title: Double-bundle arthroscopic reconstruction of the anterior cruciate ligament: does the evidence add up?
abstract: 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.
authors.affiliation: Department of Orthopaedic and Trauma Surgery, Campus Biomedico University, Via Alvaro del Portillo 200, 00128 Trigoria, Rome, Italy.
authors.forename: U G
authors.initials: UG
authors.lastname: Longo
authors.forename: J B
authors.initials: JB
authors.lastname: King
authors.forename: V
authors.initials: V
authors.lastname: Denaro
authors.forename: N
authors.initials: N
authors.lastname: Maffulli
mesh_terms: 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*