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Biomechanical comparison of single-bundle versus double-bundle anterior cruciate ligament reconstruction: a meta-analysis

문동규|유준일|황선철|Oh Jin-Young|Kim Kun-Tae|Park Young-Jin|Won Hee-Chan|Cho Sung-Hee
대한슬관절학회 (Korean Knee Society)|2020.12|Knee Surgery and Related Research|제32권 |pp. 14-14|DOI 10.1186/s43019-020-00033-8

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키워드

ReconstructionAnterior cruciate ligamentBiomechanicalSingle-bundleDouble-bundle

초록

Background: Of the many issues regarding surgical techniques related to anterior cruciate ligament reconstruction (ACLR), single-bundle (SB) or double-bundle (DB) ACLR is one of the most debated topics. However, it is unclear which of the techniques yields better outcomes after ACLR for ACL injury. The purpose of this meta-analysis was to compare the benefits of SB versus DB ACLR in terms of biomechanical outcomes. Methods: The electronic databases MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, Web of Science, and Scopus were searched for relevant articles comparing the outcomes of SB-ACLR versus DB-ACLR that were published until November 2019. Results: Seventeen biomechanical studies were included. The anterior laxity measured using the anterior drawer test showed significantly better results in DB-ACLR when compared with SB-ACLR. In addition, outcomes of the anterior tibial translation test under a simulated pivot shift presented with better results at low flexion and 30° in DB-ACLR, compared with SB-ACLR. However, there were no significant biomechanical differences between the groups in internal rotation. Conclusions: The present study demonstrated that both techniques for ACLR are associated with restoration of normal knee kinematics. DB-ACLR is superior to SB-ACLR in terms of restoration of anteroposterior stability. However, which technique yields better improvement in internal rotation laxity, and internal rotation laxity under a simulated pivot shift at a specific angle, remains unclear.

Abstract

Background: Of the many issues regarding surgical techniques related to anterior cruciate ligament reconstruction (ACLR), single-bundle (SB) or double-bundle (DB) ACLR is one of the most debated topics. However, it is unclear which of the techniques yields better outcomes after ACLR for ACL injury. The purpose of this meta-analysis was to compare the benefits of SB versus DB ACLR in terms of biomechanical outcomes. Methods: The electronic databases MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, Web of Science, and Scopus were searched for relevant articles comparing the outcomes of SB-ACLR versus DB-ACLR that were published until November 2019. Results: Seventeen biomechanical studies were included. The anterior laxity measured using the anterior drawer test showed significantly better results in DB-ACLR when compared with SB-ACLR. In addition, outcomes of the anterior tibial translation test under a simulated pivot shift presented with better results at low flexion and 30° in DB-ACLR, compared with SB-ACLR. However, there were no significant biomechanical differences between the groups in internal rotation. Conclusions: The present study demonstrated that both techniques for ACLR are associated with restoration of normal knee kinematics. DB-ACLR is superior to SB-ACLR in terms of restoration of anteroposterior stability. However, which technique yields better improvement in internal rotation laxity, and internal rotation laxity under a simulated pivot shift at a specific angle, remains unclear.

참고문헌 (46)

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관련 논문AI추천

Kinematic Analysis of Five Different Anterior Cruciate Ligament Reconstruction TechniquesAli Hosseini, Guoan Li, Hemanth R Gadikota, Peter Asnis대한슬관절학회 · Knee Surgery and Related Research2015 · 제27권 제2호Current Trends in Anterior Cruciate Ligament Reconstruction김하성, 선종근, 조아름대한슬관절학회 · Knee Surgery and Related Research2013 · 제25권 제4호A Comparison between Clinical Results of Selective Bundle and Double Bundle Anterior Cruciate Ligament Reconstruction김윤상, 서영진, 송시영, 양철중, 유연식, 하종문연세대학교의과대학 · Yonsei Medical Journal2016 · 제57권 제5호Intraoperative Graft Isometry in Anatomic Single-­Bundle Anterior Cruciate Ligament Reconstruction유재두, Hyung Mook Lim, Joon Hee Cho, Sang Hoon Park, Sang Woo Kim, You Keun Kim대한슬관절학회 · Knee Surgery and Related Research2018 · 제30권 제2호Clinical outcomes of combined anterior cruciate ligament and anterolateral ligament reconstruction: a systematic review and meta‑analysisAriel de Lima Diego, de Lima Lana Lacerda, de Moraes Perez Rodrigo Amorim, de Souza Nayara Gomes Reis, Guimarães Tales Mollica, Helito Camilo Partezani, Sobrado Marcel Faraco대한슬관절학회 · Knee Surgery and Related Research2021 · 제33권 Single-Bundle versus Double-Bundle Posterior Cruciate Ligament Reconstruction: A Meta-Analysis of Randomized Controlled Trials박영진, 이동영대한슬관절학회 · Knee Surgery and Related Research2017 · 제29권 제4호

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