title: ANATOMICAL ACL RECONSTRUCTION WITH DOUBLE BUNDLE: FIRST 40 CASES.
abstract: OBJECTIVE
  To discuss the technique of anatomical reconstruction of the anterior cruciate ligament (ACL) with a double bundle, the learning curve and the preliminary results.
  
  
  METHODS
  Forty patients with ACL injury underwent reconstruction with an anatomical double bundle, using the semitendinosus tendon to remake the anteromedial (AM) band and the gracilis to remake the posterolateral (PL) band of the knee.
  
  
  RESULTS
  We had two cases of limitation of extension, and in one of them, arthroscopic arthrolysis had to be performed; and there was one case of deep vein thrombosis.
  
  
  CONCLUSIONS
  ACL reconstruction with double bundle proved feasible, despite having a longer learning curve, and the advantages of the proposed technique still must be proven compared to the single-bundle technique.
authors.affiliation: Head of the Knee Surgery Sector, Tatuapé Orthopedic Clinic, São Paulo, Brazil.
authors.forename: Ari
authors.initials: A
authors.lastname: Zekcer
authors.affiliation: Attending Physician in the Knee Surgery Sector, Tatuapé Orthopedic Clinic, São Paulo, Brazil.
authors.forename: Ricardo Soares
authors.initials: RS
authors.lastname: da Silva
authors.affiliation: Affiliated Professor in the Department of Orthopedics and Traumatology, São Paulo Medical School, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
authors.forename: Mario Carneiro
authors.initials: MC
authors.lastname: Filho
keywords: Anterior Cruciate Ligament/injuries; Anterior Cruciate Ligament/surgery; Orthopedic Procedures; Postoperative Complications