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Anatomic Double Bundle Anterior Cruciate Ligament Reconstruction Technique

February 01, 2013

Contributors: Darren L. Johnson, MD; Brian F Wilson, MD; Brian F Wilson, MD

Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.
Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.

Reconstruction of the anterior cruciate ligament (ACL) has primarily focused on single bundle reconstruction techniques. However, it is well described in the literature that the anatomy of the ACL consists of two separate bundles: the anteromedial (AM) and the posterolateral (PL) bundles. Biomechanical studies have demonstrated that each bundle of the ACL has a unique function and importance. In the setting of revision ACL reconstruction— in which the secondary restraint, the medial meniscus, is removed—we prefer to use an anatomic double bundle ACL reconstruction technique. Reconstruction of both bundles results in improved stability and restoration of knee biomechanics. In this video, we present our technique for double bundle reconstruction with a soft tissue graft.

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