Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 21, Issue 10 , Pages 1274.e1-1274.e6, October 2005

A New Double-Bundle Anterior Cruciate Ligament Reconstruction Using the Posteromedial Portal Technique With Hamstrings

  • Kunio Hara, M.D.

      Affiliations

    • Department of Orthopaedics, the Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
    • Department of Social Insurance Kyoto Hospital, Kyoto, Japan.
    • ,
  • Yuji Arai, M.D.

      Affiliations

    • Department of Orthopaedics, the Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
    • Department of Social Insurance Kyoto Hospital, Kyoto, Japan.
    • ,
  • Mitsuhiko Ohta, M.D.

      Affiliations

    • Department of Social Insurance Kyoto Hospital, Kyoto, Japan.
    • ,
  • Ginjiro Minami, M.D.

      Affiliations

    • Department of Social Insurance Kyoto Hospital, Kyoto, Japan.
    • ,
  • Hidenori Urade, M.D.

      Affiliations

    • Department of Social Insurance Kyoto Hospital, Kyoto, Japan.
    • ,
  • Naofumi Hirai, M.D.

      Affiliations

    • Department of Social Insurance Kyoto Hospital, Kyoto, Japan.
    • ,
  • Nobuyoshi Watanabe, M.D.

      Affiliations

    • Department of Orthopaedics, the Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
    • ,
  • Toshikazu Kubo, M.D

      Affiliations

    • Department of Orthopaedics, the Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
    • Corresponding Author InformationAddress correspondence and reprint requests to Toshikazu Kubo, M.D., Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajiicho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.

Abstract 

We describe a new double-bundle reconstruction method for ruptured anterior cruciate ligament using a posteromedial portal technique. Reconstruction materials are semitendinosus tendon (STT) and gracilis tendon (GT). STT is used as the substitute for the anteromedial bundle (AMB) and fixed to the tunnels produced on the tibia and the femur. GT is used as the substitute for the posterolateral bundle (PLB) and fixed to the tunnels on the tibia and the femur. This femoral tunnel for the PLB is created through a posteromedial portal. These procedures are performed using the inside-out technique. The posteromedial portal provides an accurate access to the femoral attachment of the PLB. This surgical technique can avoid overlapping of the 2 femoral tunnels and destruction of the posterior cortex of the lateral condyle on the femur during the preparation of the PLB. Our technique does not need another tibial tunnel for the PLB; the 1 tibial tunnel enables double-bundle reconstruction and prevents tibial tunnel expansion.

Key Words:  Anterior cruciate ligament , Double bundle , Posteromedial portal

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 Cite this article as: Hara K, Arai Y, Ohta M, Minami G, Urade H, Hirai N, Watanabe N, Kubo T. A new double-bundle anterior cruciate ligament reconstruction using the posteromedial portal technique with hamstrings. Arthroscopy 2005;21:1276.e1-1276.e6 [doi:10.1016/j.arthro.2005.07.013].

PII: S0749-8063(05)01101-1

doi:10.1016/j.arthro.2005.07.013

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 21, Issue 10 , Pages 1274.e1-1274.e6, October 2005

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