Comparing the anatomic single-bundle versus the anatomic double-bundle for anterior cruciate ligament reconstruction: A prospective, randomized, single blind, clinical study


Koken M., Akan B., Kaya A., ARMANGİL M.

European Orthopaedics and Traumatology, vol.5, no.3, pp.247-252, 2014 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 5 Issue: 3
  • Publication Date: 2014
  • Doi Number: 10.1007/s12570-013-0231-1
  • Journal Name: European Orthopaedics and Traumatology
  • Journal Indexes: Scopus
  • Page Numbers: pp.247-252
  • Keywords: ACL reconstruction, Anatomic, Double bundle, Single bundle
  • Ankara University Affiliated: Yes

Abstract

Purpose: The aim of this study was to compare the early results of anatomic single bundle versus double-bundle anterior cruciate ligament (ACL) reconstruction. Methods: We conducted a prospective randomized study of anatomic single-bundle versus double-bundle ACL reconstruction using the hamstring tendons of 67 patients with unilateral ACL deficiency. The subjects were randomized into two groups. The single-bundle group consisted of 37 patients and the double-bundle group 30 patients. We used the following evaluations: clinical examination, KT-1000 arthrometry, Tegner knee score, modified Cincinnati score, Knee Injury and Osteoarthritis Outcome Scale (KOOS), International Knee Documentation Committee (IKDC) score. Two surgeons performed all operations, and a blinded independent author conducted the clinical follow-up assessments. Results: The mean follow-up period was 25.8 months. The differences between the preoperative and postoperative clinical examinations and the KT-1000 measurements were statistically different in both groups (p < 0.05). There were no statistically significant differences between the groups. Tegner knee scores, modified Cincinnati scores, and KOOS and IKDC scores showed statistically significant improvement in both groups (p < 0.05). There were no statistically significant differences between the groups. Conclusions: This prospective study found no difference between the outcomes of the anatomic single-bundle and the anatomic double-bundle ACL reconstructions. Level of evidence II. © 2013 EFORT.