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Single-bundle versus double-bundle anterior cruciate ligament reconstruction.

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  • معلومة اضافية
    • Author-Supplied Keywords:
      Anatomical reconstruction
      anterior cruciate ligament reconstruction
      double-bundle reconstruction
      functional performance tests
      propensity score
    • Abstract:
      Background: Numerous studies have elucidated the functional anatomy and biomechanics of the anterior cruciate ligament (ACL), as a result, double-bundle (DB) ACL reconstruction has received much attention and has become a popular choice because it gives better rotational stability. Many other studies, however, found no differences with respect to stability, and/or other clinical outcomes between the DB and single-bundle (SB) techniques. There is still not enough evidence as to whether the anatomical DB anterior cruciate ligament reconstruction (ACLR) is superior to anatomical SB reconstruction. The purpose of this study is to compare various clinical and functional outcomes between SB and DBACLR at 2 years followup. Materials and Methods: Medical records of patients with ACLR available for at least 2 years followup were reviewed retrospectively. 191 patients (164 males and 25 females) for SB and 48 patients (40 males and 8 females) for DB were selected using the inclusion and exclusion criteria. The mean age of SB and DB was 29.9 and 24.8 years, respectively. Propensity score (PS) was calculated based on age, sex and Tegner activity score and 48 patients in each group were matched by the PS. Lysholm score, International Knee Documentation Committee (IKDC) subjective knee score and Tegneractivity score were investigated. Functional performance tests, isokinetic muscle strength test with Biodex system, pivot shift test and KT-2000 arthrometer test were performed. Results: At 2 years followup, there were no significant differences between SB and DB group in Lysholm score (92.9 vs. 90.6, P= 0.224), IKDC subjective knee score (88.7 vs. 87.0, P= 0.524), Tegneractivity score (7.3 vs. 8.0, P = No significant differences were also found in all functional performance tests, isokinetic muscle strength tests in 60° and 180°/s, KT-2000 arthrometer test and pivot shift test (P> 0.05). Conclusions: There were no significant differences of clinical and functional outcomes between SB and DBACLR at 2 years followup. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Department of Orthopedic Surgery, College of Medicine, Seoul Paik Hospital, University of Inje, Korea
      2Department of Orthopedic Surgery, Daejeon Military Hospital, Daejeon, Korea
      3Department of Orthopedic Surgery, Konkuk University Medical Center, Seoul, Korea
    • ISSN:
      0019-5413
    • Accession Number:
      10.4103/0019-5413.189605
    • Accession Number:
      117850654
  • Citations
    • ABNT:
      JEONG-KU HA; DHONG-WON LEE; JIN-GOO KIM. Single-bundle versus double-bundle anterior cruciate ligament reconstruction. Indian Journal of Orthopaedics, [s. l.], v. 50, n. 5, p. 505–511, 2016. DOI 10.4103/0019-5413.189605. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=117850654&custid=s8280428. Acesso em: 29 mar. 2020.
    • AMA:
      Jeong-Ku Ha, Dhong-Won Lee, Jin-Goo Kim. Single-bundle versus double-bundle anterior cruciate ligament reconstruction. Indian Journal of Orthopaedics. 2016;50(5):505-511. doi:10.4103/0019-5413.189605.
    • APA:
      Jeong-Ku Ha, Dhong-Won Lee, & Jin-Goo Kim. (2016). Single-bundle versus double-bundle anterior cruciate ligament reconstruction. Indian Journal of Orthopaedics, 50(5), 505–511. https://doi.org/10.4103/0019-5413.189605
    • Chicago/Turabian: Author-Date:
      Jeong-Ku Ha, Dhong-Won Lee, and Jin-Goo Kim. 2016. “Single-Bundle versus Double-Bundle Anterior Cruciate Ligament Reconstruction.” Indian Journal of Orthopaedics 50 (5): 505–11. doi:10.4103/0019-5413.189605.
    • Harvard:
      Jeong-Ku Ha, Dhong-Won Lee and Jin-Goo Kim (2016) ‘Single-bundle versus double-bundle anterior cruciate ligament reconstruction’, Indian Journal of Orthopaedics, 50(5), pp. 505–511. doi: 10.4103/0019-5413.189605.
    • Harvard: Australian:
      Jeong-Ku Ha, Dhong-Won Lee & Jin-Goo Kim 2016, ‘Single-bundle versus double-bundle anterior cruciate ligament reconstruction’, Indian Journal of Orthopaedics, vol. 50, no. 5, pp. 505–511, viewed 29 March 2020, .
    • MLA:
      Jeong-Ku Ha, et al. “Single-Bundle versus Double-Bundle Anterior Cruciate Ligament Reconstruction.” Indian Journal of Orthopaedics, vol. 50, no. 5, Sept. 2016, pp. 505–511. EBSCOhost, doi:10.4103/0019-5413.189605.
    • Chicago/Turabian: Humanities:
      Jeong-Ku Ha, Dhong-Won Lee, and Jin-Goo Kim. “Single-Bundle versus Double-Bundle Anterior Cruciate Ligament Reconstruction.” Indian Journal of Orthopaedics 50, no. 5 (September 2016): 505–11. doi:10.4103/0019-5413.189605.
    • Vancouver/ICMJE:
      Jeong-Ku Ha, Dhong-Won Lee, Jin-Goo Kim. Single-bundle versus double-bundle anterior cruciate ligament reconstruction. Indian Journal of Orthopaedics [Internet]. 2016 Sep [cited 2020 Mar 29];50(5):505–11. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=117850654&custid=s8280428