Reconstruction of the anterior cruciate ligament using a double bundle

被引:89
作者
Hara, K
Kubo, T
Suginoshita, T
Shimizu, C
Hirasawa, Y
机构
[1] Kyoto Prefectural Univ Med, Dept Orthopaed Surg, Kyoto 6028566, Japan
[2] Kyoto Interdisciplinary Inst Hosp Community Med, Dept Orthopaed Surg, Kyoto, Japan
来源
ARTHROSCOPY | 2000年 / 16卷 / 08期
关键词
anterior cruciate ligament; reconstruction; double bundle;
D O I
10.1053/jars.2000.7679
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 developed a reconstruction technique for the anterior cruciate ligament using a double bundle that is the combination of bone-tendon-bone (BTB) from the patellar tendon and semitendinosus tendon (ST). BTB is fixed in the tunnels produced on the isometric points on the tibia and femur. ST is fixed on the tibial tunnel through the same route as the BTB, but on the femur, through the over-the-top route, which is located posterolateral to the femoral tunnel. Use of this double bundle realizes a physiologically more durable reconstruction because BTB corresponds to the anteromedial bundle of the ACL and ST corresponds to the posterolateral bundle, and these produce 2 different tension patterns within the bundle. This technique is also applicable to revision surgeries for patients with an extended bone loss on the tibia.
引用
收藏
页码:860 / 864
页数:5
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