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Double-bundle ACL reconstruction versus anatomic single-bundle ACL reconstruction combined with anterolateral ligament reconstruction: a comparative study of clinical outcome

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Introduction

Recent studies showed increasing evidences of anterolateral ligament (ALL) reconstruction in conjunction with anterior cruciate ligament (ACL) reconstruction that proves to be more superior to the previous double-bundle (DB) ACLR technique especially in improving knee stability in biomechanic studies. However to date, there have been no studies evaluating the functional outcome of DB-ACLR vs single-bundle (SB) with ALL in ACLR.

Methods

A total of 138 patients with ACL deficient knee were enrolled to the study. Double-bundle ACL reconstruction (DB-ACLR) was performed in 75 patients and single-bundle ACL reconstruction with anterolateral ligament reconstruction (SB + ALL) ACLR was performed in 63 patients. Surgical outcomes were compared with The International Knee Documentation Committee Subjective Knee Form (IKDC) and the Kujala score at the 3rd, 6th and 9th month post-operative.

Results

The IKDC score in the 3rd and 6th month was superior in the SB + ALL group compared to the DB group. However, this difference was not statistically significant. In the meantime, there were no statistically significant difference between the Kujala Score at the 3rd, 6th, and 9th months consecutively. There were no statistically significant differences in the functional outcomes of DB-ACLR and SB + ALL groups at the 3rd, 6th, and 9th months post-operative period.

Conclusion

The functional outcome comparison showed non-superiority of SB + ALL group compared to the DB-ACLR group. The patellar pain was less found in DB-ACLR group at 6- and 9-months post-operative period.

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Authors and Affiliations

  1. Department of Orthopedic and Traumatology, Fatmawati General Hospital - Faculty of Medicine, Universitas Indonesiam, Jl. RS Fatmawati No. 4, South Jakarta, 12430, Indonesia

    Ludwig Andre Pontoh

  2. Orthopaedic and Traumatology Department, Faculty of Medicine, RS DR Cipto Mangunkusumo, Jl. Diponegoro No 71, Jakarta, Indonesia

    Ismail Hadisoebroto Dilogo, Achmad Fauzi Kamal & Wahyu Widodo

  3. Department of Surgery, St. Carolus Hospital, Jl. Salemba Raya No. 41, Central Jakarta, 10430, Indonesia

    Erica Kholinne

  4. Department of Orthopedic and Traumatology, Soeradji Tirtonegoro Hospital, Klaten, Indonesia

    Sholahuddin Rhatomy

  5. Faculty of Medicine, Public Health of Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

    Sholahuddin Rhatomy

  6. Orthopaedic Surgeon of Jakarta Knee, Shoulder and Orthopedic Sport Clinic, Pondok Indah General Hospital, Jl. Metro Duta Kav UE, South Jakarta, 12310, Indonesia

    Jessica Fiolin

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  1. Ludwig Andre Pontoh
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  3. Achmad Fauzi Kamal
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Correspondence to Ludwig Andre Pontoh.

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Ethical approval

This study had been reviewed by our institutional review board and received ethical clearance number KE/FK/0541/EC/2022.

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Pontoh, L.A., Dilogo, I.H., Kamal, A.F. et al. Double-bundle ACL reconstruction versus anatomic single-bundle ACL reconstruction combined with anterolateral ligament reconstruction: a comparative study of clinical outcome. Eur J Orthop Surg Traumatol 33, 489–495 (2023). https://doi.org/10.1007/s00590-022-03432-7

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  • DOI: https://doi.org/10.1007/s00590-022-03432-7

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