Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With Anatomic Aimers

Christel, P.; Sahasrabudhe, Amit; Basdekis, Georges

doi:10.1016/j.arthro.2008.06.020

Cited by 28 publications

(20 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The senior author performed 51 STG-DB ACl reconstructions according to Christel et al [14]. The harvested semitendinosus tendon (for reconstruction of the anteromedial [AM] bundle) and the gracilis tendon (for reconstruction of the postero-lateral [PL] bundle) were looped over a 20 mm EndoButton CL (Smith & Nephew Endoscopy, Mansfield, MA) and sutured with interlocking stitches.…”

Section: Semitendinosus-gracilis Double Bundle (Stg-db) Reconstructiomentioning

confidence: 99%

“…The guidewire for the AM bundle was placed first just medial to the insertion site of the anterior horn of the lateral meniscus in the footprint of the ACL. The guidewire for the PL bundle was placed through the guiding instrument of Pascal Christel [14] which led to an intraarticular exit point posterior and lateral of the AM canal and slightly anterior to the PCL. Tibial tunnels of the AM and PL bundle were drilled at angles of 50°and 45°, respectively, to the plateau and placed in the anterior intercondylar area of the native tibial ACL footprint.…”

Section: Semitendinosus-gracilis Double Bundle (Stg-db) Reconstructiomentioning

confidence: 99%

“…The AM tunnel was drilled with respect to the landmarks, described by Petersen and Zantop [15,16], who identified the AM bundle as the transition between the intercondylar line and the cartilage border. The bone tunnel for the PL bundle was drilled using the instruments (Smith & Nephew, London, UK) from Pascal Christel [14] with a range from 5 to 7 mm posterior to the anterior cartilage of the lateral femoral condyle via the anteromedial portal. The guiding instrument for the PL bundle was rotated till it pointed to the remnants of the PL bundle.…”

Section: Semitendinosus-gracilis Double Bundle (Stg-db) Reconstructiomentioning

confidence: 99%

See 2 more Smart Citations

Reconstruction of the anterior cruciate ligament: a clinical comparison of bone-patellar tendon-bone single bundle versus semitendinosus and gracilis double bundle technique

Sadoghi

Müller

Jansson

et al. 2010

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

The study hypothesis was that the outcome of semitendinosus gracilis double bundle (STG-DB) anterior cruciate ligament (ACL) reconstruction is advantageous in terms of clinical results and restoration of anterior-posterior and rotational laxity in comparison to bone-patellar tendonbone single-bundle (PTB-SB) ACL reconstruction. We analysed 41 PTB-SB and 51 STG-DB patients using the Tegner, IKDC and WOMAC scores preoperatively and at a minimum follow-up of two years. At follow-up, there was no significant difference in the clinical scores. The KT 1000 side-to-side measurement showed no significant difference between groups. The STG-DB group was significantly superior in terms of the pivot-shift sign and anterior knee pain. We conclude that the outcome of STG-DB reconstruction in the mid-term was not advantageous in terms of clinical scores and anterior-posterior laxity evaluated by the KT 1000. Nevertheless, the restored rotational laxity measured by the pivot shift test was significantly superior in the STG-DB technique.

show abstract

Section: Semitendinosus-gracilis Double Bundle (Stg-db) Reconstructiomentioning

confidence: 99%

Section: Semitendinosus-gracilis Double Bundle (Stg-db) Reconstructiomentioning

confidence: 99%

Section: Semitendinosus-gracilis Double Bundle (Stg-db) Reconstructiomentioning

confidence: 99%

See 1 more Smart Citation

Reconstruction of the anterior cruciate ligament: a clinical comparison of bone-patellar tendon-bone single bundle versus semitendinosus and gracilis double bundle technique

Sadoghi

Müller

Jansson

et al. 2010

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Having an accessory AM portal as the viewing portal has the advantage of a better visualization of lateral wall of the intercondylar notch and consequently of the ACL footprint and a notchplasty is not necessary to view the lateral wall of the notch [7, 16, 18, 20]. Anatomical ACL reconstruction can be performed freehand but considerable experience, and a good knowledge of the anatomy is required [6, 10, 15], which led to this study to explore whether a common device can be reliable used to determine the center of the ACL footprint on the femur.…”

Section: Discussionmentioning

confidence: 99%

“…Some orthopaedic surgeons still perform both anatomical single and double-bundle ACL reconstruction using an anatomical femoral aimer with different off-sets to reach the center of the footprint [6, 11]. An understanding of the anatomy of the anterior cruciate ligament (ACL), particularly its anatomical footprint on the lateral femoral condyle, is important in anatomic ACL reconstruction [20, 25].…”

Section: Introductionmentioning

confidence: 99%

Use of transtibial aimer via the accessory anteromedial portal to identify the center of the ACL footprint

Celentano

Cardoso

Martins

et al. 2011

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

PurposeTo assess the ability of a transtibial aimer with a 7-mm off-set in a standardized position to reach the center of the ACL footprint on the femur through the AM portal.MethodsNineteen cadaveric knees were dissected, and the perimeter of the femoral ACL footprint was marked. The aimer was placed just superior to the medial joint line close to the medial condyle through the AM portal. The guide was rested upon the posterior cortex and placed in three different positions: (A) at zero degrees in frontal plane and 60° in axial plane, (B) at 45° in frontal and 45° in axial, and (C) at the center of the ACL insertion site under direct visualization. A digital camera was used to take pictures on the axial plane, and Image J software was used for angle measurement. Aluminum beads were used to mark the three positions indicated by the aimer, and CT scans were performed. The distances from the true center of the ACL to each point were determined.ResultsPosition A resulted in femoral tunnel placement furthest from the center of the ACL footprint (8.6 mm). Position B was at a distance of 3.2 mm, and position C was the most accurate, with an average distance of 2.0 mm. The angles required by Position C varied with an average of 54° ± 11° in the frontal plane and an average of 44° ± 6° in the axial plane.ConclusionThe 7-mm transtibial aimer was unable to reach the center of ACL footprint at a fixed orientation.

show abstract

The Evolution and Principles of Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction

Christel¹,

Hantes²

2011

Sports Injuries

View full text Add to dashboard Cite

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With Anatomic Aimers

Cited by 28 publications

References 28 publications

Reconstruction of the anterior cruciate ligament: a clinical comparison of bone-patellar tendon-bone single bundle versus semitendinosus and gracilis double bundle technique

Reconstruction of the anterior cruciate ligament: a clinical comparison of bone-patellar tendon-bone single bundle versus semitendinosus and gracilis double bundle technique

Use of transtibial aimer via the accessory anteromedial portal to identify the center of the ACL footprint

The Evolution and Principles of Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction

Contact Info

Product

Resources

About