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Related Experiment Video

Updated: Jun 26, 2026

Harvesting of Peroneus Longus Tendon Autograft
04:03

Harvesting of Peroneus Longus Tendon Autograft

Published on: September 2, 2025

Outcome of double-bundle ACL reconstruction using hamstring tendons.

Yukiyoshi Toritsuka1, Hiroshi Amano, Masahiro Kuwano

  • 1Department of Orthopaedic Sports Medicine, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan. toritsuka@kanrou.net

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
|January 13, 2009
PubMed
Summary

The transitional double-bundle anterior cruciate ligament (ACL) reconstruction using hamstring tendons shows good clinical outcomes. This anatomical ACL reconstruction technique resulted in a high percentage of normal or nearly normal knee function in patients post-surgery.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomedical Engineering

Background:

  • Anatomical anterior cruciate ligament (ACL) reconstruction aims to restore native knee function.
  • The transitional double-bundle technique offers a potential method for anatomical ACL reconstruction.
  • Evaluating the clinical outcomes of this specific surgical technique is crucial for patient care.

Purpose of the Study:

  • To describe the clinical outcomes of the transitional double-bundle procedure for anatomical ACL reconstruction.
  • To assess the functional recovery and stability following this ACL reconstruction method.

Main Methods:

  • Seventy-eight patients (average age 25) underwent ACL reconstruction using the transitional double-bundle technique with multi-stranded hamstring tendons.
  • Specific femoral and tibial tunnel placements were utilized to replicate the native ACL bundle anatomy.

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Last Updated: Jun 26, 2026

Harvesting of Peroneus Longus Tendon Autograft
04:03

Harvesting of Peroneus Longus Tendon Autograft

Published on: September 2, 2025

  • Postoperative evaluation at ≥24 months included the IKDC Knee Examination Form and KT-2000 arthrometer for anterior laxity.

    • Main Results:

    • Subjective IKDC grading: 41% normal, 53% nearly normal, 5% abnormal, 1% graft rupture.
    • Mean anterior laxity side-to-side difference was 0.9 mm (±1.2 mm) with KT-2000.
    • 93% of patients exhibited anterior laxity between -1 mm and 2 mm.

    Conclusions:

    • The transitional double-bundle ACL reconstruction technique provides satisfactory clinical outcomes.
    • This anatomical reconstruction method demonstrates good knee stability and function in short-term follow-up.
    • The procedure is a viable option for achieving anatomical ACL reconstruction.