Outrata et al. [5] derived necessary optimality conditions for those MPECs which can be treated by the implicit programming approach and proposed a solution method based on the bundle technique of nonsmooth optimization.
The analysis of the effect of femoral tunnel orientation on a double bundle technique provides a new input, although previous studies have analyzed this aspect in single bundle reconstructions, showing how important is this factor in surgical techniques.
This finding is important not only in our unusual and not completely anatomical double bundle technique, but could be even more important when two femoral tunnels are performed for the reconstruction.
To compare the clinical outcomes of anterior cruciate ligament (ACL) reconstruction with double-bundle and single-bundle techniques.
Therefore, double-bundle reconstructions have been proposed to replicate the anatomy of the native ACL, with literature showing no definitive clinical superiority over single-bundle techniques [17, 18].
You may also wish to investigate "bundling" techniques when packing.
Recently, we successfully performed arthroscopic PCL reconstruction using the tibial-inlay and double-bundle technique.
They demonstrated that under combined anterior, internal tibial and valgus torque, knee stability using a double-bundle technique was superior to a single-bundle reconstruction technique.
A combination the posterior tibial inlay and femoral double-bundle technique is thought to be an ideal method for PCL reconstruction.
A combined graft of semitendinosus and gracilis tendons using a single-bundle technique, as employed in our case report, was described in 1986 [9]; this is currently one of the most common techniques for ACL reconstruction.
