Simultaneous bilateral anterior cruciate ligament reconstruction: a safe option.
When patients present with bilateral anterior cruciate ligament (ACL) deficiency and require reconstruction in both knees, a single setting or staged approach can be adopted. Although single-setting reconstruction has been described, there are no published case series that describe simultaneous bilateral ACL reconstruction. We report a case series of eight patients who underwent simultaneous bilateral ACL reconstruction. We used two-camera stack systems to allow for truly simultaneous bilateral surgery by two surgical teams. At 2 weeks, all patients were independent in mobility. There was no difference in pivot shift, Lysholm and Tegner scores at 1 year when compared to published outcomes for unilateral ACL reconstruction. The median duration of follow-up was 28 months (range 12-50 months). Based on these small numbers, our results demonstrate that simultaneous bilateral ACL reconstruction is a safe and clinically effective option when using either hamstring or patella tendon graft.
Saithna
Adnan
A
Department of Trauma and Orthopaedic Surgery, University Hospital Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK. asaithna@doctors.org.uk
Arbuthnot
Jamie
J
Carey-Smith
Richard
R
Spalding
Tim
T
D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D007718:Knee Injuries / Q000534:rehabilitation / Q000601:surgery; D008297:Male; D017847:Patellar Ligament / Q000637:transplantation; D011446:Prospective Studies; D013710:Tendons / Q000637:transplantation