Abstract
Anterior cruciate ligament reconstruction is a common procedure performed by orthopaedic surgeons. The procedure continues to evolve, with a trend towards more accurate reconstruction of the pre-existing anatomy. Single bundle reconstruction has been the gold standard, with good to excellent results returning many athletes to their chosen sports. Persisting functional instability and late degenerative changes are well described, encouraging several centres to attempt to improve upon the single bundle technique.
This is a technical paper examining the first 15 cases in a single surgeon series. Technical challenges unique to double bundle reconstruction will be discussed with suggestions on how to minimise problems. Tourniquet time, early complications and KT1000 measures will be presented.
The technical requirements of anatomic double bundle ACL reconstruction fall within the skill set of a competent arthroscopist. The transition can be simplified with a clear knowledge of the problems unique to this procedure.
Correspondence should be addressed to Associate Professor N. Susan Stott at Orthopaedic Department, Starship Children’s Hospital, Private Bag 92024, Auckland, New Zealand
