Rectangular Tunnel Double-Bundle Anterior Cruciate Ligament Reconstruction with Bone-Patellar Tendon-Bone Graft to Mimic Natural Fiber Arrangement

被引:106
作者
Shino, Konsei [1 ]
Nakata, Ken [2 ]
Nakamura, Norimasa [2 ]
Toritsuka, Yukiyoshi [2 ]
Horibe, Shuji [2 ]
Nakagawa, Shigeto [2 ]
Suzuki, Tornoyuki [2 ]
机构
[1] Osaka Prefecture Univ, Fac Comprehens Rehabil, Dept Comprehens Rehabil, Habikino Osaka 5838555, Japan
[2] Osaka Univ, Sch Med, Osaka, Japan
关键词
Anterior cruciate ligament; Double-bundle reconstruction technique; Rectangular tunnel; Resident's ridge;
D O I
10.1016/j.arthro.2008.06.010
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We describe our current technique of anatomic, double-bundle (DB), rectangular tunnel anterior cruciate ligament (ACL) reconstruction with bone-patellar tendon-bone (BPTB) graft. This technique mimics the natural, or anatomic, arrangement of the native ACL fibers. This technique has the following advantages: (1) creation of a DB ACL reconstruction with a single BPTB graft; (2) maximization of graft-tunnel contact area; (3) containment of the tunnel apertures within the anatomic ACL attachment footprint; (4) rotational control of the graft within the tunnels during and after fixation, and (5) preservation of notch anatomy.
引用
收藏
页码:1178 / 1183
页数:6
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