JAAOS Email Content Delivery
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


J Am Acad Orthop Surg, Vol 15, No 2, February 2007, 87-96.
© 2007 the American Academy of Orthopaedic Surgeons

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Zelle, B. A.
Right arrow Articles by Fu, F. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Zelle, B. A.
Right arrow Articles by Fu, F. H.

Double-Bundle Reconstruction of the Anterior Cruciate Ligament: Anatomic and Biomechanical Rationale

Boris A. Zelle, MD, Armando F. Vidal, MD, Peter U. Brucker, MD, MSc and Freddie H. Fu, MD, DSc (Hon), DPs (Hon)

Dr. Zelle is Resident, Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA. Dr. Vidal is Assistant Professor, Department of Orthopaedic Surgery, University of Colorado at Denver and Health Science Centers, Denver, CO. Dr. Brucker is Research Fellow, Department of Orthopaedic Surgery, Division of Sports Medicine, University of Pittsburgh. Dr. Fu is Chairman and David Silver Professor, Department of Orthopaedic Surgery, Division of Sports Medicine, University of Pittsburgh.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Zelle, Dr. Vidal, Dr. Brucker, and Dr. Fu.

Reprint requests: Dr. Fu, Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Kaufmann Building, Suite 1011, 3471 Fifth Avenue, Pittsburgh, PA 15213.

Patients continue to suffer residual pain and instability following anterior cruciate ligament reconstruction. Although overall outcomes of anterior cruciate ligament reconstruction are favorable, improved outcomes can be achieved. Recent biomechanical studies have questioned the ability of conventional single-bundle anterior cruciate ligament constructs to adequately restore normal knee kinematics. Consequently, the use of double-bundle anterior cruciate ligament constructs has been recommended to restore knee stability more effectively. Recent biomechanical data indicate that double-bundle anterior cruciate ligament reconstruction may provide better anteroposterior and rotational knee stability than do conventional single-bundle techniques. Studies are needed to evaluate the clinical impact of double-bundle reconstruction techniques on long-term functional outcomes.




This article has been cited by other articles:


Home page
Am J Sports MedHome page
R. H. Brophy and A. D. Pearle
Single-Bundle Anterior Cruciate Ligament Reconstruction: A Comparison of Conventional, Central, and Horizontal Single-Bundle Virtual Graft Positions
Am. J. Sports Med., July 1, 2009; 37(7): 1317 - 1323.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Roentgenol.Home page
B. C. Casagranda, N. J. Maxwell, E. C. Kavanagh, J. D. Towers, W. Shen, and F. H. Fu
Normal Appearance and Complications of Double-Bundle and Selective-Bundle Anterior Cruciate Ligament Reconstructions Using Optimal MRI Techniques
Am. J. Roentgenol., May 1, 2009; 192(5): 1407 - 1415.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
R. H. Brophy, R. W. Wright, and M. J. Matava
Cost Analysis of Converting From Single-Bundle to Double-Bundle Anterior Cruciate Ligament Reconstruction
Am. J. Sports Med., April 1, 2009; 37(4): 683 - 687.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
Y. Lu, M. D. Markel, B. Nemke, S. Wynn, and B. Graf
Comparison of Single-Versus Double-Tunnel Tendon-to-Bone Healing in an Ovine Model: A Biomechanical and Histological Analysis
Am. J. Sports Med., March 1, 2009; 37(3): 512 - 517.
[Abstract] [Full Text] [PDF]


Home page
Sports Health: A Multidisciplinary ApproachHome page
F. R. Noyes
The Function of the Human Anterior Cruciate Ligament and Analysis of Single- and Double-Bundle Graft Reconstructions
Sports Health: A Multidisciplinary Approach, January 1, 2009; 1(1): 66 - 75.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
M. P. Hall, M. Ryzewicz, P. J. Walsh, and O. H. Sherman
Risk of Iatrogenic Injury to the Peroneal Nerve During Posterolateral Femoral Tunnel Placement in Double-Bundle Anterior Cruciate Ligament Reconstruction
Am. J. Sports Med., January 1, 2009; 37(1): 109 - 113.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
R. H. Brophy, J. E. Voos, F. J. Shannon, C. C. Granchi, T. L. Wickiewicz, R. F. Warren, and A. D. Pearle
Changes in the Length of Virtual Anterior Cruciate Ligament Fibers During Stability Testing: A Comparison of Conventional Single-Bundle Reconstruction and Native Anterior Cruciate Ligament
Am. J. Sports Med., November 1, 2008; 36(11): 2196 - 2203.
[Abstract] [Full Text] [PDF]


Home page
J Bone Joint Surg BrHome page
U. G. Longo, J. B. King, V. Denaro, and N. Maffulli
Double-bundle arthroscopic reconstruction of the anterior cruciate ligament: DOES THE EVIDENCE ADD UP?
J Bone Joint Surg Br, August 1, 2008; 90-B(8): 995 - 999.
[Abstract] [Full Text] [PDF]


Home page
J Bone Joint Surg BrHome page
L. A. Pinczewski, L. J. Salmon, W. F. M. Jackson, R. B. P. von Bormann, P. G. Haslam, and S. Tashiro
Radiological landmarks for placement of the tunnels in single-bundle reconstruction of the anterior cruciate ligament
J Bone Joint Surg Br, February 1, 2008; 90-B(2): 172 - 179.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by the American Academy of Orthopaedic Surgeons.