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Erschienen in: European Journal of Orthopaedic Surgery & Traumatology 1/2012

01.01.2012 | Technical Note

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

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

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 1/2012

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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.
Literatur
1.
Zurück zum Zitat 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 (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
2.
Zurück zum Zitat Howell SM, Clark JA (1992) Tibial tunnel placement in anterior cruciate ligament reconstructions and graft impingement. Clin Orthop 283:187–195PubMed Howell SM, Clark JA (1992) Tibial tunnel placement in anterior cruciate ligament reconstructions and graft impingement. Clin Orthop 283:187–195PubMed
3.
Zurück zum Zitat Reat JF, Lintner DM (1997) One-versus two-incision ACL reconstruction. A prospective, randomized study. Am J Knee Surg 10(4):198–208PubMed Reat JF, Lintner DM (1997) One-versus two-incision ACL reconstruction. A prospective, randomized study. Am J Knee Surg 10(4):198–208PubMed
4.
Zurück zum Zitat 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 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
5.
Zurück zum Zitat Fu FH, Ranawat A (2007) Tensioning in double-bundle ACL reconstruction. Arthroscopy 23(9):1027; author reply 1027-1028 Fu FH, Ranawat A (2007) Tensioning in double-bundle ACL reconstruction. Arthroscopy 23(9):1027; author reply 1027-1028
6.
Zurück zum Zitat 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 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
7.
Zurück zum Zitat 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 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
8.
Zurück zum Zitat 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 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
9.
10.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat Dye SF, Cannon WD Jr (1988) Anatomy and biomechanics of the anterior cruciate ligament. Clin Sports Med 7(4):715–725PubMed Dye SF, Cannon WD Jr (1988) Anatomy and biomechanics of the anterior cruciate ligament. Clin Sports Med 7(4):715–725PubMed
14.
Zurück zum Zitat 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 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.
Zurück zum Zitat Gill TJ, Steadman JR (2002) Anterior cruciate ligament reconstruction the two-incision technique. Orthop Clin North Am 33(4):727–735, vii Gill TJ, Steadman JR (2002) Anterior cruciate ligament reconstruction the two-incision technique. Orthop Clin North Am 33(4):727–735, vii
16.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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
Metadaten
Titel
Isoanatomical bone-patellar tendon-bone single-bundle ACL reconstruction: the wedge that gives the edge!
verfasst von
Markus P. Arnold
Roland M. Biedert
Corné van Loon
Michael T. Hirschmann
Publikationsdatum
01.01.2012
Verlag
Springer-Verlag
Erschienen in
European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 1/2012
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-011-0793-y

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