Anatomic double bundle ACL reconstruction: a literature review.
With the abundance of anatomic double bundle ACL reconstruction techniques that currently exist and limited patient outcome data, one has to ask whether or not they should be used and if so, which one, and what is the learning curve for the average knee surgeon to become competent with the technique that they select? The purpose of this literature review is to summarize existing anatomic double bundle ACL reconstruction surgical and rehabilitation techniques and the clinical and biomechanical study evidence that currently exists. In choosing to perform anatomic double bundle ACL reconstruction we suggest that the knee surgeon should look for evidence of: (1) control of the pivot shift phenomenon, (2) improved transverse plane rotatory knee control during the performance of sports type movements, (3) a decreased likelihood of revision procedures either for ACL reconstruction or for treatment of associated primary or recurrent meniscal injuries, (4) improved patient self-reports of perceived function, satisfaction, and quality of life, and (5) radiographic evidence of a lower incidence and/or magnitude of osteoarthritic changes compared to conventional single bundle ACL reconstruction.
Crawford
Charles
C
Division of Sports Medicine, Department of Orthopaedic Surgery, University of Louisville, 210 East Gray St., Suite 1003, Louisville, KY 40202, USA.
Nyland
John
J
Landes
Sarah
S
Jackson
Richard
R
Chang
Haw Chong
HC
Nawab
Akbar
A
Caborn
David N M
DN
D016118:Anterior Cruciate Ligament / Q000503:physiopathology / Q000601:surgery*; D001696:Biomechanical Phenomena; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery; D008592:Menisci, Tibial / Q000601:surgery; D010003:Osteoarthritis / Q000517:prevention & control; D017060:Patient Satisfaction; D011788:Quality of Life; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D012399:Rotation; D013177:Sports / Q000502:physiology; D000070600:Tibial Meniscus Injuries