Journal
SPORTS MEDICINE AND ARTHROSCOPY REVIEW
Volume 18, Issue 1, Pages 27-32Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JSA.0b013e3181bf6634
Keywords
anterior cruciate ligament; controversies; double bundle; pitfalls; grafts
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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.
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