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Clinical Orthopaedics and Related Research®

Erschienen in:

01.03.2012 | Symposium: Complex Knee Ligament Surgery

Single- versus Double-bundle ACL Reconstruction: Is There Any Difference in Stability and Function at 3-year Followup?

verfasst von: Alberto Gobbi, MD, Vivek Mahajan, MD, Georgios Karnatzikos, MD, Norimasa Nakamura, MD, PhD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 3/2012

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Abstract

Background

Despite a number of studies comparing postoperative stability and function after anatomic double-bundle and single-bundle anterior cruciate ligament reconstruction (ACLR), it remains unclear whether double-bundle reconstruction improves stability or function.

Questions/purposes

We therefore asked whether patients having single- and double-bundle ACLR using semitendinosus (ST) alone differed with regard to (1) postoperative stability; (2) ROM; and (3) five functional scores.

Methods

We prospectively followed 60 patients with an isolated anterior cruciate ligament (ACL) injury. Thirty patients underwent single-bundle and 30 patients underwent double-bundle ACL reconstruction. Clinically we assessed stability and range of motion (ROM); anteroposterior stability was assessed by Rolimeter and rotational stability by a pivot shift test. Function was assessed by IKDC, Noyes, Lysholm, Marx, and Tegner activity scales. The minimum followup was 36 months (mean, 46.2 months; range, 36–60 months).

Results

Residual anteroposterior laxity at 3 years postoperatively was similar in both groups: 1.4 ± 0.3 mm versus 1.4 ± 0.2 mm, respectively. We observed no difference in the pivot shift test. ROM was similar in both groups, although double-bundle patients required more physical therapy sessions to gain full ROM. IKDC, Noyes, Lysholm, Marx, and Tegner scores were similar at final followup.

Conclusion

Double-bundle reconstruction of the ACL did not improve function or stability compared with single-bundle reconstruction.

Level of Evidence

Level II, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Titel: Single- versus Double-bundle ACL Reconstruction: Is There Any Difference in Stability and Function at 3-year Followup?
verfasst von: Alberto Gobbi, MD
Vivek Mahajan, MD
Georgios Karnatzikos, MD
Norimasa Nakamura, MD, PhD
Publikationsdatum: 01.03.2012
Verlag: Springer-Verlag
Erschienen in: Clinical Orthopaedics and Related Research® / Ausgabe 3/2012
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-011-1940-9

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Abstract

Background

Questions/purposes

Methods

Results

Conclusion

Level of Evidence

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