A Simplified Double-Bundle Anterior Cruciate Ligament Reconstruction by the Three-Inside Technique With Two Suspension Buttons and One Interference Screw

Orthopedic surgery 03 medical and health sciences 0302 clinical medicine Technical Note RD701-811
DOI: 10.1016/j.eats.2021.08.037 Publication Date: 2021-12-21T23:45:11Z
ABSTRACT
In comparison with the single-bundle technique, double-bundle anterior cruciate ligament (ACL) reconstruction has proven its superiority regarding biomechanical studies and clinical outcomes in both rotational knee stability translation function. However, complexity risk of complications remain a great concern for orthopaedic surgeon performing ACL reconstruction. We present simplified by 3-inside technique 2 suspension buttons 1 interference screw. The semitendinosus tendon is tripled to be anteromedial (AM) bundle, whereas gracilis doubled posterolateral (PL) bundle. perform 3-socket approach an inside-out femoral tunnel AM outside-in PL retrograde tibial socket Thus, this is, simply, combination procedures: one single all-inside method (for bundle) bundle), which most arthroscopic surgeons are familiar. bundles fixed at 30° 45°, respectively, using Our could reduce surgical costs minimize while maintaining isometric position appropriate graft size each patient.
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