A Novel Graft Preparation Technique of the Quadriceps Tendon for Arthroscopic Double-Bundle Anterior Cruciate Ligament Reconstruction

Surgical reconstruction is a general approach for an anterior cruciate ligament rupture. Techniques have evolved from single-bundle to double-bundle reconstruction to restore the 2 anatomically and functionally different bundles as much as possible. However, there is controversy regarding which meth...

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Bibliographic Details
Main Authors: Sang Eun Park, M.D., Yujin Ko
Format: Article
Language:English
Published: Elsevier 2013-08-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628713000169
Description
Summary:Surgical reconstruction is a general approach for an anterior cruciate ligament rupture. Techniques have evolved from single-bundle to double-bundle reconstruction to restore the 2 anatomically and functionally different bundles as much as possible. However, there is controversy regarding which method yields superior clinical outcomes. The purpose of this article is to introduce our new graft preparation method, which will potentially address the limitations of currently available double-bundle anterior cruciate ligament reconstruction procedures using the quadriceps tendon. The proximal portion of the graft is preserved in our method, instead of completely being split into 2 distinct graft bundles as previously suggested. We believe that the preserved portion can act as a biofunctional “safety circuit” in case of overloading and also help some synergistic actions of the 2 bundles.
ISSN:2212-6287