Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With Two 4-Strand Hamstring Tendon Autografts With All-Suspensory Fixation Devices.

Wu, Sheng-Chou; Liao, Wei-Jen; Chen, Chao-Ping; Lee, Kun-Tsan · Arthrosc Tech · 2025

case_series · Level IV

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Abstract

Double-bundle anterior cruciate ligament reconstruction has shown better results in both knee stability and recurrence rate than the single-bundle. Because graft diameter has a direct effect on revision rates, traditional doubled-over hamstring autograft may increase the risk of rerupture as a result of inadequate diameter. In this Technical Note, we present a modified surgical technique of anatomic double-bundle anterior cruciate ligament reconstruction with two 4-strand robust hamstring autografts, using all-suspensory fixation devices. The objective of this technique is to decrease postoperative residual anterior translation and rotational instability.