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DARTHROSCOPIC DOUBLE- BUNDLE RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT USING HAMSTRING TENDON GRAFTS - FIXATION
Mario Carneiro1, Ricardo Dizioli Navarro2, Gilberto Yoshinobu Nakama3
1Associate Professor-Doctor, Department of Orthopedics and Traumatology, UNIFESP-EPM; Deputy Head, Division of Orthopedics, DOT-EPM-UNIFESP, Brazil.
Abstract:
Surgical procedures for double-bundle reconstruction of anterior cruciate ligament, which currently use semitendinous and gracilis tendon grafts, have been described in the last decade. Most of the techniques utilize twice the hardware used in single-bundle reconstructions. We report an original anterior cruciate ligament double-bundle reconstruction technique using semitendinous and gracilis tendon grafts, maintaining their tibial bone insertions with two tibial and two femoral tunnels. A simplified and precise outside-in femoral drilling technique is utilized, and the graft fixation is made utilizing only two interference screws.
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