Single-Bundle Versus Double-Bundle Anterior Cruciate Ligament Reconstruction-5-Year Results.
Arthroscopy
; 34(9): 2647-2653, 2018 09.
Article
en En
| MEDLINE
| ID: mdl-29937346
ABSTRACT
PURPOSE:
To compare anatomic single-bundle (SB) with double-bundle (DB) anterior cruciate ligament reconstruction (ACL-R) and to evaluate the respective clinical outcome results.METHODS:
In a prospective randomized study, 64 patients were included and separated into 2 groups. Anatomic SB and DB ACL-Rs were performed with hamstring tendons. Five years after surgery, the follow-up (FU) examination comprised International Knee Documentation Committee (IKDC) 2000, Laxitester (ORTEMA Sport Protection, Markgroeningen, Germany) measurement, and radiograph evaluation. Power calculation was performed to achieve a 95% confidence interval and 80% power on the base of 7-point IKDC subjective difference between the groups.RESULTS:
A total of 53 patients (83% FU) were examined at 63.2 ± 4.7 months after surgery 28 patients in the DB group and 25 patients in the SB group. IKDC subjective (SB 92.8 ± 6.2, DB 91.6 ± 7.1; P = .55) and objective scores (grade A SB/DB 20%/25%, B SB/DB 72%/57%, C SB/DB 8%/18%, D SB/DB 4%/0%; P = .45) showed no differences comparing both groups. The Laxitester measurements showed no significant difference in regard to anterior-posterior translation in neutral, internal, and external rotation or to rotation angles (P = .79). No difference was seen between the groups regarding osteoarthritic changes and tunnel widening.CONCLUSIONS:
At the 5-year FU, no advantage for either the DB or SB technique in ACL-R can be seen with regard to patient-related and objective outcome measures. LEVEL OF EVIDENCE Level I, prospective randomized controlled clinical trial.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Reconstrucción del Ligamento Cruzado Anterior
/
Tendones Isquiotibiales
Tipo de estudio:
Clinical_trials
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Diagnostic_studies
/
Observational_studies
Aspecto:
Patient_preference
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Arthroscopy
Asunto de la revista:
ORTOPEDIA
Año:
2018
Tipo del documento:
Article