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Related Experiment Video

Updated: May 14, 2026

Early Weight-Bearing Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction
05:07

Early Weight-Bearing Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction

Published on: March 1, 2024

Over the top or endobutton for ACL reconstruction?

Michele Arcangelo Verdano1, Bianca Pedrabissi, Enricomaria Lunini

  • 1Orthopaedic Clinic - Parma University, Parma, Italy.

Acta Bio-Medica : Atenei Parmensis
|February 12, 2013
PubMed
Summary

This study compared two anterior cruciate ligament (ACL) reconstruction techniques. While both showed similar outcomes, the double-bundle technique with Endobutton fixation yielded slightly better clinical results after four years.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomedical Engineering

Background:

  • Anterior cruciate ligament (ACL) tears are common, often resulting from noncontact injuries.
  • ACL reconstruction surgery is performed in a significant portion of knee ligament injuries.
  • Hamstring tendons are frequently used autografts for ACL reconstruction.

Purpose of the Study:

  • To compare the clinical outcomes of two distinct ACL reconstruction surgical techniques.
  • Evaluate the efficacy of intra-extra articular single-bundle versus intra-articular double-bundle ACL reconstruction.
  • Assess long-term (4-year) functional results of ACL repair methods.

Main Methods:

  • A cohort of 40 patients undergoing ACL reconstruction with hamstring tendons was studied.

Related Experiment Videos

Last Updated: May 14, 2026

Early Weight-Bearing Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction
05:07

Early Weight-Bearing Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction

Published on: March 1, 2024

  • Group 1 (n=20): Intra-extra articular single-bundle technique with staple fixation.
  • Group 2 (n=20): Intra-articular double-bundle technique with Endobutton post-fixation.
  • Main Results:

    • No substantial overall difference was observed between the two surgical techniques at 4-year follow-up.
    • Clinical outcome measures (IKDC, Lysholm, Tegner scores) indicated superior results for the double-bundle technique.
    • The double-bundle technique with Endobutton fixation demonstrated a trend towards better patient-reported outcomes.

    Conclusions:

    • Both surgical techniques for ACL reconstruction using hamstring tendons provide viable options.
    • The double-bundle technique with Endobutton fixation may offer advantages in specific clinical outcome metrics.
    • Further research could explore long-term functional differences and patient satisfaction between these ACL repair methods.