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ANATOMICAL ACL RECONSTRUCTION WITH DOUBLE BUNDLE: FIRST 40 CASES
Ari Zekcer1, Ricardo Soares da Silva2, Mario Carneiro Filho3
1Head of the Knee Surgery Sector, Tatuapé Orthopedic Clinic, São Paulo, Brazil.
Objective:
To discuss the technique of anatomical reconstruction of the anterior cruciate ligament (ACL) with a double bundle, the learning curve and the preliminary results.
Methods:
Forty patients with ACL injury underwent reconstruction with an anatomical double bundle, using the semitendinosus tendon to remake the anteromedial (AM) band and the gracilis to remake the posterolateral (PL) band of the knee.
Results:
We had two cases of limitation of extension, and in one of them, arthroscopic arthrolysis had to be performed; and there was one case of deep vein thrombosis.
Conclusion:
ACL reconstruction with double bundle proved feasible, despite having a longer learning curve, and the advantages of the proposed technique still must be proven compared to the single-bundle technique.
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