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Double-Bundle Anterior Cruciate Ligament Reconstruction with Remnant Preservation

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Minimally Invasive Functional Reconstruction of the Knee
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Abstract

Anterior cruciate ligament (ACL) rupture is a common clinical condition. Following ACL rupture, the remnant always disappears when the injury is chronic. However, there are still some patients having the remnant retained to some extent even in chronic stage. In acute stage of ACL rupture, the remnant is always preserved, which may be due to that the absorption process has not begun [1]. During ACL reconstruction, whether to preserve the remnant is of controversy. Recent study indicated that ACL reconstruction with remnant preservation promotes similar graft synovial coverage and revascularization, and better sealing of the tibial tunnel, results in equivalent or superior postoperative knee stability and clinical scores, better proprioception restoration and similar total complication rate when compared with ACL reconstruction with remnant removal [2–5]. In our clinical practice, the remnant is always preserved when there is enough room for the graft and the remnant in the femoral notch.

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Correspondence to Jinzhong Zhao .

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Zhao, J., Tang, J. (2022). Double-Bundle Anterior Cruciate Ligament Reconstruction with Remnant Preservation. In: Zhao, J. (eds) Minimally Invasive Functional Reconstruction of the Knee. Springer, Singapore. https://doi.org/10.1007/978-981-19-3971-6_21

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  • DOI: https://doi.org/10.1007/978-981-19-3971-6_21

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-3970-9

  • Online ISBN: 978-981-19-3971-6

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