior cruciate ligament (ACL) reconstruction with bone-patellar tendon-bone (BPTB) graft. This technique mimics the natural, or anatomic, arrangement of the native ACL fibers. This technique has the following advantages: (1) creation of a DB ACL reconstruction with a single BPTB graft; (2) maximization of graft-tunnel contact area; (3) containment of the tunnel apertures within the anatomic ACL attachment footprint; (4) rotational control of the graft within the tunnels during and after fixation; and (5) preservation of notch anatomy.
authors.affiliation: Department of Comprehensive Rehabilitation, Osaka Prefecture University, 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: Shuji
authors.initials: S
authors.lastname: Horibe
authors.forename: Shigeto
authors.initials: S
authors.lastname: Nakagawa
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Suzuki
mesh_terms: D016118:Anterior Cruciate Ligament / Q000601:surgery / Q000637:transplantation*; D001182:Arthroscopy / Q000379:methods; D001863:Bone Screws; D006801:Humans; D007718:Knee Injuries / Q000601:surgery; D007719:Knee Joint / Q000601:surgery; D010329:Patella / Q000601:surgery / Q000637:transplantation; D017847:Patellar Ligament / Q000601:surgery / Q000637:transplantation*; D053831:Surgical Fixation Devices; D013977:Tibia / Q000601:surgery / Q000637:transplantation; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous