Does Double-Bundle Anterior Cruciate Ligament Reconstruction Improve Postoperative Knee Stability Compared With Single-Bundle Techniques? A Systematic Review of Overlapping Meta-analyses

Mascarenhas, Randy; Cvetanovich, Gregory L.; Sayegh, Eli T.; Verma, Nikhil N.; Cole, Brian J.; Bush‐Joseph, Charles A.; Bach, Bernard R.

doi:10.1016/j.arthro.2014.11.014

Cited by 126 publications

(114 citation statements)

References 73 publications

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“…In each of these three, the double-bundle technique achieved better anteroposterior and rotational knee stability according to the KT-1000 Arthrometer and the pivot shift test, but it was similar to single-bundle techniques for functional outcomes (Lysholm, Tegner, IKDC) [7].…”

Section: Take-home Messagesmentioning

confidence: 93%

“…There have been nine meta-analyses published on this topic since 2008, and Mascarenhas et al [7] identified that this meta-analysis was one of only three that provided high-quality evidence [5,13,14]. In each of these three, the double-bundle technique achieved better anteroposterior and rotational knee stability according to the KT-1000 Arthrometer and the pivot shift test, but it was similar to single-bundle techniques for functional outcomes (Lysholm, Tegner, IKDC) [7].…”

Section: Take-home Messagesmentioning

confidence: 99%

See 1 more Smart Citation

Cochrane in CORR ®: Double-bundle Versus Single-bundle Reconstruction for Anterior Cruciate Ligament Rupture in Adults (Review)

Mundi

Bhandari

2016

Clinical Orthopaedics &Amp; Related Research

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Section: Take-home Messagesmentioning

confidence: 93%

Section: Take-home Messagesmentioning

confidence: 99%

Cochrane in CORR ®: Double-bundle Versus Single-bundle Reconstruction for Anterior Cruciate Ligament Rupture in Adults (Review)

Mundi

Bhandari

2016

Clinical Orthopaedics &Amp; Related Research

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“…However, other studies have shown no significant differences between these techniques [44][45][46]. A recent meta-analysis attempting to resolve this question suggests that better postoperative knee stability can be attained after double-bundle reconstruction, but that this does not lead to superior clinical outcomes [47]. Therefore, double-bundle surgery still remains a point of controversy, and further research is needed to determine the clinical advantages of this technique.…”

Section: Double-bundle Acl Reconstructionmentioning

confidence: 92%

Kinematic outcomes following ACL reconstruction

Naendrup

Zlotnicki

Chao

et al. 2016

Curr Rev Musculoskelet Med

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Anterior cruciate ligament (ACL) reconstruction aims to restore the translational and rotational motion to the knee joint that is lost after injury. However, despite technical advancements, clinical outcomes are less than ideal, particularly in return to previous activity level. A major issue is the inability to standardize treatment protocols due to variations in materials and approaches used to accomplish ACL reconstruction. These include surgical techniques such as the transtibial and anteromedial portal methods that are currently under use and the wide availability of graft types that will be used to reconstruct the ACL. In addition, concomitant soft tissue injuries to the menisci and capsule are frequently present after ACL injury and, if left unaddressed, can lead to persistent instability even after the ACL has been reconstructed. Advances in the field of biomechanics that help to objectively measure motion of the knee joint may provide more precise data than current subjective clinical measurements. These technologies include extra-articular motion capture systems that measure the movement of the tibia in relation to the femur. With data gathered from these devices, a threshold for satisfactory knee stability may be established in order to correctly identify a successful reconstruction following ACL injury.

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“…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.…”

Section: Introductionmentioning

confidence: 90%

“…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).…”

Section: Introductionmentioning

confidence: 99%

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

Jiang

Chen

et al. 2017

Exp Ther Med

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Abstract. The anterior cruciate ligament (ACL) is one of a pair of cruciate ligaments in the human knee and is critical for knee stability, as it limits anterior tibial translation on the femur, restrains rotation and resists varus and valgus joint forces. The present study aimed to assess the effect of double-bundle revision anterior cruciate ligament (ACL) reconstruction in improving the subjective and objective functions and re-introducing patients to physical activity after primary ACL reconstruction had failed. A total of 34 patients who underwent double-bundle ACL revision surgeries were included in the present retrospective study. Lysholm, Tegner and IKDC scores as well as KT-2000 arthrometry measures were obtained pre-and post-operatively. The follow-up time was at least 2 years. The results indicated that the IKDC, Lysholm and Tegner scores as well as KT-2000 flexion scores were significantly improved after revision ACL reconstruction. All patients resumed to performing physical exercise activities after revision surgeries, 65% of whom reached pre-injury levels. In conclusion, these results demonstrated that double-bundle revision ACL reconstruction was consistently effective in rescuing failed primary ACL reconstruction and re-introducing patients to physical exercise.

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Does Double-Bundle Anterior Cruciate Ligament Reconstruction Improve Postoperative Knee Stability Compared With Single-Bundle Techniques? A Systematic Review of Overlapping Meta-analyses

Cited by 126 publications

References 73 publications

Cochrane in CORR ®: Double-bundle Versus Single-bundle Reconstruction for Anterior Cruciate Ligament Rupture in Adults (Review)

Cochrane in CORR ®: Double-bundle Versus Single-bundle Reconstruction for Anterior Cruciate Ligament Rupture in Adults (Review)

Kinematic outcomes following ACL reconstruction

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

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