Comparison of anterior and rotatory laxity using navigation between single- and double-bundle ACL reconstruction: prospective randomized trial

Abstract

Prospective comparative study, Level II.

Arthroscopic anatomic double bundle anterior cruciate ligament reconstruction: Our experience with follow-up of 4 years

“…IKDC score in our study was found to be comparable to that in other studies. 5,23,[28][29][30][31]34 According to the table, all functional scores in our study fall in the range as that of the previous studies ( Table 1). Range of motion of knee joint was normal in 24 (96%) patients at the end of 4 years.…”

“…Pivot shift test was evaluated in 12 studies with a total 488 patients. 6,22,24,[28][29][30] 16 From our experience with the DB ACL reconstruction technique, we can conclude that DB ACL reconstruction has good post-operative results in terms of restoring stability, functional outcome and incidence of graft rupture. None of the studies have reported DB ACL reconstruction inferior to SB ACL reconstruction.…”

“…28 Nine studies with a total of 335 patients which included Lysholm score were available for comparison. 6,18,[28][29][30][31][32][33][34] Similarly subjective IKDC score was reported in seven studies with 256 patients. IKDC score in our study was found to be comparable to that in other studies.…”

Double-bundle revision anterior cruciate ligament reconstruction is effective in rescuing failed primary reconstruction and re-introducing patients to physical exercise

“…Compared with single-bundle ACL reconstruction, the double-bundle technique produced better Lachman and pivot-shift test results, KT arthrometry results and Tegner score after 3-12 years post operation (19). In most cases, double-bundle ACL reconstruction yielded significantly favorable results on KT arthrometry, pivot shift test and Lachman test (16)(17)(18)(19)(20)(21)(22)(23)(24), as well as reduced graft failure (22)(23)(24) and improved International Knee Documentation Committee (IKDC) objective score (18,23,24) compared with single-bundle ACL reconstruction. Therefore, double-bundle ACL reconstruction is indicated to be superior to single-bundle ACL reconstruction.…”

“…Consequently, inferior outcomes to primary ACL reconstructions were reported, although significant improvements have been demonstrated after revision reconstruction (10)(11)(12)(13)(14). Of note, most revision ACL constructions were performed using a single-bundle technique (15); however, a vast amount of evidence has demonstrated that the double-bundle technique is superior to the single-bundle technique for primary ACL reconstruction (16)(17)(18)(19)(20)(21)(22)(23)(24). Compared with single-bundle ACL reconstruction, the double-bundle technique produced better Lachman and pivot-shift test results, KT arthrometry results and Tegner score after 3-12 years post operation (19).…”