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Stability comparison of anterior cruciate ligament between double- and single-bundle reconstructions

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Abstract

The purpose of this study was to evaluate the intra-operative stability during double-bundle anterior cruciate ligament (ACL) reconstructions (20 knees) using a navigation system and compare the results with those obtained from single-bundle reconstructions (20 knees). After registering the reference points during ACL reconstruction, antero-posterior and rotational stability tests with 30° knee flexion using a navigation system were measured before and after reconstructions on both groups. The change of antero-posterior translation after and before reconstruction was 12.5 mm in the double-bundle group and 10.5 mm in the single-bundle group, showing significant inter-group difference (p=0.014, from 17.5 mm to 5.1 mm in the double-bundle and from 16.6 mm to 6.1 mm in the single-bundle group). The mean rotational stability of the double-bundle group also showed more significant improvement after reconstruction compared to that of the single-bundle group (9.8° in the double- and 5.6° in the single-bundle groups, p<0.001). These findings suggest that a double-bundle ACL reconstruction restores greater knee stability with respect to the antero-posterior and rotational stability than a single-bundle reconstruction.

Résumé

Le propos de cette étude est d’évaluer la stabilité per opératoire de la reconstruction du ligament croisé antérieur par deux faisceaux à propos de 20 genoux avec utilisation d’un système de navigation. Ces résultats ont été comparés à ceux obtenus par une reconstruction par un seul faisceau (20 genoux). Après enregistrement des différents points de références, la stabilité des genoux est testée à 30° de flexion en utilisant le système de navigation avant et après la reconstruction dans les deux groupes. La modification de la translation antéro postérieure après et avant la reconstruction était de 12,5 mm dans le groupe à deux faisceaux et de 10,5 mm dans le groupe à un seul faisceau, montrant une différence significative (p=0,014, 17,5 mm à 5,1 mm dans les réfections avec deux faisceaux et de 16,6 mm à 6,1 mm dans les réfections à un seul faisceau). La stabilité en rotation a également été améliorée dans le groupe de reconstruction à deux faisceaux (9,8° contre 5,6° dans le groupe à un seul faisceau, p<0,001). Ces données confirment que la reconstruction des ligaments croisés antérieurs par la technique à deux faisceaux permet d’avoir un genou beaucoup plus stable tant sur le plan antéro postérieur que sur le plan rotatoire si l’on compare cette technique à celle de la reconstruction avec un seul faisceau.

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Authors and Affiliations

  1. Center for Joint Disease, Chonnam National University Hwasun Hospital, 160, Ilsim-ri, Hwasun-eup, Hwasun-gun, Jeonnam, 519-809, South Korea

    Jong Keun Seon, Sang Jin Park, Keun Bae Lee, Taek Rim Yoon, Hyoung Yeon Seo & Eun Kyoo Song

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  1. Jong Keun Seon
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  2. Sang Jin Park
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Correspondence to Eun Kyoo Song.

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Seon, J.K., Park, S.J., Lee, K.B. et al. Stability comparison of anterior cruciate ligament between double- and single-bundle reconstructions. International Orthopaedics (SICOT) 33, 425–429 (2009). https://doi.org/10.1007/s00264-008-0530-2

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  • DOI: https://doi.org/10.1007/s00264-008-0530-2

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