Single- Vs. Double-Bundle ACL Reconstruction View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2016

AUTHORS

Masahiro Kurosaka , Ryosuke Kuroda , Kanto Nagai

ABSTRACT

Multiple bundle ACL reconstruction, especially focused on double-bundle ACL reconstruction was discussed in this article. Although crucial factors and denominators that influence the outcome of ACL reconstruction are not elucidated, we believe that anatomically oriented graft replacement in reconstruction of the ruptured ACL structure will be certainly the future direction of this surgery. The study of anatomy of the ACL insertion site and intra-articular graft orientation in the young and normal population would be mandatory for the better understanding of future ACL reconstruction. Also better evaluation system that includes both subjective and objective approach should be refined in the future. As the technology advancement is seen in many fields of surgical technique, navigation system or some other types of newer technique will surely be introduced in ACL reconstruction technique field. Biological intervention of ACL surgery is surely one of the challenging issues for future ACL reconstruction. Since ACL is the tissue that has blood supply, biological application to facilitate the implanted graft to heal to normal ACL tissue may be one of the attainable possibilities and may be easier than healing of nonvascularized tissue like an articular cartilage damage or torn meniscus. We are still on the way to get the normal ACL tissue back to the torn ACL knee; however, anatomic approach of the double-bundle ACL reconstruction of the ACL tissue may be one of the possible solutions to this currently unsolved problem for the athletic population. More... »

PAGES

291-301

References to SciGraph publications

  • 2011-03. A prospective randomised study of anatomical single-bundle versus double-bundle anterior cruciate ligament reconstruction: quantitative evaluation using an electromagnetic measurement system in INTERNATIONAL ORTHOPAEDICS
  • 2009-05. Outcome of double-bundle ACL reconstruction using hamstring tendons in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2012-01. The arrangement and the attachment areas of three ACL bundles in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2009-08. Intraoperative evaluation of anteroposterior and rotational stabilities in anterior cruciate ligament reconstruction: lower femoral tunnel placed single-bundle versus double-bundle reconstruction in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2013-04. Quantitative evaluation of the pivot shift by image analysis using the iPad in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2014-02. Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion, with special reference to the femoral attachment in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2015-11. Flat midsubstance of the anterior cruciate ligament with tibial “C”-shaped insertion site in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2012-04. Quantitative assessment of pivot-shift using inertial sensors in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2015-11. Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site: a cadaveric study including 111 knees in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2010-09. The resident’s ridge as an arthroscopic landmark for anatomical femoral tunnel drilling in ACL reconstruction in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • Book

    TITLE

    ACL Injury and Its Treatment

    ISBN

    978-4-431-55856-9
    978-4-431-55858-3

    Author Affiliations

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/978-4-431-55858-3_24

    DOI

    http://dx.doi.org/10.1007/978-4-431-55858-3_24

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1038566680


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