Double-bundle reconstruction of the anterior cruciate ligament

Injuries of the anterior cruciate ligament often present in rural practices and rural regional hospitals. Surgical reconstruction is the treatment of choice in the young and active patient. Better biomechanical understanding has led to a further improvement of the surgical technique. The double-bundle reconstruction, which aims to address both functional bundles of the anterior cruciate ligament, represents the latest development in this field. In this review article the basic biomechanical principles as well as a new surgical technique are presented for practitioners in rural practice and rural regional hospitals.