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Published in:

01-04-2009 | Review Article

Magnetic resonance imaging of double-bundle anterior cruciate ligament reconstruction

Authors: Alexander Poellinger, Sven Scheffler, Bernd Hamm, Patrick Asbach

Published in: Skeletal Radiology | Issue 4/2009

Abstract

Reconstruction of the anterior cruciate ligament (ACL) using the double-bundle technique is getting highly increasing attention. This surgical approach uses two separate tendon grafts with the intention to reconstruct both anatomic bundles in order to restore the full biomechanical function of the original ligament. With the increasing popularity of this technique, radiologists will be more frequently confronted with patients who underwent this surgical procedure. The aims of this essay are to briefly describe the basic biomechanical and surgical principles and to summarize the magnetic resonance imaging findings of the knee after double-bundle ACL reconstruction.

Colombet P, Robinson J, Christel P, et al. Morphology of anterior cruciate ligament attachments for anatomic reconstruction: a cadaveric dissection and radiographic study. Arthroscopy 2006; 22: 984–992.PubMed

Sonoda M, Morikawa T, Tsuchiya K, Moriya H. Correlation between knee laxity and graft appearance on magnetic resonance imaging after double-bundle hamstring graft anterior cruciate ligament reconstruction. Am J Sports Med 2007; 35: 936–942.PubMedCrossRef

Gohil S, Annear PO, Breidahl W. Anterior cruciate ligament reconstruction using autologous double hamstrings: a comparison of standard versus minimal debridement techniques using MRI to assess revascularisation. A randomised prospective study with a one-year follow-up. J Bone Jt Surg Br 2007; 89: 1165–1171.CrossRef

Kondo E, Yasuda K. Second-look arthroscopic evaluations of anatomic double-bundle anterior cruciate ligament reconstruction: relation with postoperative knee stability. Arthroscopy 2007; 23: 1198–1209.PubMed

Yagi M, Wong EK, Kanamori A, Debski RE, Fu FH, Woo SL. Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med 2002; 30: 660–666.PubMed

Muneta T, Koga H, Morito T, Yagishita K, Sekiya I. A retrospective study of the midterm outcome of two-bundle anterior cruciate ligament reconstruction using quadrupled semitendinosus tendon in comparison with one-bundle reconstruction. Arthroscopy 2006; 22: 252–258.PubMed

Steckel H, Vadala G, Davis D, Fu FH. 2D and 3D 3-Tesla magnetic resonance imaging of the double bundle structure in anterior cruciate ligament anatomy. Knee Surg Sports Traumatol Arthrosc 2006; 14: 1151–1158.PubMedCrossRef

Ferretti A, Monaco E, Labianca L, De Carli A, Conteduca F. Double bundle or single bundle plus extra-articular tenodesis in ACL reconstruction? A CAOS study. Knee Surg Sports Traumatol Arthrosc 2008; 16: 98.PubMedCrossRef

Monaco E, Labianca L, Conteduca F, De Carli A, Ferretti A. Double bundle or single bundle plus extraarticular tenodesis in ACL reconstruction? A CAOS study. Knee Surg Sports Traumatol Arthrosc 2007; 15: 1168–1174.PubMedCrossRef

10.

McGuire DA, Hendricks SD. Anterior cruciate ligament reconstruction graft harvesting: pitfalls and tips. Sports Med Arthrosc 2007; 15: 184–190.PubMedCrossRef

11.

Zantop T, Kubo S, Petersen W, Musahl V, Fu FH. Current techniques in anatomic anterior cruciate ligament reconstruction. Arthroscopy 2007; 23: 938–947.PubMed

12.

Cohen SB, Fu FH. Three-portal technique for anterior cruciate ligament reconstruction: use of a central medial portal. Arthroscopy 2007; 23: 325e.1–325.e5.

13.

Kondo E, Yasuda K, Ichiyama H, Azuma C, Tohyama H. Radiologic evaluation of femoral and tibial tunnels created with the transtibial tunnel technique for anatomic double-bundle anterior cruciate ligament reconstruction. Arthroscopy 2007; 23: 869–876.PubMedCrossRef

14.

Asagumo H, Kimura M, Kobayashi Y, Taki M, Takagishi K. Anatomic reconstruction of the anterior cruciate ligament using double-bundle hamstring tendons: surgical techniques, clinical outcomes, and complications. Arthroscopy 2007; 23: 602–609.PubMed

15.

Uchio Y, Ochi M, Adachi N, Kawasaki K, Kuriwaka M. Determination of time of biologic fixation after anterior cruciate ligament reconstruction with hamstring tendons. Am J Sports Med 2003; 31: 345–352.PubMed

16.

Hong SJ, Ahn JM, Ahn JH, Park SW. Postoperative MR findings of the healthy ACL grafts: correlation with second look arthroscopy. Clin Imaging 2005; 29: 55–59.PubMed

17.

Duc SR, Pfirrmann CW, Koch PP, Zanetti M, Hodler J. Internal knee derangement assessed with 3-minute three-dimensional isovoxel true FISP MR sequence: preliminary study. Radiology 2008; 246: 526–535.PubMedCrossRef

18.

Zantop T, Petersen W. Double bundle revision of a malplaced single bundle vertical ACL reconstruction: ACL revision surgery using a two femoral tunnel technique. Arch Orthop Trauma Surg 2008 (in press).

Title: Magnetic resonance imaging of double-bundle anterior cruciate ligament reconstruction
Authors: Alexander Poellinger
Sven Scheffler
Bernd Hamm
Patrick Asbach
Publication date: 01-04-2009
Publisher: Springer-Verlag
Published in: Skeletal Radiology / Issue 4/2009
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-008-0528-2

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Magnetic resonance imaging of double-bundle anterior cruciate ligament reconstruction

Abstract

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