Arthroscopic Double-Bundle Anterior Cruciate Ligament Reconstruction Using Autogenous Quadriceps Tendon

Recently, the interest in anatomic anterior cruciate ligament (ACL) reconstruction with double-bundle technique has increased so as to reproduce the original load distribution and kinematics of the knee. We developed an arthroscopic double-bundle ACL reconstruction technique using autogenous quadriceps tendon with 2 split grafts and a patellar bone plug. The anteromedial bundle and posterolateral bundle of the ACL are replicated with each split graft of quadriceps tendon and fixed with biodegradable interference screws on the 2 femoral tunnels. The patellar bone plug of the quadriceps tendon is fixed with a biodegradable interference screw within the 1 tibial tunnel. We suggest that our technique using quadriceps tendon may be an alternative in arthroscopic double-bundle ACL reconstruction.