Anatomically Oriented Anterior Cruciate Ligament Reconstruction with a Bone–Patellar Tendon–Bone Graft via Rectangular Socket and Tunnel: A Snug-fit and Impingement-Free Grafting Technique |
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| Institution: | 1. Faculty of Comprehensive Rehabilitation, Osaka Prefecture University, Osaka, Japan.;2. Department of Orthopaedic Surgery, Osaka University Medical School, Osaka, Japan.;1. Boston Shoulder Institute, Boston, Massachusetts, U.S.A.;2. Harvard Medical School, Boston, Massachusetts, U.S.A.;1. Tri County Orthopedic Center, Carthage, New York, U.S.A.;2. Department of Orthopaedic Surgery, Guthrie Army Health Clinic, Ft Drum, New York, U.S.A.;3. Campbell County Memorial Hospital, Gillette, Wyoming, U.S.A.;1. Department of Ophthalmology, University Hospital Zurich, Zurich, Switzerland;2. Institute of Surgical Pathology, University Hospital Zurich, Zurich, Switzerland |
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| Abstract: | An anterior cruciate ligament (ACL) reconstruction technique is described to place bone–patellar tendon–bone (BPTB) graft in an anatomically oriented fashion to mimic the 2 bundles of the normal ACL, based on the concept of twin tunnel ACL reconstruction, to maximize the graft-tunnel interface. In this technique, the attached bone plug is introduced into a rectangular femoral socket via a halfway rectangular tibial tunnel for the anterior portion of the graft to function as the anteromedial bundle and for its posterior portion to behave as the posterolateral bundle. A snug fitting of the graft is achieved not only at the femoral socket, but also in the tibial tunnel. |
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