Background
Many techniques for reconstruction of the anterior cruciate ligament (ACL) have been described. There is a trend towards the use of double-bundle techniques for the reconstruction of the ACL. Such techniques aim to reconstruct both bundles, and, theoretically, should provide a superior construct that would reduce rates of failure and improve the functional anatomy. In this study, the clinical results of double-bundle ACL reconstruction have been reported.
Patients and methods
Between 2008 and 2010, 19 patients suffering from ACL tear were treated using double-bundle ACL reconstruction.
Results
The objective International Knee Documentation Committee score and the modified Cincinnati subjective score were significantly higher in the double-bundle technique. The pivot-shift test was negative in 97% of the patients.
Conclusion
The main advantage of double-bundle rather than single-bundle reconstruction is its better rotational stability.