Prospective Randomized Comparison of Double-Bundle Versus Single-Bundle Anterior Cruciate Ligament Reconstruction

Siebold, Rainer; Dehler, Carsten; Ellert, Thomas

doi:10.1016/j.arthro.2007.11.013

Cited by 312 publications

(329 citation statements)

References 34 publications

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“…In the present study the subjective IKDC score is 88.87 points which is in accordance with the 90 points of Siebold et al using Hamstring autograft and Endobutton and 85 and 82 points of Aglietti et al using double strand hamstirng autograft. 32,33 In the present study 74.99% cases of ACL tear reported their knees as normal or near normal (group A & B) after reconstruction which is in accordance with the 94% of Jomha et al at 5 years follow up using either hamstring or BPTB graft, and 92% of Siebold et al using Endobutton.…”

Section: Discussionsupporting

confidence: 80%

Functional outcome following arthroscopic ACL reconstruction using semitendinosus graft: a prospective observational study

et al. 2017

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Background: Anterior cruciate ligament (ACL) injuries remain a common orthopaedic disease, particularly in young adults. The treatment of choice for ACL injuries is ACL reconstruction (ligamentoplasty). The present study was conducted to observe and evaluate the outcome results of arthroscopic ACL reconstruction by hamstring grafts using Endobutton-CL technique for femoral fixation and Bioabsorbable Intrafix Screw technique for tibial fixation in ACL injury.Methods: This prospective comparative observational study related data were captured between January 2014 to December 2015 in a tertiary care teaching hospital, Haldia. About 36 patients with arthroscopic anatomic ACL reconstruction using hamstring tendon graft were evaluated and followed up for functional outcome. Patients were evaluated for pain, functioning and stability of knee using validated knee scoring systems which included tegner activity scale and IKDC score.Results: Out of 36 patients 31 patients (86.11%) were male and 5 patients (13.88%) were females. About 25 patients (69.44%) had right sided ACL injury and remaining 11 patients (30.55%) had left sided ACL injury. The mean of the pre-op IKDC scoring was 42.45 with SD of 9.68 and the mean of the post-operative IKDC scoring was 81.87 with SD of 13.40, so improvement was statistically significant. Conclusions: The technique of arthroscopic ACL reconstruction offers an excellent knee function, knee stability and restoration of preoperative functional status with minimal complications.

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Section: Discussionsupporting

confidence: 80%

Functional outcome following arthroscopic ACL reconstruction using semitendinosus graft: a prospective observational study

et al. 2017

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“…[11][12][13][14][15][16] On the other hand, only a clinical report 17 has introduced a remnant-preserving technique for double-bundle ACL reconstruction, in which 2 femoral tunnels and one tibial tunnel were made, although anatomic double bundle ACL reconstruction procedures have recently attracted notice because of biomechanical advantages in laboratory studies. [18][19][20][21][22][23][24][25][26][27][28] However, no previous studies have shown clinical evidence about utility of the ACL remnant tissue preservation in ACL reconstruction as of yet. To verify whether preservation of the ACL remnant tissue can really improve proprioceptive functions and enhance revascularization, we should conduct a randomized comparative trial with a sufficient number of patients to compare the 2 ACL reconstruction procedures with and without the remnant preservation in terms of proprioception and revascularization of the graft.…”

Section: Introductionmentioning

confidence: 99%

A Pilot Study of Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With Ligament Remnant Tissue Preservation

Yasuda

Kondo

Kitamura

et al. 2012

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Purpose: The purpose of this pilot study is to clarify the preliminary results of an anatomic double-bundle ACL reconstruction procedure with ligament remnant tissues. Methods:Using the trans-tibial technique, 2 doubled semitendinosus tendons were grafted into 4 tunnels created at the center of each bundle attachment, penetrating the ACL remnant tissue. Forty-four patients (27 men and 17 women) with an isolated ACL injury underwent ACL reconstruction using this procedure. The mean age of subjects was 29 years (range: 17-58). Postoperative clinical evaluations were performed at 16.6 months on average (range: 12 -23). Radiological evaluations were also performed to evaluate the tunnel location in the femur and the tibia. Results:The average operation time was 86 minutes (range: 72 -96) in the cases with ACL reconstruction only. Postoperatively, the mean anterior laxity was 0.7 mm. The postoperative pivot-shift test was negative in 81.8 % of the patients, while there were no patients evaluated as ++. No patients showed any extension or flexion deficit. There were no patients evaluated as "Nearly abnormal" or "Abnormal" under the IKDC evaluation. The tunnel angles of the 4 tunnels were identical to those reported in the previous study. Conclusions:The minimal 1-year clinical results of anatomic double-bundle ACL 3 reconstruction with ligament remnant tissue preservation were comparable to the previously reported results of the anatomic double-bundle reconstruction without remnant tissue preservation.

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“…Jarvela reported on outcomes at 2 years reporting improved knee kinematics post operatively for DB compared with SB reconstruction [41] however Siebold compared both SB and DB reconstructions and found no advantage in using the a DB technique [45] In 2008 Meredick et al performed a meta-analysis and found no difference between SB and DB ACL reconstruction [42]. Since this meta-analysis a few studies have compared lateralized or anatomic single bundle reconstructions with double bundle.…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…Given the biomechanical advantages of performing double bundle ACL reconstruction over non-anatomic single bundle reconstruction it is not surprising that there have been numerous clinical studies comparing double and single bundle ACL reconstruction [38,[41][42][43][44][45][46][47]. Several of these reveal improved anterior and rotational stability with DB reconstruction [38,43,45,47] however many show no significant difference [42,44,46].…”

Section: Clinical Outcomesmentioning

confidence: 99%

Anatomical single bundle anterior cruciate ligament reconstruction

Carmont

Scheffler

Spalding

et al. 2011

Curr Rev Musculoskelet Med

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Prospective Randomized Comparison of Double-Bundle Versus Single-Bundle Anterior Cruciate Ligament Reconstruction

Cited by 312 publications

References 34 publications

Functional outcome following arthroscopic ACL reconstruction using semitendinosus graft: a prospective observational study

Functional outcome following arthroscopic ACL reconstruction using semitendinosus graft: a prospective observational study

A Pilot Study of Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With Ligament Remnant Tissue Preservation

Anatomical single bundle anterior cruciate ligament reconstruction

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