title: Double-bundle and double-tunnel ACL reconstruction with looped proximal tibial fixation.
abstract: Double-bundle anterior cruciate ligament (ACL) reconstruction can be demanding and time consuming and requires twice as many implants, increasing both costs and possible complications. In this article, we present a new approach to double bundle ACL reconstruction: a biological fixation of the tibial side by means of a double tunnel and a U-shape passage of an anterior tibialis allograft, fixed into a double tunnel on the femoral condyle with 2 interference bioabsorbable screws. The technique is designed to combine 2 known procedures for the regular knee surgeon: the mono-tunnel technique and the medial-portal approach.
authors.affiliation: Department of Orthopedic Surgery, Christus Muguerza del Parque Hospital, Chihuahua, Columbia.
authors.forename: Edmundo
authors.initials: E
authors.lastname: Berumen-Nafarrate
authors.forename: Carlos
authors.initials: C
authors.lastname: Leal-Contreras
mesh_terms: D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction / Q000295:instrumentation* / Q000379:methods*; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D016268:Internal Fixators; D016896:Treatment Outcome