Double-bundle arthroscopic reconstruction of the anterior cruciate ligament: does the evidence add up?
There is a trend towards the use of double-bundle techniques for the reconstruction of the anterior cruciate ligament. This has not been substantiated scientifically. The functional outcome of these techniques is equivalent to that of single-bundle methods. The main advantage of a double-bundle rather than a single-bundle reconstruction should be a better rotational stability, but the validity and accuracy of systems for the measurement of rotational stability have not been confirmed. Despite the enthusiasm of surgeons for the double-bundle technique, reconstruction with a single-bundle should remain the standard method for managing deficiency of the anterior cruciate ligament until strong evidence in favour of the use of the double-bundle method is available.
Longo
U G
UG
Department of Orthopaedic and Trauma Surgery, Campus Biomedico University, Via Alvaro del Portillo 200, 00128 Trigoria, Rome, Italy.
King
J B
JB
Denaro
V
V
Maffulli
N
N
D016118:Anterior Cruciate Ligament / Q000601:surgery* / Q000637:transplantation; D053587:Arthrometry, Articular; D001182:Arthroscopy / Q000379:methods; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D016032:Randomized Controlled Trials as Topic; D013709:Tendon Transfer / Q000379:methods* / Q000592:standards; D013710:Tendons / Q000637:transplantation*