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Arthroscopic single-bundle ACL reconstruction with modified double-layer bone-patellar tendon-bone allograft

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The objective of present study was to introduce a modified double-layer bone-patellar tendon-bone (BPTB) allograft for arthroscopic single-bundle ACL reconstruction and investigate the clinical outcomes.

Methods

From 2007 to 2009, a total of 136 patients underwent arthroscopic single-bundle ACL reconstructions with BPTB allograft. Of which, 66 patients were with double-layer BPTB allograft (Group 1), and 70 patients were with conventional BPTB allograft (Group 2). Clinical outcomes including Lachman and pivot-shift tests, KT-1000 arthrometer measurements, and Lysholm and Tegner activity scores were compared between the two groups at a 2-year minimum follow-up.

Results

Forty-six patients in each group were at a two-year minimum follow-up. The mean side-to-side difference on the KT-1000 arthrometer was 1.2 ± 1.2 mm for group 1 and 2.1 ± 1.9 mm for group 2, with significant difference between the two groups (p = 0.017). The knee function was significantly better for group 1 than for group 2, because the mean Lysholm score was 94.2 ± 4.8 points versus 86.6 ± 7.1 points (p = 0.000), and the median Tegner score was 8 (range 5–10) points versus 6 (range 4–10) points (p = 0.001).

Conclusions

On the basis of the KT-1000 arthrometer evaluation and clinical measures, single-bundle ACL reconstruction with double-layer BPTB allograft achieves significantly lesser anterior laxity and better knee function than a single-layer allograft reconstruction.

Level of evidence

Therapeutic, retrospective comparative study, Level III.

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Conflict of interest

All authors have read and contributed to the submitted manuscript and there is no conflict of interest among the authors.

Ethical board review statement

This material has not been published and is not under consideration elsewhere. This study receives no financial support.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Shijiazhuang No. 1 Hospital, Shijiazhuang, 050011, Hebei, China

    Hui Jun Kang, Hui Jian Cao, Da Hai Yu & Zhi Min Zheng

  2. Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, 050051, Hebei, China

    Yan Ling Su, Fei Wang & Ying Ze Zhang

Authors
  1. Hui Jun Kang
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  2. Yan Ling Su
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  3. Hui Jian Cao
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Correspondence to Fei Wang.

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Kang, H.J., Su, Y.L., Cao, H.J. et al. Arthroscopic single-bundle ACL reconstruction with modified double-layer bone-patellar tendon-bone allograft. Knee Surg Sports Traumatol Arthrosc 21, 2066–2071 (2013). https://doi.org/10.1007/s00167-012-2235-8

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  • DOI: https://doi.org/10.1007/s00167-012-2235-8

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