Double-bundle and double-tunnel ACL reconstruction with looped proximal tibial fixation
Leal Contreras, Carlos
Orthopedics, 1938-2367, Vol. 34, No. 6, 2011 p. 441-447
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Double-bundle anterior cruciate ligament (ACL) reconstruction can be demanding and time consuming and requires twice as many implants, increasing both costs and possible complications. In this article, we present a new approach to double bundle ACL reconstruction: a biological fixation of the tibial side by means of a double tunnel and a U-shape passage of an anterior tibialis allograft, fixed into a double tunnel on the femoral condyle with 2 interference bioabsorbable screws. The technique is designed to combine 2 known procedures for the regular knee surgeon: the mono-tunnel technique and the medial-portal approach.
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