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Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With Two 4-Strand Hamstring Tendon Autografts With
Sheng-Chou Wu1, Wei-Jen Liao1, Chao-Ping Chen1,2,3
1Department of Orthopedics, Taichung Veterans General Hospital, Taichung, Taiwan.
Arthroscopy Techniques
|October 24, 2025
Summary
This modified technique for double-bundle anterior cruciate ligament reconstruction uses robust hamstring autografts to improve knee stability and reduce rerupture risk. It aims to minimize residual instability after surgery.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomedical Engineering
Background:
- Double-bundle anterior cruciate ligament reconstruction offers superior knee stability and lower recurrence rates compared to single-bundle techniques.
- Graft diameter is critical for revision rates; inadequate diameter in traditional hamstring autografts may increase rerupture risk.
Purpose of the Study:
- To present a modified surgical technique for anatomic double-bundle anterior cruciate ligament reconstruction.
- To utilize robust, 4-strand hamstring autografts with all-suspensory fixation.
- To decrease postoperative anterior translation and rotational instability.
Main Methods:
- Anatomic double-bundle anterior cruciate ligament reconstruction.
- Use of two 4-strand robust hamstring autografts.
- All-suspensory fixation devices.
Main Results:
- The technique aims to reduce postoperative residual anterior translation.
- The technique aims to reduce postoperative rotational instability.
- Implied improvement in graft diameter and fixation strength.
Conclusions:
- This modified technique provides a robust solution for double-bundle anterior cruciate ligament reconstruction.
- It addresses the limitations of traditional hamstring autografts regarding graft diameter.
- The method is designed to enhance knee stability and potentially lower revision rates.
