Comparable Results Between Lateralized Single- and Double-bundle ACL Reconstructions

Abstract

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

No Difference in Revision Rates Between Single- and Double-Bundle Anterior Cruciate Ligament Reconstruction: A Comparative Study of 16,791 Patients From the Swedish National Knee Ligament Register

“…[18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] However, at least 2 randomized clinical studies have reported a lower risk of graft failure with double-bundle ACL reconstruction. [6][7][8] Many important factors, such as the timing of the operation, fixation methods, and other details in the surgical technique, vary in all of the studies.…”

Kinematic Impact of Anteromedial and Posterolateral Bundle Graft Fixation Angles on Double-Bundle Anterior Cruciate Ligament Reconstructions

“…§ Several biomechanical and clinical DB-ACLR studies also report fixing the AM and PL bundle grafts at the same knee flexion angle simultaneously, usually between 0°and 30°of knee flexion. 3,19,22,24,25,28,34,36,43 Previous biomechanical studies have demonstrated that graft fixation angles affect knee kinematics after a DB-ACLR. 9,26,38 It was reported that fixation of the AM graft at 60°and the PL graft at 0°overloaded the AM graft, while fixing both the AM and PL grafts at 30°overloaded the PL graft compared with the intact bundles.…”

Histological alterations to the hamstring tendon caused by cleaning during autograft preparation

“…ACL reconstruction is favored for younger and more active patients, allowing for an earlier return to activities and competitive sport (3). Some studies have reported comparable outcomes for double-bundle and single-bundle ACL reconstruction, with no differences in clinical knee scores and knee extension and flexion muscular strength between the two graft types (4,5). Hamstring autograft is primarily used for double-bundle ACL recon-struction.…”