A modified arthroscopic anterior cruciate ligament double-bundle reconstruction technique with autogenous quadriceps tendon graft: remnant-preserving technique

Several techniques of anterior cruciate ligament (ACL) double-bundle reconstruction have been introduced to improve the functional outcome and restore normal kinematics of the knee. Meanwhile, a remnant-preserving technique was developed to preserve the proprioception and to enhance the revasculariz...

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Veröffentlicht in:Archives of orthopaedic and trauma surgery 2009-03, Vol.129 (3), p.403-407
Hauptverfasser: Kim, Sung-Jae, Jo, Seung-Bae, Kim, Tai-Won, Chang, Ji-Hoon, Choi, Heon-Sik, Oh, Kyung-Soo
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container_issue 3
container_start_page 403
container_title Archives of orthopaedic and trauma surgery
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creator Kim, Sung-Jae
Jo, Seung-Bae
Kim, Tai-Won
Chang, Ji-Hoon
Choi, Heon-Sik
Oh, Kyung-Soo
description Several techniques of anterior cruciate ligament (ACL) double-bundle reconstruction have been introduced to improve the functional outcome and restore normal kinematics of the knee. Meanwhile, a remnant-preserving technique was developed to preserve the proprioception and to enhance the revascularization of the reconstructed ACL. We developed double-bundle ACL reconstruction technique using autogenous quadriceps tendon graft while preserving the remnant. With this technique, two femoral sockets and one tibial tunnel are made. To preserve the remnant of the ACL, the rotational direction of the reamer was set to counterclockwise just before perforation of the tibial tunnel. To pass the graft more easily without disturbance of the remnant, the graft passage was achieved through the tibial tunnel. We suggest that the remnant-preserving technique could be an effective alternative considering its mechanical stability as well as the proprioception and vascularization recovery in arthroscopic double-bundle ACL reconstruction.
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subjects Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Arthroscopy - methods
Arthroscopy and Sports Medicine
Female
Humans
Knee
Knee Joint - surgery
Male
Medicine
Medicine & Public Health
Orthopedics
Quadriceps Muscle - transplantation
Reconstructive Surgical Procedures - methods
Suture Techniques
Tendons - transplantation
Transplantation, Autologous
title A modified arthroscopic anterior cruciate ligament double-bundle reconstruction technique with autogenous quadriceps tendon graft: remnant-preserving technique
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