No Difference in the KOOS Quality of Life Subscore Between Anatomic Double-Bundle and Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction of the Knee: A Prospective Randomized Controlled Trial With 2 Years’ Follow-up

Aga, Cathrine; Risberg, May Arna; Fagerland, Morten Wang; Johansen, Steinar; Trøan, Ingrid; Heir, Stig; Engebretsen, Lars

doi:10.1177/0363546518782454

Cited by 41 publications

(46 citation statements)

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“…The postoperative International Knee Documentation Committee (IKDC), Lysholm and Tegner scores were significantly improved in both groups compared to the pre-operative status (P < 0. (4)(5)(6)(7)(8)(9) in the DBR group. But there was no significant difference between the two groups (P > 0.05, Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…This procedure has been reported to outperform SB reconstruction for better rotation stability of the knee joint and fewer graft failures 6 . However, several studies indicated that the number of bundles did not seem to influence clinical and subjective outcomes 7 , 8 . In addition, the drawbacks of DB reconstruction, such as extended operation time, high cost, increased risk of bone bridge fractures, and challenge in revision surgery, etc., also urge us to reconsider the necessity of this technique 9 .…”

Section: Introductionmentioning

confidence: 99%

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A retrospective study to compare the clinical effects of individualized anatomic single- and double-bundle anterior cruciate ligament reconstruction surgery

Chen

Zhu

Zheng

et al. 2020

Sci Rep

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To evaluate the clinical efficacy of single- and double- bundle individualized anatomic anterior cruciate ligament (ACL) reconstruction, we retrospectively analyzed the data and charts of 920 patients with ACL rupture who received individualized anatomic ACL reconstruction surgery at our center. All of the patients underwent arthroscopic ACL reconstruction with autologous hamstring tendons. The patients were divided into two groups: the single-bundle individualized anatomic reconstruction group (N = 539), and the double-bundle individualized anatomic reconstruction group (N = 381). The IKDC, Lysholm and Tegner scores were used to subjectively evaluate the function of the knee joint during the postoperative follow-up. The Lachman test, pivot shift test and KT-3000 were used to objectively evaluate the stability of the knee. All 920 patients participated in clinical follow-up (average duration: 27.91 ± 3.61 months) achieved satisfied outcomes with few complications. The postoperative IKDC, Lysholm and Tegner scores, and the objective evaluation of knee joint stability were significantly improved compared to the preoperative status in both groups (P < 0.05). No statistically significant difference was observed between the two groups at the final follow-up (P > 0.05). Therefore, no difference in terms of the IKDC, Lysholm and Tegner score, or KT-3000 was observed between the individualized anatomic single- and double-bundle ACL reconstruction techniques. Both techniques can be used to restore the stability and functionality of the knee joint with satisfactory short-term efficacy.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A retrospective study to compare the clinical effects of individualized anatomic single- and double-bundle anterior cruciate ligament reconstruction surgery

Chen

Zhu

Zheng

et al. 2020

Sci Rep

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“…However, it is still controversial whether double-bundle or single-bundle reconstruction will provide superior clinical results. Previous studies revealed no significant difference in objective or subjective outcomes between the double-bundle and single-bundle reconstruction [5][6][7][8][9]. Conversely, several biomechanical and clinical studies have demonstrated that double-bundle reconstruction was superior to single-bundle reconstruction in restoring the knee joint's anterior and rotational stability [10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Double-bundle Anatomic Anterior Cruciate Ligament Reconstruction Using Hamstring-bone Graft: a Long-term Follow Up

Gan

Martin

et al. 2021

Preprint

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Purpose We modified the hamstring tendon graft into the hamstring-bone composite graft in double-bundle anterior cruciate ligament reconstruction for anterior cruciate ligament (ACL) injuries. Here, we evaluated the technique's effectiveness by investigating the clinical results in restoring the stability and function of the knee joint. Methods We reviewed 42 patients who underwent anterior cruciate ligament reconstruction (ACLR) with the hamstring-bone graft for ACL injuries from January 2013 to April 2015, with an average follow-up of 66.6 months. The objective evaluations (KT-1000, Lachman test and pivot-shift test) and the subjective evaluations (International Knee Documentation Committee (IKDC) scores, Lysholm scores, and Tegner scores) were performed preoperatively and postoperatively. Results Forty-one of 42 patients were negative in the Lachman test and forty of 42 patients were negative in the pivot-shift test after the operation at the final follow-up time. The IKDC, Lysholm, and Tegner scores improved significantly from 56.24±9.28 to 85.33±3.37, from 62.00±11.09 to 90.43±3.71，and from 2.3±0.87 to 6.5±0.67 at the final follow-up. Conclusion Double-bundle anatomic ACLR with a hamstring-bone composite graft can restore the anteroposterior and rotational stability for ACL injuries. The modified technique can provide excellent clinical outcomes with a long-term follow-up.

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“…Recently, some studies [14][15][16][17][18] have shown a comparison of excellence between SB-ACLR or DB-ACLR, but the results are still unclear, and quantitative analyses of biomechanical results are insufficient. Thus, the purpose of the present study was to perform a meta-analysis to compare the biomechanical outcomes of SB-ACLR versus DB-ACLR and determine their relative effectiveness in anterior tibial translation (ATT), internal rotation, or pivot in the setting of ACLR.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical comparison of single-bundle versus double-bundle anterior cruciate ligament reconstruction: a meta-analysis

Kim

Park

et al. 2020

Knee Surg & Relat Res

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Background: Of the many issues regarding surgical techniques related to anterior cruciate ligament reconstruction (ACLR), single-bundle (SB) or double-bundle (DB) ACLR is one of the most debated topics. However, it is unclear which of the techniques yields better outcomes after ACLR for ACL injury. The purpose of this meta-analysis was to compare the benefits of SB versus DB ACLR in terms of biomechanical outcomes. Methods: The electronic databases MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, Web of Science, and Scopus were searched for relevant articles comparing the outcomes of SB-ACLR versus DB-ACLR that were published until November 2019. Results: Seventeen biomechanical studies were included. The anterior laxity measured using the anterior drawer test showed significantly better results in DB-ACLR when compared with SB-ACLR. In addition, outcomes of the anterior tibial translation test under a simulated pivot shift presented with better results at low flexion and 30°in DB-ACLR, compared with SB-ACLR. However, there were no significant biomechanical differences between the groups in internal rotation. Conclusions: The present study demonstrated that both techniques for ACLR are associated with restoration of normal knee kinematics. DB-ACLR is superior to SB-ACLR in terms of restoration of anteroposterior stability. However, which technique yields better improvement in internal rotation laxity, and internal rotation laxity under a simulated pivot shift at a specific angle, remains unclear. Level of evidence: This is a level II meta-analysis.

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No Difference in the KOOS Quality of Life Subscore Between Anatomic Double-Bundle and Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction of the Knee: A Prospective Randomized Controlled Trial With 2 Years’ Follow-up

Cited by 41 publications

References 100 publications

A retrospective study to compare the clinical effects of individualized anatomic single- and double-bundle anterior cruciate ligament reconstruction surgery

A retrospective study to compare the clinical effects of individualized anatomic single- and double-bundle anterior cruciate ligament reconstruction surgery

Double-bundle Anatomic Anterior Cruciate Ligament Reconstruction Using Hamstring-bone Graft: a Long-term Follow Up

Biomechanical comparison of single-bundle versus double-bundle anterior cruciate ligament reconstruction: a meta-analysis

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