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European Journal of Orthopaedic Surgery & Traumatology

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01-01-2012 | Technical Note

Isoanatomical bone-patellar tendon-bone single-bundle ACL reconstruction: the wedge that gives the edge!

Authors: Markus P. Arnold, Roland M. Biedert, Corné van Loon, Michael T. Hirschmann

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 1/2012

Abstract

The purpose of the present paper is to describe the isoanatomical, single bundle, bone-patellar tendon-bone A3B-ACL reconstruction technique (A3B = Anatomical Bruderholz, Burkart, Biedert) in detail. The technical key factors and the pitfalls are highlighted. In addition, the pros and cons of the technique are discussed.

Howell SM (1998) Principles for placing the tibial tunnel and avoiding roof impingement during reconstruction of a torn anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 6(1):S49–S55PubMedCrossRef

Howell SM, Clark JA (1992) Tibial tunnel placement in anterior cruciate ligament reconstructions and graft impingement. Clin Orthop 283:187–195PubMed

Reat JF, Lintner DM (1997) One-versus two-incision ACL reconstruction. A prospective, randomized study. Am J Knee Surg 10(4):198–208PubMed

Lohmander LS, Ostenberg A, Englund M, Roos H (2004) High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis Rheum 50(10):3145–3152PubMedCrossRef

Fu FH, Ranawat A (2007) Tensioning in double-bundle ACL reconstruction. Arthroscopy 23(9):1027; author reply 1027-1028

Shino K, Nakata K, Nakamura N, Mae T, Ohtsubo H, Iwahashi T, Nakagawa S (2005) Anatomic anterior cruciate ligament reconstruction using two double-looped hamstring tendon grafts via twin femoral and triple tibial tunnels. Op Tech Orthop 15:130–134CrossRef

Siebold R, Dehler C, Ellert T (2008) Prospective randomized comparison of double-bundle versus single-bundle anterior cruciate ligament reconstruction. Arthroscopy 24(2):137–145PubMedCrossRef

Kanaya A, Ochi M, Deie M, Adachi N, Nishimori M, Nakamae A (2009) Intraoperative evaluation of anteroposterior and rotational stabilities in anterior cruciate ligament reconstruction: lower femoral tunnel placed single-bundle versus double-bundle reconstruction. Knee Surg Sports Traumatol Arthrosc 17(8):907–913PubMedCrossRef

Meredick RB, Vance KJ, Appleby D, Lubowitz JH (2008) Outcome of single-bundle versus double-bundle reconstruction of the anterior cruciate ligament: a meta-analysis. Am J Sports Med 36(7):1414–1421. doi:10.1177/0363546508317964 PubMedCrossRef

10.

Arnold MP, Verdonschot N, van Kampen A (2005) ACL graft can replicate the normal ligament’s tension curve. Knee Surg Sports Traumatol Arthrosc 13(8):625–631PubMedCrossRef

11.

Bernard M, Hertel P, Hornung H, Cierpinski T (1997) Femoral insertion of the ACL. Radiographic quadrant method. Am J Knee Surg 10(1):14–21PubMed

12.

Deehan DJ, Pinczewski L (2002) How I do it: Endoscopic anterior cruciate ligament reconstruction using a four strand hamstring tendon construct. J R Coll Surg Edinb 47:428–436PubMed

13.

Dye SF, Cannon WD Jr (1988) Anatomy and biomechanics of the anterior cruciate ligament. Clin Sports Med 7(4):715–725PubMed

14.

Garofalo R, Mouhsine E, Chambat P, Siegrist O (2006) Anatomic anterior cruciate ligament reconstruction: the two-incision technique. Knee Surg Sports Traumatol Arthrosc 14(6):510–516PubMedCrossRef

15.

Gill TJ, Steadman JR (2002) Anterior cruciate ligament reconstruction the two-incision technique. Orthop Clin North Am 33(4):727–735, vii

16.

Loh JC, Fukuda Y, Tsuda E, Steadman RJ, Fu FH, Woo SL (2003) Knee stability and graft function following anterior cruciate ligament reconstruction: Comparison between 11 o’clock and 10 o’clock femoral tunnel placement. Arthroscopy 19(3):297–304PubMedCrossRef

17.

Markolf KL, Hame SL, Hunter DM, Oakes DA, Zoric B, Gause P, Finerman GA (2002) Effects of femoral tunnel placement on knee laxity and forces in an anterior cruciate ligament graft. J Orthop Res 20:1016–1024PubMedCrossRef

18.

Scopp JM, Jasper LE, Belkoff SM, Moorman CT 3rd (2004) The effect of oblique femoral tunnel placement on rotational constraint of the knee reconstructed using patellar tendon autografts. Arthroscopy 20(3):294–299PubMedCrossRef

19.

Duquin TR, Wind WM, Fineberg MS, Smolinski RJ, Buyea CM (2009) Current trends in anterior cruciate ligament reconstruction. J Knee Surg 22(1):7–12PubMedCrossRef

20.

Hospodar SJ, Miller MD (2009) Controversies in ACL reconstruction: bone-patellar tendon-bone anterior cruciate ligament reconstruction remains the gold standard. Sports Med Arthrosc 17(4):242–246PubMedCrossRef

21.

Kopf S, Musahl V, Tashman S, Szczodry M, Shen W, Fu FH (2009) A systematic review of the femoral origin and tibial insertion morphology of the ACL. Knee Surg Sports Traumatol Arthrosc 17(3):213–219PubMedCrossRef

22.

Arnold MP, Kooloos J, van Kampen A (2001) Single-incision technique misses the anatomical femoral anterior cruciate ligament insertion: a cadaver study. Knee Surg Sports Traumatol Arthrosc 9(4):194–199PubMed

Title: Isoanatomical bone-patellar tendon-bone single-bundle ACL reconstruction: the wedge that gives the edge!
Authors: Markus P. Arnold
Roland M. Biedert
Corné van Loon
Michael T. Hirschmann
Publication date: 01-01-2012
Publisher: Springer-Verlag
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 1/2012
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-011-0793-y

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Isoanatomical bone-patellar tendon-bone single-bundle ACL reconstruction: the wedge that gives the edge!

Abstract

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Springer Medicine

Abstract

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