Single- or Double-Bundle Technique in the Anterior Cruciate Ligament Reconstruction — Current Concepts and Review of the Literature

Abstract

The treatment for anterior cruciate ligament (ACL) deficient knee consists in its surgical reconstruction. There are several available and validated techniques, but there are still numerous questions to be answered concerning the best approach in terms of stability, functional outcome, and avoiding further damage in the knee. This paper sought to analyze the studies published in the literature comparing the outcomes of ACL restoration with single-bundle versus double-bundle techniques. The results demonstrate that even if biomechanical studies find an increased steadiness with double-bundle ACL reconstruction, there seems to be no clinical or functional benefit compared with single-bundle reconstruction.

Graft Choice in Anterior Cruciate Ligament Reconstruction

“…The gold standard treatment for active patients with ACL rupture consists in surgically reconstructing this ligament. The principle of this surgical intervention is to re-establish stability and function in the knee, preventing further damage of the knee joint [5].…”