Double-bundle Arthroscopic Reconstruction of the Anterior Cruciate Ligament: Does the Evidence Add Up?

Overview

Journal J Bone Joint Surg Br

Specialties General Surgery
Orthopedics

Date 2008 Aug 2

PMID 18669952

Citations 29

Authors

U G Longo

J B King

V Denaro

N Maffulli

Affiliations

Soon will be listed here.

Abstract

There is a trend towards the use of double-bundle techniques for the reconstruction of the anterior cruciate ligament. This has not been substantiated scientifically. The functional outcome of these techniques is equivalent to that of single-bundle methods. The main advantage of a double-bundle rather than a single-bundle reconstruction should be a better rotational stability, but the validity and accuracy of systems for the measurement of rotational stability have not been confirmed. Despite the enthusiasm of surgeons for the double-bundle technique, reconstruction with a single-bundle should remain the standard method for managing deficiency of the anterior cruciate ligament until strong evidence in favour of the use of the double-bundle method is available.

Citing Articles

Optimal angles for independent femoral tunnel drillings to prevent damage to anatomic structures in single-bundle anterior cruciate ligament reconstruction.

Huang T, Zhang L, Zhang J, Tsai T, Li P J Orthop Surg Res. 2024; 19(1):745.

PMID: 39533279 PMC: 11558813. DOI: 10.1186/s13018-024-05181-1.

Genome-Wide Association Screens for Anterior Cruciate Ligament Tears.

Candela V, Longo U, Berton A, Salvatore G, Forriol F, de Sire A J Clin Med. 2024; 13(8).

PMID: 38673603 PMC: 11050965. DOI: 10.3390/jcm13082330.

Preoperative and Postoperative Kinesiophobia Influences Postoperative Outcome Measures Following Anterior Cruciate Ligament Reconstruction: A Prospective Study.

Longo U, Marino M, Rizzello G, De Salvatore S, Piergentili I, Denaro V J Clin Med. 2023; 12(14).

PMID: 37510972 PMC: 10381941. DOI: 10.3390/jcm12144858.

Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Pittsburgh Sleep Quality Index in Patients Who Underwent Rotator Cuff Tear Repair.

Longo U, Berton A, De Salvatore S, Piergentili I, Casciani E, Faldetta A Int J Environ Res Public Health. 2021; 18(16).

PMID: 34444415 PMC: 8391581. DOI: 10.3390/ijerph18168666.

Arthroscopic Rotator Cuff Repair Improves Sleep Disturbance and Quality of Life: A Prospective Study.

Longo U, Candela V, De Salvatore S, Piergentili I, Panattoni N, Casciani E Int J Environ Res Public Health. 2021; 18(7).

PMID: 33917277 PMC: 8038746. DOI: 10.3390/ijerph18073797.