Double-bundle ACL reconstruction.

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Abstract

[Indexed for MEDLINE] 6. Sports Med Arthrosc Rev. 2010 Mar;18(1):27-32. doi: 10.1097/JSA.0b013e3181bf6634. Anatomic Double-bundle ACL Reconstruction. Schreiber VM(1), van Eck CF, Fu FH. Author information: (1)Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. Rupture of the anterior cruciate ligament (ACL) is one of the most frequent forms of knee trauma. The traditional surgical treatment for ACL rupture is single-bundle reconstruction. However, during the past few years there has been a shift in interest toward double-bundle reconstruction to closely restore the native ACL anatomy. This paper evaluates the basis for double-bundle ACL reconstruction including anatomy, biomechanics and kinematics, describes our surgical technique, and discusses why we prefer anatomic double-bundle ACL reconstruction, as well as its outcome, the choices, and the controversies of double-bundle ACL reconstruction. Pitfalls of traditional ACL surgery are also discussed, the recognition of which is the key to performing anatomic ACL reconstruction. DOI: 10.1097/JSA.0b013e3181bf6634