Alternative techniques for double-tunnel anatomic anterior cruciate ligament reconstruction

Stefano Zaffagnini, Alberto Grassi, Giulio Maria Marcheggiani Muccioli, Tommaso Bonaninga, Cecilia Signorelli, Nicola Lopomo, Danilo Bruni, Maurilio Marcacci

Research output: Chapter in Book/Report/Conference proceedingChapter


This chapter presents a nonanatomical double-bundle ACL reconstruction technique. The reconstruction is performed using hamstring tendons that are harvested, maintaining intact the tibial insertion. The anteromedial bundle is restored placing the graft in the “over-the-top position, while the posterolateral bundle is replaced retrieving the graft from a femoral tunnel. Graft fixation is obtained using metal staples. Hundreds of patients have been treated with this technique during the last 10 years, including athletes with high functional requests. Furthermore, in vivo analysis of knee kinematic confirmed the effectiveness of the technique.

Original languageEnglish
Title of host publicationSports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation, Second Edition
PublisherSpringer Berlin Heidelberg
Number of pages9
ISBN (Print)9783642365690, 9783642365683
Publication statusPublished - Jan 1 2015

ASJC Scopus subject areas

  • Medicine(all)


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