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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 5/2009

01.05.2009 | Knee

Outcome of double-bundle ACL reconstruction using hamstring tendons

verfasst von: Yukiyoshi Toritsuka, Hiroshi Amano, Masahiro Kuwano, Takao Iwai, Tatsuo Mae, Kenji Ohzono, Konsei Shino

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 5/2009

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Abstract

The objective of this article is to describe the clinical outcome of the transitional double-bundle procedure for anatomical ACL reconstruction. Subjects included 78 patients (average age 25 years) who had undergone ACL reconstruction with the transitional double-bundle procedure with multi-stranded hamstring tendons. The femoral socket for the anteromedial (AM) graft was created at 5–6 mm from the mid-sagittal line of the intercondylar notch at 2:00 or 10:00, and that for the posterolateral (PL) graft was drilled adjacent to the AM socket at 3:00 or 9:00. For the tibial side, two tunnels were made at the center of the footprint of the AM and PL bundles of the normal ACL. Patients were evaluated at 24 months or longer postoperatively based on the IKDC Knee Examination Form. Subjectively, 32 knees (41%) were graded as normal; 41 (53%), as nearly normal; 4 (5%), as abnormal; and 1 (1%) as graft rupture by re-injury. The average side-to-side difference in anterior laxity at manual maximum force with the KT-2000 arthrometer was 0.9 mm ± 1.2. Seventy patients (93%) had a range between −1 mm and 2 mm. In conclusion the transitional double-bundle ACL reconstruction provided a satisfactory outcome after a short-term follow-up.
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Metadaten
Titel
Outcome of double-bundle ACL reconstruction using hamstring tendons
verfasst von
Yukiyoshi Toritsuka
Hiroshi Amano
Masahiro Kuwano
Takao Iwai
Tatsuo Mae
Kenji Ohzono
Konsei Shino
Publikationsdatum
01.05.2009
Verlag
Springer-Verlag
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 5/2009
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-008-0707-7

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