A prospective randomized controlled trial to evaluate clinico-radiological outcome of arthroscopic single bundle versus double bundle anterior cruciate ligament reconstruction

作者：Yang, Jie; Fu, Shiping; Song, Yuan^*

来源：International Journal of Clinical and Experimental Medicine, 2017, 10(1): 1087-1093.

• Anterior cruciate ligament
• double-bundle
• single-bundle

Purpose: The purpose of current research was to compare theclinico-radiological outcome of arthroscopic single-bundle versus double-bundle anterior cruciate ligament (ACL) reconstruction. Methods: Sixty patients with an isolated ACL injury were randomized into single bundle (SB, n=30) reconstruction group and double bundle (DB, n=30) reconstruction group. Patients were evaluated using GeNouRoB (GNRB) arthrometer, functional knee scores (International Knee Documentation Committee [IKDC]) and Lysholm scale. Magnetic resonance imaging (MRI) was performed to compare the graft orientation of the reconstructed ACL. Rotational stability was determined by lateral pivot-shift test. Results: The follow up in SB group and DB group was 34.8 months and 36.2 months respectively. At final follow up, there was no statistically different between Lysholm score, differential anterior tibial translation in SB group and DB group (P>0.05). All cases had a negative pivot shift test in DB group while 2 patients had positive pivot shift in SB group at final follow up. MRI scans of operated knees showed that the values of mean sagittal ACL graft-tibial angle and mean coronal ACL graft-tibial angle were comparable in both the groups (P>0.05). Conclusions: There was no difference between knee stability, knee scores, subjective evaluations & MRI evaluation of graft inclination angles between single-and double-bundle ACL reconstruction.

• 出版日期2017
• 单位上海市第八人民医院