naa a22 4500 510818110 CHVBK 20180411083518.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12306-012-0230-3 doi (NATIONALLICENCE)springer-10.1007/s12306-012-0230-3 Anatomic double-bundle anterior cruciate ligament reconstruction leaving hamstrings tibial insertion intact: technical note [Elektronische Daten] [Stefano Zaffagnini, Giulio Marcheggiani Muccioli, Tommaso Bonanzinga, Marco Nitri, Alberto Grassi, Maurilio Marcacci] This article describes an anatomic, double-bundle, arthroscopic anterior cruciate ligament reconstruction technique with hamstrings using second-generation out-in retrograde femoral drills, second-generation cortical femoral suspensory fixation devices with adjustable graft loop length, standard out-in tibial drills, and titanium low-profile tibial staples. Grafts choice is autologous gracilis and semitendinosus tendons. They are harvested through the single minimally invasive tibial incision maintaining their tibial insertion. Sutures are tightened at the free proximal tendon ends to obtain a sufficient strength to traction. The grafts are reflected in two separate loops and linked to femoral adjustable TightRope graft loops. With this method, grafts length can be customized to the anatomy of every knee and their tension can be increased even after graft fixation. The preservation of tendons tibial insertion could improve the neoligamentization process, acting as a tenodesis. Istituti Ortopedici Rizzoli, 2012 Knee nationallicence Arthroscopy nationallicence Single-incision nationallicence Anterior cruciate ligament reconstruction nationallicence Hamstrings nationallicence Double-bundle nationallicence Zaffagnini Stefano Laboratorio di Biomeccanica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40100, Bologna, Italy aut Marcheggiani Muccioli Giulio Laboratorio di Biomeccanica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40100, Bologna, Italy aut Bonanzinga Tommaso Laboratorio di Biomeccanica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40100, Bologna, Italy aut Nitri Marco Laboratorio di Biomeccanica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40100, Bologna, Italy aut Grassi Alberto Laboratorio di Biomeccanica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40100, Bologna, Italy aut Marcacci Maurilio Laboratorio di Biomeccanica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40100, Bologna, Italy aut MUSCULOSKELETAL SURGERY Springer Milan 97/1(2013-04-01), 39-43 2035-5106 97:1<39 2013 97 12306 https://doi.org/10.1007/s12306-012-0230-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12306-012-0230-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Zaffagnini Stefano Laboratorio di Biomeccanica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40100, Bologna, Italy aut NATIONALLICENCE 700 1- Marcheggiani Muccioli Giulio Laboratorio di Biomeccanica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40100, Bologna, Italy aut NATIONALLICENCE 700 1- Bonanzinga Tommaso Laboratorio di Biomeccanica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40100, Bologna, Italy aut NATIONALLICENCE 700 1- Nitri Marco Laboratorio di Biomeccanica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40100, Bologna, Italy aut NATIONALLICENCE 700 1- Grassi Alberto Laboratorio di Biomeccanica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40100, Bologna, Italy aut NATIONALLICENCE 700 1- Marcacci Maurilio Laboratorio di Biomeccanica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40100, Bologna, Italy aut NATIONALLICENCE 773 0- MUSCULOSKELETAL SURGERY Springer Milan 97/1(2013-04-01), 39-43 2035-5106 97:1<39 2013 97 12306 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer