Comparison of double-bundle anterior cruciate ligament (ACL) reconstruction and single-bundle reconstruction with remnant pull-out suture |
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Authors: | Seong Hwan Kim Young Bok Jung Min Ku Song Sang Hak Lee Ho Joong Jung Han Jun Lee Hyoung Seok Jung Hawa-Tahir Siti |
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Affiliation: | 1. Department of Orthopaedic Surgery, Chung-Ang University Hospital, Seoul, Korea 2. Department of Orthopaedic Surgery, Joint Center, Hyundae General Hospital, 663 Jang Hyeon-ri, Jinjeop-eup, Namyangju-si, Gyeonggi-do, 472-865, Korea 3. Department of Orthopaedic Surgery, Center for Joint Diseases and Rheumatism, Kyung Hee University Hospital, Seoul, Korea 4. Institute of Orthopaedics and Traumatology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia
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Abstract: | Purpose The purpose of this study was to evaluate the stability and functional outcomes of anterior cruciate ligament (ACL) reconstruction by tensioning of the ACL remnant using pull-out sutures compared with ACL double-bundle reconstruction. Methods Forty-four patients were included in single-bundle reconstruction with remnant tensioning group (Group 1), and 56 patients were included in the double-bundle reconstruction group (Group 2). The remnant tissue was tensioned to the direction of posterolateral bundle, which unrelated to the type of remnant bundle. Objective knee stability was evaluated by anterior stress radiography, KT-1000 and lateral pivot shift tests. The Tegner activity scale, International Knee Documentation Committee and OrthopädischeArbeitsgruppeKnie scoring systems were used for clinical evaluation. Results No statistically significant intergroup differences were observed in mechanical stability and clinical results (n.s). However, surgical time of remnant tensioning group is shorter than double-bundle reconstruction group (P = 0.005). Conclusion Remnant tensioning suture with single-bundle reconstruction could be used with positive results as good as double-bundle technique if a good ACL remnant was found bridging the femur and tibia, rather than debride or damage to the remnant tissue during operation. Level of evidence Retrospective, comparative cohort study, Level IV. |
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