title: DARTHROSCOPIC DOUBLE- BUNDLE RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT USING HAMSTRING TENDON GRAFTS - FIXATION WITH TWO INTERFERENCE SCREWS.
abstract: Surgical procedures for double-bundle reconstruction of anterior cruciate ligament, which currently use semitendinous and gracilis tendon grafts, have been described in the last decade. Most of the techniques utilize twice the hardware used in single-bundle reconstructions. We report an original anterior cruciate ligament double-bundle reconstruction technique using semitendinous and gracilis tendon grafts, maintaining their tibial bone insertions with two tibial and two femoral tunnels. A simplified and precise outside-in femoral drilling technique is utilized, and the graft fixation is made utilizing only two interference screws.
authors.affiliation: Associate Professor-Doctor, Department of Orthopedics and Traumatology, UNIFESP-EPM; Deputy Head, Division of Orthopedics, DOT-EPM-UNIFESP, Brazil.
authors.forename: Mario
authors.initials: M
authors.lastname: Carneiro
authors.affiliation: Lecturer, Department of Orthopedics and Traumatology, UNIFESP-EPM, Brazil.
authors.forename: Ricardo Dizioli
authors.initials: RD
authors.lastname: Navarro
authors.affiliation: Physician, Knee Group, Department of Orthopedics and Traumatology, UNIFESP-EPM, Brazil.
authors.forename: Gilberto Yoshinobu
authors.initials: GY
authors.lastname: Nakama
authors.affiliation: Doctor; Head, Orthopedics and Traumatology Clinic, Santa Casa, Rio de Janeiro, Brazil.
authors.forename: João Mauricio
authors.initials: JM
authors.lastname: Barretto
authors.affiliation: Master; Interim Head, Knee Group, Department of Orthopedics and Traumatology, UNIFESP-EPM, Brazil.
authors.forename: Antonio Altenor
authors.initials: AA
authors.lastname: Bessa de Queiroz
authors.affiliation: Doctor; Physician, Knee Group, Department of Orthopedics and Traumatology, UNIFESP-EPM, Brazil.
authors.forename: Marcus Vinicius
authors.initials: MV
authors.lastname: Malheiro Luzo
keywords: Anterior cruciate ligament; Knee; Knee injuries