Single-Bundle Versus Double-Bundle Anterior Cruciate Ligament Reconstruction: A Comparative 2-Year Follow-up

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Hermann O MayrAmelie Stoehr

Abstract

To compare anatomic single-bundle (SB) versus double-bundle (DB) anterior cruciate ligament (ACL) reconstruction and to determine possible differences in clinical outcomes. In this prospective randomized study, 64 patients were divided into 2 equal groups. Anatomic SB and DB ACL reconstructions were performed using hamstring tendons. A follow-up examination 2 years after surgery comprised International Knee Documentation Committee (IKDC) 2000 assessment, Laxitester (ORTEMA Sport Protection, Markgröningen, Germany) measurement of anteroposterior translation regarding rotational stability, and radiographic evaluation. Statistical analysis and power calculation were performed (P < .05). We examined 62 patients at a mean of 26 months (range, 23.3 to 32.7 months) after surgery. IKDC subjective and objective scores showed no significant differences when both groups were compared. The Laxitester measurements showed no significant differences regarding anteroposterior translation in the neutral position, internal rotation, and external rotation. However, there was a significant improvement in rotational laxity in external rotation in the DB group (P = .02). No differences were seen between the groups regarding osteoarthritic changes an...Continue Reading

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Citations

Jan 9, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Shinichi Yoshiya
May 18, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yang ZhangJinzhong Zhao
Oct 14, 2016·Journal of Experimental Orthopaedics·Takeshi OshimaHiroyuki Tsuchiya
Mar 1, 2017·The Journal of Bone and Joint Surgery. American Volume·Matthew J KraeutlerJonathan T Bravman
Jun 28, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp MinzlaffTim Saier
Dec 14, 2016·Journal of Experimental Orthopaedics·Naser AlnusifPaul A Martineau
Nov 15, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Ji Hyun AhnJi Weon Mun
Oct 2, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Arttu SeppänenTimo Järvelä
Dec 7, 2021·Archives of Orthopaedic and Trauma Surgery·Hermann O MayrWolf C Prall

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