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Published on: April 30, 2014
Anatomic double bundle ACL reconstruction: a literature review.
Charles Crawford1, John Nyland, Sarah Landes
1Division of Sports Medicine, Department of Orthopaedic Surgery, University of Louisville, 210 East Gray St., Suite 1003, Louisville, KY 40202, USA.
Summary
Anatomic double bundle ACL reconstruction offers potential benefits, including improved knee stability and function. Surgeons should consider evidence of pivot shift control and reduced revision rates when selecting a technique.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomechanical Engineering
Background:
- Numerous anatomic double bundle anterior cruciate ligament (ACL) reconstruction techniques exist.
- Limited patient outcome data necessitates evaluation of their efficacy and surgeon learning curves.
Purpose of the Study:
- To review existing anatomic double bundle ACL reconstruction surgical and rehabilitation techniques.
- To summarize clinical and biomechanical evidence supporting these techniques.
Main Methods:
- Literature review of studies on anatomic double bundle ACL reconstruction.
- Analysis of clinical outcomes and biomechanical data.
Main Results:
- Evidence suggests potential for improved pivot shift control and rotatory knee stability.
- Studies indicate a possible decrease in revision procedures and meniscal injuries.
- Patient-reported outcomes and quality of life may be enhanced.
- Radiographic evidence may show reduced osteoarthritic changes compared to single bundle reconstruction.
Conclusions:
- Surgeons should select anatomic double bundle ACL reconstruction techniques based on evidence of specific benefits.
- Key indicators include control of pivot shift, improved rotatory stability, reduced revisions, enhanced patient function, and lower rates of osteoarthritis.