Double-bundle versus single-bundle reconstruction for anterior cruciate ligament rupture in adults

Tiamklang, Thavatchai; Sumanont, Sermsak; Foocharoen, Thanit; Laopaiboon, Malinee

doi:10.1002/14651858.cd008413

Cited by 15 publications

(12 citation statements)

References 14 publications

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“…Should the reconstruction be single bundle or double bundle [12], for example? There is some evidence to suggest that the more technically demanding double‐bundle procedure leads to a more stable knee, as measured by clinical assessment and in laboratory studies [23, 29, 54]; it may also have a lower revision rate, but it is still unclear whether the number of bundles has a long‐term clinical effect. The location of the femoral and tibial tunnels will also affect the kinematic outcome of the procedure [21, 49].…”

Section: The Cruciate Ligamentsmentioning

confidence: 99%

Clinically relevant biomechanics of the knee capsule and ligaments

Logishetty

Amis

2015

Knee Surg Sports Traumatol Arthrosc

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Abstract:The paper describes the concepts of primary and secondary restraints to knee joint stability, and explains systematically how the tibia is stabilised against translational forces and rotational torques in different directions and axes, and how those vary across the arc of flexion-extension. It also shows how the menisci act to stabilise the knee, in addition to load-carrying across the joint. It compares the properties of the natural stabilising structures with the strength and stiffness of autogenous tissue grafts, and relates those strengths to the strength of graft fixation devices. A good understanding of the biomechanical behaviour of these various structures in the knee will help the surgeon in the assessment and treatment of single and multi-ligament injuries.Response to Reviewers: 1. At the end of the Abstract, please add a sentence or two about the … clinical relevance … Authors' response: this has been done 2. The different sections and subsections of the manuscript should not be numbered, e.g. it should be … Introduction and not … 1 Introduction, and this needs to be corrected throughout.Authors' response: this has been done 3. Tables (like table 1 Clinically relevant biomechanics of the knee capsule and ligaments AbstractThe paper describes the concepts of primary and secondary restraints to knee joint stability, and explains systematically how the tibia is stabilised against translational forces and rotational torques in different directions and axes, and how those vary across the arc of flexion-extension. It also shows how the menisci act to stabilise the knee, in addition to loadcarrying across the joint. It compares the properties of the natural stabilising structures with the strength and stiffness of autogenous tissue grafts, and relates those strengths to the strength of graft fixation devices. A good understanding of the biomechanical behaviour of these various structures in the knee will help the surgeon in the assessment and treatment of single and multi-ligament injuries.

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Section: The Cruciate Ligamentsmentioning

confidence: 99%

Clinically relevant biomechanics of the knee capsule and ligaments

Logishetty

Amis

2015

Knee Surg Sports Traumatol Arthrosc

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“…Previous prospective studies were conducted in consecutive patients with ACL injury who underwent doublebundle ACL reconstruction [1,4,5,27,29,31,35]. Aglietti et al…”

Section: Comparing the Stability Of Double-bundle And Singlebundle Ac...mentioning

confidence: 99%

Prospective randomized comparison of knee stability and joint degeneration for double- and single-bundle ACL reconstruction

Sun

Chen

Wang

et al. 2014

Knee Surg Sports Traumatol Arthrosc

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“…Several authors have compared the clinical outcome of the anatomic DB technique to that of SB reconstruction techniques in randomized studies. Recent reviews conclude that DB ACL reconstruction results in better anterior–posterior knee stability and reduced pivot‐shift, and a few studies also report better subjective outcome than after SB ACL reconstruction [1, 12, 23, 24, 32].…”

Section: Discussionmentioning

confidence: 99%

“…Two anatomic ACL reconstruction techniques have been developed; one uses double‐bundle (DB) ACL reconstruction where two graft bundles cover the native footprints of the ACL; the other uses single‐bundle (SB) ACL reconstruction with graft placement at the centre of the native femoral ACL footprint with drilling through an anteromedial (AM) portal or retrograde drilling [22, 30]. Reviews of the clinical results after anatomic ACL reconstruction with the DB technique conclude that DB ACL reconstruction results in better anterior–posterior knee stability, reduced pivot‐shift, and in a few studies also report better subjective outcome than with SB ACL reconstruction [1, 12, 15, 23, 24, 27, 31, 32].…”

Section: Introductionmentioning

confidence: 99%