Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction: The University of Pittsburgh Approach

Anterior cruciate ligament tears are a common occurrence and create significant functional limitations for patients sustaining these injuries. Approximately 100,000 reconstructions are performed each year in the United States. Single-bundle reconstructive techniques have been relatively successful; however, concerns remain over pain, degenerative joint disease, residual instability, and failure to return to prior levels of activity. Traditional single-bundle procedures fail to recreate the native anatomy of the knee and, therefore, the natural kinematics of the knee. Intensive research in these areas has created the opportunity for anatomic double-bundle techniques to improve the outcome of traditional reconstruction.