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Document Title: Shino-AJARS-Nov05.shtml
Article Title: Technical Note -- 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
Authors: Konsei Shino M.D., Ken Nakata M.D., Norimasa Nakamura M.D., Yukiyoshi Toritsuka M.D., Shigeto Nakagawa M.D. and Shuji Horibe M.D.
Publication: Arthroscopy: The Journal of Arthroscopic & Related Surgery
Date: November 2005
Volume 21, Issue 11, November 2005, Pages 1402e2-1402e5
Keywords: ACL reconstruction, Bone–patellar tendon–bone graft, Far anteromedial portal, Rectangular femoral socket, Halfway rectangular tibial tunnel
(Reference-denoting numbers appear in the same font and point size as the document text. As with all Knee Library documents, this article is provided in full-text form, complete with all figures and tables.)
Comments: These authors describe a surgical technique refinement that enables a snug fit of the graft to be obtained in both the femoral and tibial tunnels.
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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