Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 10 , Pages 1108-1114 , October 2009

Effect of Knee Flexion Angle on Length and Orientation of Posterolateral Femoral Tunnel Drilled Through Anteromedial Portal During Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction

  • George Basdekis, M.D.

      Affiliations

    • University Hospital of Larissa, Department of Orthopaedics, University of Thessalia, Larissa, Greece
    • Institut de l'Appareil Locomoteur Nollet, Paris, France
    • ,
  • Claude Abisafi, M.D.

      Affiliations

    • Institut de l'Appareil Locomoteur Nollet, Paris, France
    • ,
  • Pascal Christel, M.D., Ph.D.

      Affiliations

    • Institut de l'Appareil Locomoteur Nollet, Paris, France
    • Department of Sports Medicine, Habib Medical Centre, Olaya, Saudi Arabia
    • Corresponding Author InformationAddress correspondence and reprint requests to Pascal Christel, M.D., Ph.D., Department of Sports Medicine, Habib Medical Centre, PO Box 91877, King Fahad Road, Olaya, Riyadh 22643, Saudi Arabia

Received 20 November 2008 ,Accepted 19 May 2009.

References 

  1. Musahl V, Plakseychuk A, VanScyoc A, et al. Varying femoral tunnels between the anatomic footprint and isometric positions effect on kinematics of the anterior cruciate ligament–reconstructed knee. Am J Sports Med. 2005;33:712–718
  2. Cuomo P, Amis AA, Yasuda K. ACL reconstruction biomechanics. In:  Fu FH,  Cohen SB editor. Current concepts in ACL reconstruction. Thorofare, NJ: SLACK; 2008;p. 49–59
  3. Sell T, Lephart S, Tashman S. ACL kinematics. In:  Fu FH,  Cohen SB editor. Current concepts in ACL reconstruction. Thorofare, NJ: SLACK; 2008;p. 61–81
  4. Jepsen CF, Lundberg-Jensen AK, Faunoe P. Does the position of the femoral tunnel affect the laxity or clinical outcome of the anterior cruciate ligament-reconstructed knee? (A clinical, prospective, randomized, double-blind study). Arthroscopy. 2007;23:1326–1333
  5. Siebold R, Ellert T, Metz S, Metz J. Femoral insertions of the anteromedial and posterolateral bundles of the anterior cruciate ligament: Morphometry and arthroscopic orientation models for double-bundle bone tunnel placement—A cadaver study. Arthroscopy. 2008;24:585–592
  6. Zaffagnini S, Bruni D, Martelli S, Imakiire N, Marcacci M, Russo A. Double-bundle ACL reconstruction: Influence of femoral tunnel orientation in knee laxity analysed with a navigation system—An in-vitro biomechanical study. BMC Musculoskelet Disord. 2008;9:25
  7. Yasuda K, Kondo E, Ichiyama H, et al. Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts. Arthroscopy. 2004;20:1015–1025
  8. Muneta T, Sekiya I, Yagishita K, Ogiuchi T, Yamamoto H, Shinomiya K. Two-bundle reconstruction of the anterior cruciate ligament using semitendinosus tendon with endobuttons: Operative technique and preliminary results. Arthroscopy. 1999;15:618–624
  9. Muneta T, Koga H, Morito T, Yagishita K, Sekiya I. A retrospective study of the midterm outcome of two-bundle anterior cruciate ligament reconstruction using quadrupled semitendinosus tendon in comparison with one-bundle reconstruction. Arthroscopy. 2006;22:252–258
  10. Hamada M, Shino K, Horibe S, et al. Single versus bi-socket anterior cruciate ligament reconstruction using autogenous multiple stranded hamstring tendons with EndoButton femoral fixation: A prospective study. Arthroscopy. 2001;17:801–807
  11. Adachi N, Ochi M, Uchio Y, Iwasa J, Kuriwaka M, Ito Y. Reconstruction of the anterior cruciate ligament (Single- versus double-bundle multistranded hamstring tendons). J Bone Joint Surg Br. 2004;86:515–520
  12. Streich NA, Friedrich K, Gotterbarm T, Schmitt H. Reconstruction of the ACL with a semitendinosus tendon graft: A prospective randomized single blinded comparison of double-bundle versus single-bundle technique in male athletes. Knee Surg Sports Traumatol Arthrosc. 2008;16:232–238
  13. Giron F, Cuomo P, Edwards A, Bull AM, Amis AA, Aglietti P. Double-bundle “anatomic” anterior cruciate ligament reconstruction: A cadaveric study of tunnel positioning with a transtibial technique. Arthroscopy. 2007;23:7–13
  14. Hara K, Arai Y, Ohta M, et al. A new double-bundle anterior cruciate ligament reconstruction using the posteromedial portal technique with hamstrings. Arthroscopy. 2005;21:1274.e1–1274.e6
  15. Aglietti P, Giron F, Cuomo P, Losco M, Mondanelli N. Single- and double-incision double-bundle ACL reconstruction. Clin Orthop Relat Res. 2007;454:108–113
  16. Otsubo H, Shino K, Nakamura N, Nakata K, Nakagawa S, Koyanagi M. Arthroscopic evaluation of ACL grafts reconstructed with the anatomic two-bundle technique using hamstring tendon autograft. Knee Surg Sports Traumatol Arthrosc. 2007;15:720–728
  17. Pederzini L, Adriani E, Botticella C, Tosi M. Double tibial tunnel using quadriceps tendon in anterior cruciate ligament reconstruction. Arthroscopy. 2000;16:E9
  18. Siebold R, Dehler C, Ellert T. Prospective randomized comparison of double-bundle versus single-bundle anterior cruciate ligament reconstruction. Arthroscopy. 2008;24:137–145
  19. Christel P, Sahasrabudhe A, Basdekis G. Anatomic double-bundle anterior cruciate ligament reconstruction with anatomic aimers. Arthroscopy. 2008;24:1146–1151
  20. Järvelä T. Double-bundle versus single-bundle anterior cruciate ligament reconstruction: A prospective, randomized clinical study. Knee Surg Sports Traumatol Arthrosc. 2007;15:500–507
  21. Fu FH, Shen W, Starman JS, Okeke N, Irrgang JJ. Primary anatomic double-bundle anterior cruciate ligament reconstruction: A preliminary 2-year prospective study. Am J Sports Med. 2008;36:1263–1274
  22. Yagi M, Kuroda R, Nagamune K, Yoshiya S, Kurosaka M. Double-bundle ACL reconstruction can improve rotational stability. Clin Orthop Relat Res. 2007;454:100–107
  23. Basdekis G, Abisafi C, Christel P. Influence of knee flexion angle on femoral tunnel characteristics when drilled through the anteromedial portal during ACL reconstruction. Arthroscopy. 2008;24:459–464
  24. Shino K, Horibe S, Hamada M, et al. Allograft anterior cruciate ligament reconstruction. Tech Knee Surg. 2002;1:78–85
  25. Cha PS, Brucker PU, West RV, et al. Arthroscopic double-bundle anterior cruciate ligament reconstruction: An anatomic approach. Arthroscopy. 2005;21:1275.e1–1275.e8
  26. Mochizuki T, Muneta T, Nagase T, Shirasawa S, Akita KI, Sekiya I. Cadaveric knee observation study for describing anatomic femoral tunnel placement for two-bundle anterior cruciate ligament reconstruction. Arthroscopy. 2006;22:356–361
  27. Neven E, D'Hooghe P, Bellemans J. Double-bundle anterior cruciate ligament reconstruction: A cadaveric study on the posterolateral tunnel position and safety of the laterals structures. Arthroscopy. 2008;24:436–440
  28. Segawa H, Koga Y, Omori G, Sakamoto M, Hara T. Influence of the femoral tunnel location and angle on the contact pressure in the femoral tunnel in anterior cruciate ligament reconstruction. Am J Sports Med. 2003;31:444–448
  29. Lee MC, Seong SC, Lee S, et al. Vertical femoral tunnel placement results in rotational knee laxity after anterior cruciate ligament reconstruction. Arthroscopy. 2007;2:771–778

 Supported in part by a research grant from Smith & Nephew, Le Mans, France. The stay of G.B. in France was supported by Smith & Nephew, Athens, Greece. Research was performed at the Anatomy Laboratory, Tours Medical University, Tours, France. The authors report no conflict of interest.

PII: S0749-8063(09)00510-6

doi: 10.1016/j.arthro.2009.05.018

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 10 , Pages 1108-1114 , October 2009

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