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Review
. 2016 Oct;70(5):351-353.
doi: 10.5455/medarh.2016.70.351-353. Epub 2016 Oct 25.

The Results of Single Bundle Versus Double Bundle ACL Reconstruction Surgery, a Retrospective Study and Review of Literature

Ali Torkaman  1 , Hamidreza Yazdi  1 , Mohammad Ghorban Hosseini  2
Affiliations
Review

The Results of Single Bundle Versus Double Bundle ACL Reconstruction Surgery, a Retrospective Study and Review of Literature

Ali Torkaman et al. Med Arch. 2016 Oct.

Abstract

Objective: The purpose of this study was to evaluate the results of single bundle and double bundle surgical techniques for anterior cruciate ligament (ACL) reconstruction.

Methods: In this study, all single bundle and double bundle ACL reconstruction surgeries that were done in our university hospital from January 2008 to December 2012 were enrolled. All patients were followed at 2,6,12, 24 weeks and 1 a 2 years post operatively. On last follow up all patients were evaluated by clinical examination, KT-1000 and Lysholm questionnaire.

Results: Seventy five patients were operated using single bundle and eighty five patients with double bundle technique. Fifty seven percent of patients in single bundle and 80% of patients in double bundle group had experienced pain during follow-up period. None of cases had knee extension or flexion loss. The average side to side differences using KT-1000 was 3.5 ± 0.38 (2.9-4.1) millimeters in single bundle group and 3.39 ± 0.39 (2.8-4) millimeters in double bundle group. These results showed no significant difference between two groups (P= 0.31). Lysholm score improved significantly in both groups, but there was no significant difference between them.

Conclusion: According to this study the clinical results of single bundle ACL reconstruction was similar to double bundle reconstruction in short term follow up. Further studies are needed to evaluate the long term results.

Keywords: ACL reconstruction; Double bundle; Lysholm; Patient; Single bundle.

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Conflict of interest statement

• Conflict of interest: none declared.

References

    1. Weninger P, Wepner F, Kissler F, Enenkel M, Wurnig C. Anatomic Double-Bundle Reinsertion After Acute Proximal Anterior Cruciate Ligament Injury Using Knotless PushLock Anchors. Arthroscopy techniques. 2015;4(1):e1–6. - PMC - PubMed
    1. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. British journal of sports medicine. 2011;45(7):596–606. - PubMed
    1. Markatos K, Kaseta MK, Lallos SN, Korres DS, Efstathopoulos N. The anatomy of the ACL and its importance in ACL reconstruction. European journal of orthopaedic surgery & traumatology : orthopedie traumatologie. 2013;23(7):747–52. - PubMed
    1. Pombo MW, Shen W, Fu FH. Anatomic double-bundle anterior cruciate ligament reconstruction: where are we today? Arthroscopy: the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2008;24(10):1168–77. - PubMed
    1. Fithian DC, Paxton EW, Stone ML, Luetzow WF, Csintalan RP, Phelan D, et al. Prospective trial of a treatment algorithm for the management of the anterior cruciate ligament-injured knee. The American journal of sports medicine. 2005;33(3):335–46. - PubMed

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