Two-bundle reconstruction of the anterior cruciate ligament using semitendinosus tendon with endobuttons: Operative technique and preliminary results

被引:274
作者
Muneta, T [1 ]
Sekiya, I [1 ]
Yagishita, K [1 ]
Ogiuchi, T [1 ]
Yamamoto, H [1 ]
Shinomiya, K [1 ]
机构
[1] Tokyo Med & Dent Univ, Dept Orthopaed Surg, Tokyo 113, Japan
来源
ARTHROSCOPY | 1999年 / 15卷 / 06期
关键词
anterior cruciate ligament reconstruction; semitendinosus tendon; two-bundle procedure; endobutton; aggressive early rehabilitation;
D O I
10.1053/ar.1999.v15.0150611
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 carried out two-bundle reconstruction of the anterior cruciate ligament (ACL) using multi-strand semitendinosus tendon for the purpose of getting better stability under aggressive rehabilitation by putting the graft in the normal anatomy with minimized notch-plasty. The drill guide position was determined using two-directional radiography in hyperextension. The two-bundle procedure was performed using the inside-out technique for grafting and two Endobuttons (Acufex Microsurgical, Mansfield, MA) for femoral graft fixation. The clinical outcomes 2 years postoperatively of 54 of 62 consecutive patients were reported. The preliminary results suggested that the two-bundle procedure showed a better trend with respect to anterior stability compared with those of our previous experience using the single-bundle technique under the same aggressive rehabilitation. The two-bundle procedures have several theoretical advantages over single-bundle with multi-strand tendon graft. The present two-bundle reconstruction is recommended to result in better anterior stability with minimized notch-plasty and with no serious complications.
引用
收藏
页码:618 / 624
页数:7
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