Acta Scientific Orthopaedics (ISSN: 2581-8635)

Opinion Volume 3 Issue 12

“Double Bundle - Single Tunnel” Hamstring Graft Fixation in Femur

Rajkovic Stanislav1*, Vukomanovic Boris2 and Jeremic Danilo1

1Departement for Orthopaedic, Institute for Orthopaedics “Banjica”, Belgrade, Serbia
2Departement for Surgery, University of Belgrade, Serbia

*Corresponding Author: Rajkovic Stanislav, Departement for Orthopaedic, Institute for Orthopaedics “Banjica”, Belgrade, Serbia.

Received: October 31, 2020; Published: November 18, 2020

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Abstract

Purpose: An original technique of introducing hamstring graft into the femoral tunnel and its’ fixation which forms an anatomic double bundle anterior cruciate ligament (ACL).

Materials and Methods: Hamstring tendon graft is prepared with a “head”, “body” and two “tails”. The femoral tunnel is drilled at the Resident’s and Bifurcation ridge junction through the anteromedial portal and subtunnels are prepared. The graft is introduced into the knee - “body” in the femoral tunnel, “tails” in one subtunnel and “head” in the other. Fixation is done by an absorbable interference screw. The “head” and the “tails” are twisted inside the tibial tunnel. Fixation in the tibial tunnel is done by an absorbable interference screw.

Discussion and Conclusion: This technique eliminates “bungee” and “windshield wiper” effect, anatomic position of the graft is achieved and risk of “blow out” effect and graft damage during screw insertion is significantly reduced.

Keywords: Cruciate; Ligament; Reconstruction; Arthroscopy; Sports; Injury

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References

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Citation

Citation: Rajkovic Stanislav., et al. ““Double Bundle - Single Tunnel” Hamstring Graft Fixation in Femur".Acta Scientific Orthopaedics 3.12 (2020): 28-32.




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