Published: Dec 15, 2016
  
 
     
 
Anterior cruciate ligament Anatomic single bundle anterior cruciate ligament reconstruction
  
     
 
   
 
 
 
 
 
 
 
 
 
 
 

 

 
   
 
 
 
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    Home / Archives / Vol. 13 No.1 (2017): JAN - JUN / Review Article  
 
   
 

Anatomic Single Bundle Anterior Cruciate Ligament Reconstruction
   
 
   
   
     
 
จีรวัธน์ กิจสมานมิตร
Department of Orthopedics, Charoenkrung Pracharak Hospital, Medical Service Department, Bangkok Metropolitan Administration

Abstract

Introduction: Anterior cruciate ligament injuries most commonly occur in athletes and the physically active. Anterior cruciate ligament (ACL) reconstruction (ACLR) has been accepted worldwide as           the standard treatment for symptomatic patients with ACL injuries. The ultimate goal of Anterior Cruciate Ligament (ACL) reconstruction is the restoration of normal knee kinematics in patients with functionally unstable ACL deficient knees.


Objective: to review of the literature looking at the anatomy of the Anterior Cruciate Ligament, review the outcomes of single and double bundle ACL reconstruction.


Methodology: review article


Result: Several anatomical studies have shown that the anteriorcruciate ligament (ACL) can be distinguished into 2 functional bundles, the anteromedial (AM) and the posterolateral(PL). The concept   of double bundle ACL reconstruction was initially described. Double bundle ACL technique increases        the operating time, the operative complexity of passing andsecuring the two grafts. A patient has an insertion site less than14 mm in diameter; a double-bundle reconstruction is a contraindication. Attention has returned to single bundle grafts placed anatomically using the anteromedial portal as a method of placing the femoral tunnel independent of the tibial tunnel (anatomic single bundle ACLR). A meta-analysis showed that double bundle ACL reconstruction resulted in significantly better AP and rotational stability and higher International Knee Documentation Committee (IKDC) objective scores. However,   no significant differences in subjective outcome measures were detected.


Conclusion: Anterior cruciate ligament reconstruction has progressed from the transtibial placement of isometric single bundle grafts through the complex surgery of double bundle reconstruction.                  The appreciation of the technical difficulty of double bundle reconstruction the lack of a clear advantage in clinical outcome and the improved awareness of the anatomy of the ACL insertion has led to a return to anatomical single bundle ACL reconstruction.


Keywords: Anterior cruciate ligament, Anatomic single bundle anterior cruciate ligament reconstruction


  
     
     
 
    How to Cite  
     
  กิจสมานมิตร จ. (2016). Anatomic Single Bundle Anterior Cruciate Ligament Reconstruction. Journal of Charoenkrung Pracharak Hospital, 13(1), 74–85. Retrieved from https://he02.tci-thaijo.org/index.php/JCP/article/view/178695  
     

 
 
     
     
 
    Issue  
     
  Vol. 13 No.1 (2017): JAN - JUN  

 
 
     
     
 
    Section  
     
  Review Article  

 
 
     
     
     
 

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