ANATOMICAL ACL RECONSTRUCTION WITH DOUBLE BUNDLE: FIRST 40 CASES

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomedical Engineering

Background:

• Anterior cruciate ligament (ACL) injuries are common, often requiring surgical reconstruction.
• Double-bundle ACL reconstruction aims to restore native knee anatomy more closely than single-bundle techniques.

Purpose of the Study:

• To describe the technique of anatomical double-bundle ACL reconstruction.
• To evaluate the learning curve and preliminary outcomes of this surgical approach.

Main Methods:

• Forty patients with ACL injury underwent anatomical double-bundle reconstruction.
• Semitendinosus and gracilis tendons were used to reconstruct the anteromedial (AM) and posterolateral (PL) bundles, respectively.

Main Results:

• Two patients experienced limited knee extension, with one requiring arthroscopic arthrolysis.
• One patient developed deep vein thrombosis (DVT).

Conclusions:

• Anatomical double-bundle ACL reconstruction is a feasible surgical option.
• The technique presents a longer learning curve compared to traditional methods.
• The clinical advantages of double-bundle over single-bundle ACL reconstruction require further investigation.