The current clinical study does not recommend manual maximum of initial tension applied to the anteromedial or posterolateral bundles with graft tension imbalance at 30 degrees of flexion in double-bundle ACL reconstruction to achieve a better clinical outcome. Muneta T, Koga H, Ju YJ, Yagishita K, Sekiya I. Sports Med Arthrosc Rehabil Ther Technol. 2011 Jul 8;3(1):15. [Epub ahead of print] PMID: 21794179
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