title: Outcome of posterior cruciate ligament reconstruction using the single- versus double bundle technique: a meta-analysis.
abstract: OBJECTIVE
  To test the hypothesis that double bundle posterior cruciate ligament (PCL) reconstruction yields better improvement in stability and functional recovery of the knee than the single bundle technique.
  
  
  METHODS
  PubMed®, Embase®, the Cochrane Library, CNKI, Wanfang and CBM disc databases were searched for comparative trials of PCL reconstruction using the single- versus double bundle technique. Data were extracted and meta-analysis was performed for stability improvement and functional recovery.
  
  
  RESULTS
  The meta-analysis included 435 patients in three randomized controlled trials (RCTs) and eight non-RCTs. Double bundle reconstruction provided significantly better 90° posterior stability than the single bundle technique (weighted mean difference 0.81, 95% confidence interval, [CI] 0.2, 1.42). Double bundle reconstruction resulted in a significantly higher likelihood of International Knee Documentation Committee (IKDC) examination grade A than the single bundle technique (odds ratio 0.41, 95% CI 0.24, 0.72).
  
  
  CONCLUSIONS
  The small amount of data available indicates that double bundle reconstruction is superior to the single bundle technique after isolated PCL injury. These findings should be interpreted with caution due to the low quality and limited sample size of the studies concerned.
authors: Department of Orthopaedics, Chinese PLA General Hospital, Beijing, China.
authors: Jing-xin
authors: JX
authors: Zhao
authors: Department of Orthopaedics, Chinese PLA General Hospital, Beijing, China.
authors: Li-hai
authors: LH
authors: Zhang
authors: Department of Orthopaedics, Chinese PLA General Hospital, Beijing, China.
authors: Zhi
authors: Z
authors: Mao
authors: Department of Orthopaedics, Chinese PLA General Hospital, Beijing, China.
authors: Li-cheng
authors: LC
authors: Zhang
authors: Department of Orthopaedics, Chinese PLA General Hospital, Beijing, China.
authors: Zhe
authors: Z
authors: Zhao
authors: Department of Orthopaedics, Chinese PLA General Hospital, Beijing, China.
authors: Xiu-yun
authors: XY
authors: Su
authors: Department of Orthopaedics, Chinese PLA General Hospital, Beijing, China.
authors: Li-ning
authors: LN
authors: Zhang
authors: Department of Orthopaedics, Chinese PLA General Hospital, Beijing, China.
authors: Yuan
authors: Y
authors: Gao
authors: Department of Orthopaedics, Chinese PLA General Hospital, Beijing, China.
authors: Yong
authors: Y
authors: Sun
authors: Department of Orthopaedics, Chinese PLA General Hospital, Beijing, China pftang301@126.com.
authors: Pei-fu
authors: PF
authors: Tang
mesh_terms: D001178:Arthroplasty / Q000379:methods*; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D016119:Posterior Cruciate Ligament / Q000601:surgery*; D016896:Treatment Outcome
keywords: Posterior cruciate ligament; double-bundle; meta-analysis; outcome measures; single-bundle