Clinical Evaluation of Anatomic Double-bundle Anterior Cruciate Ligament Reconstruction Procedure Using Hamstring Tendon Grafts: Comparisons Among 3 Different Procedures

Overview

Journal Arthroscopy

Specialty Orthopedics

Date 2006 Mar 7

PMID 16517306

Citations 166

Authors

Kazunori Yasuda

Eiji Kondo

Hiroki Ichiyama

Yoshie Tanabe

Harukazu Tohyama

Affiliations

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Abstract

Purpose: To compare the clinical outcome of anatomic double-bundle anterior cruciate ligament (ACL) reconstruction with that of nonanatomic single- and double-bundle reconstructions.

Type Of Study: Prospective comparative cohort study.

Methods: Seventy-two patients with unilateral ACL-deficient knees were randomly divided into 3 groups. Concerning all background factors, there were no statistical differences among the 3 groups. In group S (n = 24), single-bundle ACL reconstruction was performed. In group N-AD (n = 24), nonanatomic double-bundle reconstruction was carried out. In group AD (n = 24), anatomic double-bundle reconstruction was performed. One surgeon performed all operations using hamstring tendon autografts. Each patient underwent clinical examinations, before surgery and at 2 years.

Results: No intraoperative and postoperative complications were experienced in each group. There were no significant differences concerning the time for operation among the 3 groups. The statistical analysis showed a significant difference in the postoperative side-to-side anterior laxity among the 3 groups (P = .006). The laxity was significantly less (P = .002) in group AD (1.1 mm) than in group S (2.8 mm), while there was no significant difference (P = .072) between groups AD and N-AD. Concerning the pivot-shift test, group AD was significantly superior to group S (P = .025). There were no significant differences in the range of knee motion, the muscle torque, and the International Knee Documentation Committee evaluation.

Conclusions: On the basis of the KT-2000 measurement, the side-to-side anterior laxity of our anatomic double-bundle ACL reconstruction was significantly better than that of the single-bundle reconstruction with the hamstring tendon graft, although there were no significant differences in the other clinical measures among any of the 3 procedures.

Level Of Evidence: Level II.

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Rate of Torque Development in the Quadriceps after Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autografts in Young Female Athletes.

Suzuki M, Ishida T, Samukawa M, Matsumoto H, Ito Y, Aoki Y Int J Environ Res Public Health. 2022; 19(18).

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