Reconstruction of the anterior cruciate ligament using a double bundle

Hara, Kunio; Kubo, Toshikazu; Suginoshita, Takehiko; Shimizu, Choji; Hirasawa, Yasusuke

doi:10.1053/jars.2000.7679

Cited by 109 publications

(73 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, several authors have suggested that an anatomical double-bundle ACL reconstruction has some biomechanical advantages over a single-bundle ACL reconstruction [1,2,6,7,13,14,17,18,[23][24][25]. Although they reported the superior results of a double-bundle reconstruction with respect to Lachman's test and the pivot shift phenomenon compared with a single-bundle reconstruction after a mid-term follow-up, they did not provide objective quantitative data about the rotational stability [18,25].…”

Section: Discussionmentioning

confidence: 92%

See 1 more Smart Citation

Stability comparison of anterior cruciate ligament between double- and single-bundle reconstructions

Seon

Park

Lee

et al. 2008

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

The purpose of this study was to evaluate the intra-operative stability during double-bundle anterior cruciate ligament (ACL) reconstructions (20 knees) using a navigation system and compare the results with those obtained from single-bundle reconstructions (20 knees). After registering the reference points during ACL reconstruction, antero-posterior and rotational stability tests with 30°knee flexion using a navigation system were measured before and after reconstructions on both groups. The change of antero-posterior translation after and before reconstruction was 12.5 mm in the double-bundle group and 10.5 mm in the single-bundle group, showing significant inter-group difference (p=0.014, from 17.5 mm to 5.1 mm in the double-bundle and from 16.6 mm to 6.1 mm in the single-bundle group). The mean rotational stability of the double-bundle group also showed more significant improvement after reconstruction compared to that of the single-bundle group (9.8°in the double-and 5.6°in the single-bundle groups, p<0.001). These findings suggest that a double-bundle ACL reconstruction restores greater knee stability with respect to the antero-posterior and rotational stability than a single-bundle reconstruction.Résumé Le propos de cette étude est d'évaluer la stabilité per opératoire de la reconstruction du ligament croisé antérieur par deux faisceaux à propos de 20 genoux avec utilisation d'un système de navigation. Ces résultats ont été comparés à ceux obtenus par une reconstruction par un seul faisceau (20 genoux). Après enregistrement des différents points de références, la stabilité des genoux est testée à 30°d e flexion en utilisant le système de navigation avant et après la reconstruction dans les deux groupes. La modification de la translation antéro postérieure après et avant la reconstruction était de 12,5 mm dans le groupe à deux faisceaux et de 10,5 mm dans le groupe à un seul faisceau, montrant une différence significative (p=0,014, 17,5 mm à 5,1 mm dans les réfections avec deux faisceaux et de 16,6 mm à 6,1 mm dans les réfections à un seul faisceau). La stabilité en rotation a également été améliorée dans le groupe de reconstruction à deux faisceaux (9,8°contre 5,6°dans le groupe à un seul faisceau, p<0,001). Ces données confirment que la reconstruction des ligaments croisés antérieurs par la technique à deux faisceaux permet d'avoir un genou beaucoup plus stable tant sur le plan antéro postérieur que sur le plan rotatoire si l'on compare cette technique à celle de la reconstruction avec un seul faisceau.

show abstract

Section: Discussionmentioning

confidence: 92%

“…Several authors have reported good clinical results [1,2,6,7,13,14,17,18,[23][24][25] but few have provided a quantitative evaluation of the rotational stability compared with those of a single-bundle technique.…”

Section: Introductionmentioning

confidence: 99%

Stability comparison of anterior cruciate ligament between double- and single-bundle reconstructions

Seon

Park

Lee

et al. 2008

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Although the ACL anatomy and function have been widely studied, publications dealing with replacement of more than 1 ligament bundle are mostly descriptions of techniques [25][26][27][28][29][30][31] or case series reports. 20,[22][23][24] Most authors make use of semitendinous and gracilis tendon grafts [24][25][26][28][29][30]32 or alografts.…”

Section: Techniques and Graftsmentioning

confidence: 99%

“…20,[22][23][24] Most authors make use of semitendinous and gracilis tendon grafts [24][25][26][28][29][30]32 or alografts. 23,25 Our study used the quadriceps-bone tendon graft, which, although not the most frequently used for ACL primary reconstructions, has mechanical characteristics that are superior to those of the patellar ligament graft [54][55][56][57][58][59] and is used mainly in revision operations and complex knee injury reconstructions involving both cruciate ligaments.…”

Section: Techniques and Graftsmentioning

confidence: 99%

“…20,[22][23][24] However, most studies consist either of case series reports with no comparative control groups or of mere descriptions of the technique, such as technical notes. [25][26][27][28][29][30][31] We developed an ACL reconstruction technique using a double femoral bone tunnel and a patellar bone-quadri-ceps tendon graft with its tendinous portion split longitudinally in an attempt to more accurately reproduce the normal anatomy of the anteromedial and posterolateral bundle. We compared this technique to widely employed conventional single-bundle technique.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Anterior Cruciate Ligament Reconstruction With Double Bundle Versus Single Bundle: Experimental Study

Albuquerque

Sasaki

Amatuzzi

et al. 2007

Clinics

View full text Add to dashboard Cite

Mota e Albuquerque RF, Sasaki SU, Amatuzzi MM, Angelini, FJ. Anterior cruciate ligament reconstruction with double bundle versus single bundle: experimental study. Clinics. 2007;62(3):335-44. OBJECTIVE:To test an intra-articular reconstruction of the anterior cruciate ligament of the knee in 10 human cadavers by replacing 2 anterior cruciate ligament bundles, with the purpose of producing a surrogate that would be structurally more similar to the anatomy of the anterior cruciate ligament and would provide the knee with more stability. METHODS: We reconstructed the anteromedial and posterolateral bundles using a quadriceps muscle tendon graft that included a patellar bone segment. The anteromedial bundle was replaced in 10 knees (5 right and 5 left knees from different cadavers) by a quadriceps-bone tendon graft, and the anteromedial and posterolateral bundles were replaced in the matching pairs of these knees. In the latter, the bone segment was fixed to the tibia, and the tendinous portion of the graft was divided longitudinally creating two 5-mm wide bundles that were inserted individually into the femur through 2 independent bone tunnels. Then, the knees were tested mechanically to evaluate the tibial anterior dislocation in relation to the femur, as well as the rigidity of the graft. The control group was formed by the knees with intact anterior cruciate ligaments, before being resected to be reconstructed. RESULTS:The results obtained did not show superiority of double-bundle reconstruction over single-bundle reconstruction, and neither technique provided the knee with the same stability and rigidity of the intact anterior cruciate ligament. CONCLUSION: Our hypothesis, based on the anatomy and biomechanics of the knee, that reconstruction of the anterior cruciate ligament using 2 bundles would result in a more anatomic reconstruction and provide better containment of the anterior tibial translation was not supported by the results of this study.

show abstract

Single or double bundle?

Sonnery‐Cottet¹

2012

The Knee Joint

View full text Add to dashboard Cite

Reconstruction of the anterior cruciate ligament using a double bundle

Cited by 109 publications

References 8 publications

Stability comparison of anterior cruciate ligament between double- and single-bundle reconstructions

Stability comparison of anterior cruciate ligament between double- and single-bundle reconstructions

Anterior Cruciate Ligament Reconstruction With Double Bundle Versus Single Bundle: Experimental Study

Single or double bundle?

Contact Info

Product

Resources

About