Patellar tendon versus quadrupled bone-semitendinosus anterior cruciate ligament reconstruction: a prospective clinical investigation in athletes

Gobbi, Alberto; Mahajan, Sanjeev; Zanazzo, Milco; Tuy, Benjamin

doi:10.1016/s0749-8063(03)00393-1

Cited by 126 publications

(97 citation statements)

References 39 publications

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“…A number of studies have been conducted to compare postoperative stability and function after anatomic DB and SB ACLR. Some authors consider SB ACLR as the standard option to treat ACL lesions [5,7,17,42], whereas others suggest the anatomic DB ACLR should improve pivot shift resistance and increase rotational knee control and should help preserve menisci and limit progression toward arthritis [8,38,46,47,49,51]. Many studies, however, found no difference in terms of anteroposterior laxity, rotational stability, and/or any other clinical aspects at final followup between the two techniques [1,4,20,23,24,30,34,43].…”

Section: Discussionmentioning

confidence: 99%

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

Gobbi¹,

Mahajan²,

Karnatzikos³

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Despite a number of studies comparing postoperative stability and function after anatomic doublebundle 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 singlebundle reconstruction.

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Section: Discussionmentioning

confidence: 99%

“…Some authors consider single-bundle ACLR the standard option to treat ACL lesions [5,7,17,42]. However, recent studies suggesting the need for better rotational control have stimulated interest in a more anatomic reconstruction with double-bundle [6,9,21,26,38,41,49,51].…”

Section: Introductionmentioning

confidence: 99%

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

Gobbi¹,

Mahajan²,

Karnatzikos³

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…Different tunnel positions, attachment options, and graft types have been proposed in order to provide anatomical placement during anterior cruciate ligament reconstruction ( Figure 1) (31,32). Although some studies state that single-bundle ACL reconstruction is the standard treatment (33)(34)(35), other studies support the view that rotational stability increases and that the development of arthrosis is slowed by protecting the meniscus when the double-bundle method is used (26)(27)(28).…”

Section: Discussionmentioning

confidence: 99%

Results of an Anatomical Single Bundle Anterior Cruciate Ligament Reconstruction by the Anteromedial Method

Çetinkaya¹,

Mutlu²,

Yavuz³

et al. 2016

JAREM

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Objective: This study aimed to evaluate the results of patients undergoing single-bundle anatomical reconstruction of the anterior cruciate ligament (ACL) with the anteromedial portal technique and the effects of surgical timing on the results.Methods: A total of 47 patients (44 males, three females; mean age: 27 years) were included in this study. Lachman test, pivot shift test and KT-2000 arthrometry, International Knee Documentation Committee (IKDC) and Lysholm activity scoring were used in the preoperative and final follow-up in order to clinically evaluate. Furthermore, 17 patients undergoing early surgery (within the first 6 months) and 30 patients undergoing late surgery were compared for the presence of additional pathologies and functional results. Results:The mean follow-up period was 25 months (range: 13-36 months). Lachman test, Pivot-shift test, KT-2000, Lysholm, and IKDC scores significantly improved during the final follow-up according to the preoperative values. Eighty-two percent (14/17) of patients in the early surgery group (ten medial, three lateral, and one bilateral) and 96% (29/30) of patients in the late surgery group (seventeen medial, five lateral, and seven bilateral) had meniscus tear, and the difference was statistically significant. Four patients requiring microfracture were present in the late surgery group. Functional outcome was better in patients in the early surgery group, although the difference was statistically not significant. Conclusion:Anatomical reconstruction of ACL with the anteromedial portal technique is an effective method to improve clinical and functional results. Additionally, early surgery will improve functional results because it will decrease the frequency of additional pathology. (JAREM 2016; 6: 88-93)

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“…It has less donor morbidity and fewer incidences of anterior knee pain and better rehabilitation in those who engage in sports [7].…”

Section: Anatomymentioning

confidence: 99%

Anterior Cruciate Ligament Repair : Evolving Trends

Sharma

2004

Medical Journal Armed Forces India

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Patellar tendon versus quadrupled bone-semitendinosus anterior cruciate ligament reconstruction: a prospective clinical investigation in athletes

Cited by 126 publications

References 39 publications

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

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

Results of an Anatomical Single Bundle Anterior Cruciate Ligament Reconstruction by the Anteromedial Method

Anterior Cruciate Ligament Repair : Evolving Trends

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