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

  • Original Article
  • Published:
European Orthopaedics and Traumatology

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.

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Authors and Affiliations

  1. Ufuk University, Ankara, Turkey

    Murat Koken, Burak Akan & Alper Kaya

  2. Ankara University, Ankara, Turkey

    Mehmet Armangil

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  1. Murat Koken
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  2. Burak Akan
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  3. Alper Kaya
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  4. Mehmet Armangil
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Correspondence to Burak Akan.

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Koken, M., Akan, B., Kaya, A. et al. Comparing the anatomic single-bundle versus the anatomic double-bundle for anterior cruciate ligament reconstruction: a prospective, randomized, single blind, clinical study. Eur Orthop Traumatol 5, 247–252 (2014). https://doi.org/10.1007/s12570-013-0231-1

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  • DOI: https://doi.org/10.1007/s12570-013-0231-1

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