The Journal of Bone and Joint Surgery (American). 2008;90:67-74.
doi:10.2106/JBJS.H.00651
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Single-Bundle Anterior Cruciate Ligament Reconstruction: Technique Overview and Comprehensive Review of Results

Lieutenant Commander John-Paul H. Rue, MD1, Paul B. Lewis, MD, MS2, A. Dushi Parameswaran, MD2 and Bernard R. Bach, Jr., MD2

1 National Naval Medical Center, 8901 Rockville Pike, Bethesda, MD 20899-5600. E-mail address: johnpaulrue@gmail.com
2 Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, 1725 West Harrison Street, Suite 1063, Chicago, IL 60612

The first 150 words of the full text of this article appear below.


   Introduction
 
The purpose of this scientific exhibit is to review the single-bundle anterior cruciate ligament reconstruction theory and technique, focusing on technical pearls used to avoid the most commonly encountered errors, and to provide a comprehensive review of outcomes after single-bundle anterior cruciate ligament reconstruction.


   Single-Bundle Theory
 
Avertically oriented femoral tunnel is one of the most common causes of failure after anterior cruciate ligament reconstruction1-3. In this situation, patients may demonstrate a normal result on the Lachman examination but have instability as demonstrated by a pivot shift phenomenon on clinical examination. As opposed to the two-incision anterior cruciate ligament reconstruction, in which the femoral and tibial tunnels are drilled independently of each other, the femoral tunnel position in a single-incision, transtibial technique is dependent on the position and orientation of the tibial tunnel.

Problem: Instability Due to Vertical Graft
When the transtibial, single-incision technique is used for reconstruction of the anterior cruciate ligament, it is possible for surgeons . . . [Full Text of this Article]


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