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Middle-aged patients show no differences in single-, double-bundle ACL reconstruction
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Surgeons found no statistically significant difference in either a single-bundle or double-bundle primary ACL reconstruction technique in patients aged 50 years or older, according to this study.
“Operative treatment showed favorable outcomes in most of the ACL-reconstructed patients with regard to knee stability, osteoarthritis progression and patient satisfaction in a cohort of subjects aged 50 years or older,” Alberto Ventura, MD, and colleagues stated in the abstract.
He added, “Our subgroup of patients undergoing double-bundle ACL reconstruction reported average satisfactory outcomes which did not significantly differ from the single-bundle group.”
Most patients in either group saw an increase in postoperative knee function and symptoms and improved clinical and instrument laxity testing. Lysholm, Tegner and International Knee Documentation Committee scores were also improved, according to the abstract.
Patients in this cohort were a mean of 54 years old at the time of surgery and waited a mean 32.6 months from injury before surgery. Thirty-six patients underwent single-bundle ACL reconstruction and 14 patients underwent the double-bundle reconstruction procedure. Patient osteoarthritis levels did not increase at follow-up, according to the abstract.
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