Comparison Between Single- and Double-Bundle Anterior Cruciate Ligament Reconstruction With 6- to 8-Stranded Hamstring Autograft

Abstract

Both SB and DB ACL reconstruction with 6- to 8-stranded HG showed satisfactory results in subjective scores and anteroposterior and rotational stability over a nearly 7-year follow-up; neither technique was superior.

Single-Bundle Versus Double-Bundle Anterior Cruciate Ligament Reconstruction—5-Year Results

“…Similar to the current study, they did not find any significant difference concerning knee stability (Lachman, pivot shift), IKDC, Lysholm score, and magnetic resonance imaging evaluation after 3 years. Similar findings were confirmed by Liu et al 3 They conducted a randomized controlled clinical trial with 80 patients over a nearly 7-year FU. They found that SB and DB ACL-R with 6to 8-stranded hamstring grafts showed similar results in subjective scores as well as a.p.…”

Editorial Commentary: No Difference in Knee Osteoarthritis After Single-Bundle Versus Double-Bundle Anterior Cruciate Ligament Reconstruction

“…2,3 In the midterm, several studies presented clinical outcomes without being able to detect significant differences between the DB and SB technique in subjective and objective outcome measures. 4,5 Some studies claimed more rotational stability for DB ACL-R, 5-7 but systematic reviews failed to prove significant differences when comparing SB and DB ACL-R outcomes. 6,8 Often, only functional aspects were described in high-quality studies; in particular, knee stability or laxity after ACL-R was regarded as the primary endpoint.…”

SOP Ersatzplastik des vorderen Kreuzbands (VKB)

“…Im Falle eines Revisionseingriffs hat sich der Einsatz der Quadrizepssehne oder auch der Semitendinosussehne der Gegenseite sowie das mittlere Drittel der Patellarsehne als Transplantat bewährt[23].Anatomische Studien zeigten, dass das VKB aus einem anteromedialen und einem posterolateralen Bündel besteht, die man durch Platzierung separater Bohrkanäle auch entsprechend anatomisch rekonstruieren kann[4,30]. Inzwischen existierende Studien mit mittelfristiger Auswertungszeit zeigen trotz der Überlegenheit der Doppelbündeltechnik bei der biomechanischen Testung hinsichtlich einer möglichst physiologischen Wiederherstellung der Kniestabilität im klinischen Outcome allerdings keinen eindeutigen Vorteil für die aufwendigere Doppelbündelrekonstruktion[13,23].Vor-und Nachteile der unterschiedlichen autologen Kreuzbandtransplantate. Dr.…”