Comparison of Double-bundle Anterior Cruciate Ligament (ACL) Reconstruction and Single-bundle Reconstruction with Remnant Pull-out Suture

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2013 Jul 30

PMID 23892438

Citations 5

Authors

Seong Hwan Kim

Young Bok Jung

Min Ku Song

Sang Hak Lee

Ho Joong Jung

Han Jun Lee

Hyoung Seok Jung

Hawa-Tahir Siti

Affiliations

Soon will be listed here.

Abstract

Purpose: The purpose of this study was to evaluate the stability and functional outcomes of anterior cruciate ligament (ACL) reconstruction by tensioning of the ACL remnant using pull-out sutures compared with ACL double-bundle reconstruction.

Methods: Forty-four patients were included in single-bundle reconstruction with remnant tensioning group (Group 1), and 56 patients were included in the double-bundle reconstruction group (Group 2). The remnant tissue was tensioned to the direction of posterolateral bundle, which unrelated to the type of remnant bundle. Objective knee stability was evaluated by anterior stress radiography, KT-1000 and lateral pivot shift tests. The Tegner activity scale, International Knee Documentation Committee and OrthopädischeArbeitsgruppeKnie scoring systems were used for clinical evaluation.

Results: No statistically significant intergroup differences were observed in mechanical stability and clinical results (n.s). However, surgical time of remnant tensioning group is shorter than double-bundle reconstruction group (P = 0.005).

Conclusion: Remnant tensioning suture with single-bundle reconstruction could be used with positive results as good as double-bundle technique if a good ACL remnant was found bridging the femur and tibia, rather than debride or damage to the remnant tissue during operation.

Level Of Evidence: Retrospective, comparative cohort study, Level IV.

Citing Articles

Optimal measurement method for anterior instability on stress radiographs in anterior cruciate ligament tear: Considering the effect of static anterior tibial subluxation.

Han J, Choi C, Jung M, Chung K, Kim S, Ha T PLoS One. 2024; 19(9):e0310428.

PMID: 39288145 PMC: 11407638. DOI: 10.1371/journal.pone.0310428.

Stress radiography at 30° of knee flexion is a reliable evaluation tool for high-grade rotatory laxity in complete ACL-injured knees.

Kim S, Park Y, Ham D, Lim J, Lee H Knee Surg Sports Traumatol Arthrosc. 2019; 28(7):2233-2244.

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Anterolateral ligament injury has a synergic impact on the anterolateral rotatory laxity in acute anterior cruciate ligament-injured knees.

Park Y, Lee H, Ro D, Lee G, Kim S, Kim S Knee Surg Sports Traumatol Arthrosc. 2019; 27(10):3334-3344.

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A systematic review of single- versus double-bundle ACL reconstruction using the anatomic anterior cruciate ligament reconstruction scoring checklist.

Desai N, Alentorn-Geli E, Van Eck C, Musahl V, Fu F, Karlsson J Knee Surg Sports Traumatol Arthrosc. 2014; 24(3):862-72.

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A prospective study to assess the outcomes of revision anterior cruciate ligament reconstruction.

Mahmoud S, Odak S, Coogan S, McNicholas M Int Orthop. 2014; 38(7):1489-94.

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