A double-bundle graft in ACL surgery uses two bundles of graft material instead of one, to try to mimic the normal ligament.

double-bundle ACL reconstruction
The natural ACL is composed of two ligament bundles - an anteromedial bundle and a posterolateral bundle. The double-bundle reconstruction uses two individual grafts to try to reconstruct the original anatomy.

 

Technique of double-bundle ACL reconstruction

Double-bundle reconstruction is more challenging to perform, and from the patient's perspective there are two additional bone tunnels and one additional incision (skin cut).

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Dr (Mr) Pal Trikha explains the issues of single- versus double-bundle ACL reconstruction

professor Adrian Wilson explains the history behind the concept of 'anatomical' cruciate ligament reconstruction

Professor Adrian Wilson explains how thinking moved in a not-very-helpful way during the years that cruciate ligament reconstruction was being developed

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CLINICAL PUBLICATIONS

Postoperative Evaluation after Anterior Cruciate Ligament Reconstruction: Measurements and Abnormalities on Radiographic and CT Imaging. Kim M, Choi YS, Kim H and Choi N-H. Korean J Radiol. 2016 Nov-Dec; 17(6): 919–930.

Double‐bundle versus single‐bundle reconstruction for anterior cruciate ligament rupture in adults. Sumanont S, Foocharoen T, Laopaiboon M and Tiamklang T. Cochrane Database Syst Rev. 2012 Nov; 2012(11):


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