April 05, 2013
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Study finds single- and double-bundle techniques equally effective for ACL reconstruction surgery

Swedish researchers found no significant difference between subjective and objective outcomes for single-bundle and double-bundle techniques 2 years after ACL reconstruction, according to a presentation from American Orthopaedic Society for Sports Medicine Specialty Day Meeting.

“Our study was not intended to show the overall effectiveness of ACL surgery, but instead determine if one surgical approach is better than another in promoting a return to normal activity,” Mattias Ahldén, MD, of Sahlgrenska University Hospital in Gothenburg, Sweden, stated in a press release. “The data shows that in fact multiple surgical approaches can help patients enjoy a return to normalcy after knee injuries.”

In their prospective study, Ahldén and colleagues clinically evaluated patients at 2-year follow-up who underwent ACL reconstruction after a unilateral ACL rupture, according to the abstract. Patients were treated using the double-bundle technique in 53 cases and the single-bundle technique in 50 cases.

At 2-year follow-up, clinical evaluation of 98 patients revealed no significant differences in single-bundle and double-bundle groups regarding results from pivot-shift, manual Lachmann, KT-1000 arthrometer laxity measurements, range of motion, Tegner activity scale, Lysholm score, Knee injury and Osteoarthritis Outcome Score, one-legged hop and square-hop tests.

Reference:

Ahldén M. Paper #1. Presented at: American Orthopaedic Society for Sports Medicine Specialty Day Meeting; March 23, 2013; Chicago.

Disclosure: Ahldén has no relevant financial disclosures.