Condyle-Pinching Double-Bundle Anterior Cruciate Ligament Reconstruction

The outcomes of anterior cruciate ligament (ACL) reconstruction are still unsatisfactory. Anterolateral ligament (ALL) reconstruction has been applied to augment ACL reconstruction, with better but still nonoptimal results. An anatomical analysis revealed that the route of ALL is quite different fro...

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Main Authors: Jin Tang, B.M., Jinzhong Zhao, M.D.
Format: Article
Language:English
Published: Elsevier 2020-08-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628720300967
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author Jin Tang, B.M.
Jinzhong Zhao, M.D.
author_facet Jin Tang, B.M.
Jinzhong Zhao, M.D.
author_sort Jin Tang, B.M.
collection DOAJ
description The outcomes of anterior cruciate ligament (ACL) reconstruction are still unsatisfactory. Anterolateral ligament (ALL) reconstruction has been applied to augment ACL reconstruction, with better but still nonoptimal results. An anatomical analysis revealed that the route of ALL is quite different from that of ACL on the lateral view of the knee. Thus, we hope to augment ACL reconstruction with the reconstruction of an ACL-mimicking anterolateral structure, in which the route is similar to that of ACL. Thus, we aimed to introduce a combined ACL and ACL-mimicking anterolateral structure reconstruction technique, which we named condyle-pinching double-bundle ACL reconstruction. The main indication of this technique is ACL injury with a high degree of pivot shift or general laxity. The main steps of this technique include preparation of a combined graft, creation of a common femoral tunnel and 2 tibial tunnels, graft placement, and final graft fixation to an adjustable loop. We have been obtaining obvious outcome improvement clinically with this technique and consider that this report will provide special option in ACL reconstruction.
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spelling doaj.art-f42465d076c84ae99adfe79472fc1fd22022-12-21T22:37:00ZengElsevierArthroscopy Techniques2212-62872020-08-0198e1109e1114Condyle-Pinching Double-Bundle Anterior Cruciate Ligament ReconstructionJin Tang, B.M.0Jinzhong Zhao, M.D.1Operating Theater, Shanghai Sixth People’s Hospital, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Sports Medicine, Shanghai Sixth People’s Hospital, Shanghai Jiao Tong University, Shanghai, China; Address correspondence to Jinzhong Zhao, M.D., Department of Sports Medicine, Shanghai Sixth People’s Hospital, Shanghai Jiao Tong University, 600 Yishan Rd, Shanghai 200233, China.The outcomes of anterior cruciate ligament (ACL) reconstruction are still unsatisfactory. Anterolateral ligament (ALL) reconstruction has been applied to augment ACL reconstruction, with better but still nonoptimal results. An anatomical analysis revealed that the route of ALL is quite different from that of ACL on the lateral view of the knee. Thus, we hope to augment ACL reconstruction with the reconstruction of an ACL-mimicking anterolateral structure, in which the route is similar to that of ACL. Thus, we aimed to introduce a combined ACL and ACL-mimicking anterolateral structure reconstruction technique, which we named condyle-pinching double-bundle ACL reconstruction. The main indication of this technique is ACL injury with a high degree of pivot shift or general laxity. The main steps of this technique include preparation of a combined graft, creation of a common femoral tunnel and 2 tibial tunnels, graft placement, and final graft fixation to an adjustable loop. We have been obtaining obvious outcome improvement clinically with this technique and consider that this report will provide special option in ACL reconstruction.http://www.sciencedirect.com/science/article/pii/S2212628720300967
spellingShingle Jin Tang, B.M.
Jinzhong Zhao, M.D.
Condyle-Pinching Double-Bundle Anterior Cruciate Ligament Reconstruction
Arthroscopy Techniques
title Condyle-Pinching Double-Bundle Anterior Cruciate Ligament Reconstruction
title_full Condyle-Pinching Double-Bundle Anterior Cruciate Ligament Reconstruction
title_fullStr Condyle-Pinching Double-Bundle Anterior Cruciate Ligament Reconstruction
title_full_unstemmed Condyle-Pinching Double-Bundle Anterior Cruciate Ligament Reconstruction
title_short Condyle-Pinching Double-Bundle Anterior Cruciate Ligament Reconstruction
title_sort condyle pinching double bundle anterior cruciate ligament reconstruction
url http://www.sciencedirect.com/science/article/pii/S2212628720300967
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