Is double-bundle anterior cruciate ligament reconstruction superior to single-bundle? A comprehensive systematic review

Knee Surgery, Sports Traumatology, Arthroscopy

Volumn 23, Issue 3, 2015, Pages 696-739

  Björnsson, Haukur ^a   Desai, Neel ^a   Musahl, Volker ^b   Alentorn Geli, Eduard ^c   Bhandari, Mohit ^d   Fu, Freddie ^b   Samuelsson, Kristian ^a  

^a SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

^b UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

^c UNIVERSITAT AUTÒNOMA DE BARCELONA   (Spain)

^d MCMASTER UNIVERSITY   (Canada)

Author keywords

Anterior cruciate ligament (ACL); Double bundle; Graft failure; Laxity; Patient related outcome measures; Reconstruction; Single bundle

Indexed keywords

ANTERIOR CRUCIATE LIGAMENT; ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION; BIOMECHANICS; COMPARATIVE STUDY; HUMAN; INJURIES; KNEE; KNEE INJURIES; PATHOPHYSIOLOGY; PROCEDURES; TREATMENT OUTCOME;

ANTERIOR CRUCIATE LIGAMENT; ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION; BIOMECHANICAL PHENOMENA; HUMANS; KNEE INJURIES; KNEE JOINT; TREATMENT OUTCOME;

EID: 84883722977     PISSN: 09422056     EISSN: 14337347     Source Type: Journal    
DOI: 10.1007/s00167-013-2666-x     Document Type: Review

References (73)

1. Adachi N, Ochi M, Uchio Y, Iwasa J, Kuriwaka M, Ito Y (2004) Reconstruction of the anterior cruciate ligament. Single- versus double-bundle multistranded hamstring tendons. J Bone Joint Surg Br 86(4):515–520
2. Aglietti P, Giron F, Cuomo P, Losco M, Mondanelli N (2007) Single-and double-incision double-bundle ACL reconstruction. Clin Orthop Relat Res 454:108–113
3. Aglietti P, Giron F, Losco M, Cuomo P, Ciardullo A, Mondanelli N (2010) Comparison between single-and double-bundle anterior cruciate ligament reconstruction: a prospective, randomized, single-blinded clinical trial. Am J Sports Med 38(1):25–34
4. Amis AA (2012) The functions of the fibre bundles of the anterior cruciate ligament in anterior drawer, rotational laxity and the pivot shift. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-011-1864-7
5. Araki D, Kuroda R, Kubo S, Fujita N, Tei K, Nishimoto K, Hoshino Y, Matsushita T, Matsumoto T, Nagamune K, Kurosaka M (2011) A prospective randomised study of anatomical single-bundle versus double-bundle anterior cruciate ligament reconstruction: quantitative evaluation using an electromagnetic measurement system. Int Orthop 35(3):439–446
6. Asagumo H, Kimura M, Kobayashi Y, Taki M, Takagishi K (2007) Anatomic reconstruction of the anterior cruciate ligament using double-bundle hamstring tendons: surgical techniques, clinical outcomes, and complications. Arthroscopy 23(6):602–609
7. Branch TP, Siebold R, Freedberg HI, Jacobs CA (2011) Double-bundle ACL reconstruction demonstrated superior clinical stability to single-bundle ACL reconstruction: a matched-pairs analysis of instrumented tests of tibial anterior translation and internal rotation laxity. Knee Surg Sports Traumatol Arthrosc 19(3):432–440
8. Claes S, Neven E, Callewaert B, Desloovere K, Bellemans J (2011) Tibial rotation in single- and double-bundle ACL reconstruction: a kinematic 3-D in vivo analysis. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-011-1568-z
9. Eck CF, Kopf S, Irrgang JJ, Blankevoort L, Bhandari M, Fu FH, Poolman RW (2012) Single-bundle versus double-bundle reconstruction for anterior cruciate ligament rupture: a meta-analysis–does anatomy matter? Arthroscopy 28(3):405–424
10. Ferretti A, Monaco E, Labianca L, Conteduca F, De Carli A (2008) Double-bundle anterior cruciate ligament reconstruction: a computer-assisted orthopaedic surgery study. Am J Sports Med 36(4):760–766
11. Fujita N, Kuroda R, Matsumoto T, Yamaguchi M, Yagi M, Matsumoto A, Kubo S, Matsushita T, Hoshino Y, Nishimoto K, Araki D, Kurosaka M (2011) Comparison of the clinical outcome of double-bundle, anteromedial single-bundle, and posterolateral single-bundle anterior cruciate ligament reconstruction using hamstring tendon graft with minimum 2-year follow-up. Arthroscopy 27(7):906–913
12. Gobbi A, Mahajan V, Karnatzikos G, Nakamura N (2011) Single- versus double-bundle acl reconstruction: is there any difference in stability and function at 3-year followup? Clin Orthop Relat Res. doi:10.1007/s11999-011-1940-9
13. Hemmerich A, van der Merwe W, Batterham M, Vaughan CL (2011) Double-bundle ACL surgery demonstrates superior rotational kinematics to single-bundle technique during dynamic task. Clin biomech (Bristol, Avon). doi:10.1016/j.clinbiomech.2011.06.005
14. Hemmerich A, van der Merwe W, Batterham M, Vaughan CL (2011) Knee rotational laxity in a randomized comparison of single- versus double-bundle anterior cruciate ligament reconstruction. Am J Sports Med 39(1):48–56
15. Higgins J, Altman D, Gøtzsche P, Jüni P, Moher D, Oxman A, Savovic J, Schulz K, Weeks L, Sterne J, Group CBM, Group CSM (2011) The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ. doi:10.1136/bmj.d5928
16. Hofbauer M, Valentin P, Kdolsky R, Ostermann RC, Graf A, Figl M, Aldrian S (2010) Rotational and translational laxity after computer-navigated single- and double-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 18(9):1201–1207
17. Hussein M, van Eck CF, Cretnik A, Dinevski D, Fu FH (2012) Individualized anterior cruciate ligament surgery: a prospective study comparing anatomic single- and double-bundle reconstruction. Am J Sports Med. doi:10.1177/0363546512446928
18. Hussein M, van Eck CF, Cretnik A, Dinevski D, Fu FH (2012) Prospective randomized clinical evaluation of conventional single-bundle, anatomic single-bundle, and anatomic double-bundle anterior cruciate ligament reconstruction: 281 cases with 3- to 5-year follow-up. Am J Sports Med 40(3):512–520
19. Ibrahim SA, Hamido F, Al Misfer AK, Mahgoob A, Ghafar SA, Alhran H (2009) Anterior cruciate ligament reconstruction using autologous hamstring double bundle graft compared with single bundle procedures. J Bone Joint Surg Br 91(10):1310–1315
20. Ishibashi Y, Tsuda E, Fukuda A, Tsukada H, Toh S (2008) Intraoperative biomechanical evaluation of anatomic anterior cruciate ligament reconstruction using a navigation system: comparison of hamstring tendon and bone-patellar tendon-bone graft. Am J Sports Med 36(10):1903–1912
21. Izawa T, Okazaki K, Tashiro Y, Matsubara H, Miura H, Matsuda S, Hashizume M, Iwamoto Y (2011) Comparison of rotatory stability after anterior cruciate ligament reconstruction between single-bundle and double-bundle techniques. Am J Sports Med 39(7):1470–1477
22. Jarvela T (2007) Double-bundle versus single-bundle anterior cruciate ligament reconstruction: a prospective, randomized clinical study. Knee Surg Sports Traumatol Arthrosc 15(5):500–507
23. Jarvela T, Moisala AS, Paakkala T, Paakkala A (2008) Tunnel enlargement after double-bundle anterior cruciate ligament reconstruction: a prospective, randomized study. Arthroscopy 24(12):1349–1357
24. Jarvela T, Moisala AS, Sihvonen R, Jarvela S, Kannus P, Jarvinen M (2008) Double-bundle anterior cruciate ligament reconstruction using hamstring autografts and bioabsorbable interference screw fixation: prospective, randomized, clinical study with 2-year results. Am J Sports Med 36(2):290–297
25. Kanaya A, Ochi M, Deie M, Adachi N, Nishimori M, Nakamae A (2009) Intraoperative evaluation of anteroposterior and rotational stabilities in anterior cruciate ligament reconstruction: lower femoral tunnel placed single-bundle versus double-bundle reconstruction. Knee Surg Sports Traumatol Arthrosc 17(8):907–913
26. Kawaguchi Y, Kondo E, Kitamura N, Kai S, Inoue M, Yasuda K (2011) Comparisons of femoral tunnel enlargement in 169 patients between single-bundle and anatomic double-bundle anterior cruciate ligament reconstructions with hamstring tendon grafts. Knee Surg Sports Traumatol Arthrosc 19(8):1249–1257
27. Kim SJ, Chang JH, Kim TW, Jo SB, Oh KS (2009) Anterior cruciate ligament reconstruction with use of a single or double-bundle technique in patients with generalized ligamentous laxity. J Bone Joint Surg Am 91(2):257–262
28. Kim SJ, Jo SB, Kumar P, Oh KS (2009) Comparison of single- and double-bundle anterior cruciate ligament reconstruction using quadriceps tendon-bone autografts. Arthroscopy 25(1):70–77
29. Kondo E, Yasuda K, Azuma H, Tanabe Y, Yagi T (2008) Prospective clinical comparisons of anatomic double-bundle versus single-bundle anterior cruciate ligament reconstruction procedures in 328 consecutive patients. Am J Sports Med 36(9):1675–1687
30. Kongtharvonskul J, Attia J, Thamakaison S, Kijkunasathian C, Woratanarat P, Thakkinstian A (2012) Clinical outcomes of double- vs single-bundle anterior cruciate ligament reconstruction: a systematic review of randomized control trials. Scand J Med Sci Sports. doi:10.1111/j.1600-0838.2011.01439.x
31. Lee S, Kim H, Jang J, Seong SC, Lee MC (2012) Comparison of anterior and rotatory laxity using navigation between single- and double-bundle ACL reconstruction: prospective randomized trial. Knee Surg Sports Traumatol Arthrosc 20(4):752–761
32. Lee S, Kim H, Jang J, Seong SC, Lee MC (2012) Intraoperative correlation analysis between tunnel position and translational and rotational stability in single- and double-bundle anterior cruciate ligament reconstruction. Arthroscopy. doi:10.1016/j.arthro.2012.03.027
33. Lui PP, Cheng YY, Yung SH, Hung AS, Chan KM (2012) A randomized controlled trial comparing bone mineral density changes of three different ACL reconstruction techniques. Knee. doi:10.1016/j.knee.2012.02.005
34. Misonoo G, Kanamori A, Ida H, Miyakawa S, Ochiai N (2011) Evaluation of tibial rotational stability of single-bundle vs. anatomical double-bundle anterior cruciate ligament reconstruction during a high-demand activity - A quasi-randomized trial. Knee. doi:10.1016/j.knee.2011.01.003
35. Moher D, Liberati A, Tetzlaff J, Altman DG, Group P (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS medicine 6(7):e1000097. doi:10.1371/journal.pmed.1000097
36. Monaco E, Labianca L, Conteduca F, De Carli A, Ferretti A (2007) Double bundle or single bundle plus extraarticular tenodesis in ACL reconstruction? A CAOS study. Knee Surg Sports Traumatol Arthrosc 15(10):1168–1174
37. Muneta T, Koga H, Morito T, Yagishita K, Sekiya I (2006) A retrospective study of the midterm outcome of two-bundle anterior cruciate ligament reconstruction using quadrupled semitendinosus tendon in comparison with one-bundle reconstruction. Arthroscopy 22(3):252–258
38. Muneta T, Koga H, Mochizuki T, Ju YJ, Hara K, Nimura A, Yagishita K, Sekiya I (2007) A prospective randomized study of 4-strand semitendinosus tendon anterior cruciate ligament reconstruction comparing single-bundle and double-bundle techniques. Arthroscopy 23(6):618–628
39. Nunez M, Sastre S, Nunez E, Lozano L, Nicodemo C, Segur JM (2012) Health-Related quality of life and direct costs in patients with anterior cruciate ligament injury: single-bundle versus double-bundle reconstruction in a low-demand cohort-a randomized trial with 2 years of follow-up. Arthroscopy 28(7):929–935
40. Park SJ, Jung YB, Jung HJ, Shin HK, Kim E, Song KS, Kim GS, Cheon HY, Kim S (2010) Outcome of arthroscopic single-bundle versus double-bundle reconstruction of the anterior cruciate ligament: a preliminary 2-year prospective study. Arthroscopy 26(5):630–636
41. Plaweski S, Grimaldi M, Courvoisier A, Wimsey S (2011) Intraoperative comparisons of knee kinematics of double-bundle versus single-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 19(8):1277–1286
42. Plaweski S, Petek D, Saragaglia D (2011) Morphometric analysis and functional correlation of tibial and femoral footprints in anatomical and single bundle reconstructions of the anterior cruciate ligament of the knee. Orthopaedics & traumatology, surgery & research: OTSR 97(6 Suppl):S75–S79
43. Sadoghi P, Muller PE, Jansson V, van Griensven M, Kropfl A, Fischmeister MF (2011) Reconstruction of the anterior cruciate ligament: a clinical comparison of bone-patellar tendon-bone single bundle versus semitendinosus and gracilis double bundle technique. Int Orthop 35(1):127–133
44. Sastre S, Popescu D, Nunez M, Pomes J, Tomas X, Peidro L (2010) Double-bundle versus single-bundle ACL reconstruction using the horizontal femoral position: a prospective, randomized study. Knee Surg Sports Traumatol Arthrosc 18(1):32–36
45. Schindler OS (2012) Surgery for anterior cruciate ligament deficiency: a historical perspective. Knee Surg Sports Traumatol Arthrosc 20(1):5–47
46. Seon JK, Song EK, Bae BH, Park SJ, Yoon TR, Cho SG, Lee JJ, Kim MS (2007) Kinematic study following double-bundle, anterior cruciate ligament reconstruction. Int Orthop 31(5):623–628
47. Seon JK, Park SJ, Lee KB, Yoon TR, Seo HY, Song EK (2009) Stability comparison of anterior cruciate ligament between double- and single-bundle reconstructions. Int Orthop 33(2):425–429
48. Siebold R, Dehler C, Ellert T (2008) Prospective randomized comparison of double-bundle versus single-bundle anterior cruciate ligament reconstruction. Arthroscopy 24(2):137–145
49. Siebold R, Branch TP, Freedberg HI, Jacobs CA (2011) A matched pairs comparison of single- versus double-bundle anterior cruciate ligament reconstructions, clinical results and manual laxity testing. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-011-1475-3
50. Skinner H, Barrack R, Cook S (1984) Age-related decline in proprioception. Clin Orthop Relat Res 184:208–211
51. Slavin R (1995) Best evidence synthesis: an intelligent alternative to meta-analysis. J Clin Epidemiol 48(1):9–18
52. Song EK, Oh LS, Gill TJ, Li G, Gadikota HR, Seon JK (2009) Prospective comparative study of anterior cruciate ligament reconstruction using the double-bundle and single-bundle techniques. Am J Sports Med 37(9):1705–1711
53. Streich NA, Friedrich K, Gotterbarm T, Schmitt H (2008) Reconstruction of the ACL with a semitendinosus tendon graft: a prospective randomized single blinded comparison of double-bundle versus single-bundle technique in male athletes. Knee Surg Sports Traumatol Arthrosc 16(3):232–238
54. Suomalainen P, Moisala AS, Paakkala A, Kannus P, Jarvela T (2011) Double-bundle versus single-bundle anterior cruciate ligament reconstruction: randomized clinical and magnetic resonance imaging study with 2-year follow-up. Am J Sports Med 39(8):1615–1622
55. Suomalainen P, Jarvela T, Paakkala A, Kannus P, Jarvinen M (2012) Double-bundle versus single-bundle anterior cruciate ligament reconstruction: a prospective randomized study with 5-year results. Am J Sports Med 40(7):1511–1518
56. Suomalainen P, Jarvela T, Paakkala A, Kannus P, Jarvinen M (2012) Double-bundle versus single-bundle anterior cruciate ligament reconstruction: a prospective randomized study with 5-year results. Am J Sports Med. doi:10.1177/0363546512448177
57. Suomalainen P, Moisala AS, Paakkala A, Kannus P, Jarvela T (2012) Comparison of tunnel placements and clinical results of single-bundle anterior cruciate ligament reconstruction before and after starting the use of double-bundle technique. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-012-1981-y
58. Takeda Y, Sato R, Ogawa T, Fujii K, Naruse A (2009) In vivo magnetic resonance imaging measurement of tibiofemoral relation with different knee flexion angles after single- and double-bundle anterior cruciate ligament reconstructions. Arthroscopy 25(7):733–741
59. Tiamklang T, Sumanont S, Foocharoen T, Laopaiboon M (2012) Double-bundle versus single-bundle reconstruction for anterior cruciate ligament rupture in adults (Review). Cochrane database of systematic reviews (Online) (1). doi:10.1002/14651858.CD008413.pub2
60. Tsarouhas A, Iosifidis M, Kotzamitelos D, Spyropoulos G, Tsatalas T, Giakas G (2010) Three-dimensional kinematic and kinetic analysis of knee rotational stability after single- and double-bundle anterior cruciate ligament reconstruction. Arthroscopy 26(7):885–893
61. Tsarouhas A, Iosifidis M, Spyropoulos G, Kotzamitelos D, Tsatalas T, Giakas G (2011) Tibial rotation under combined in vivo loading after single- and double-bundle anterior cruciate ligament reconstruction. Arthroscopy 27(12):1654–1662
62. Tsuda E, Ishibashi Y, Fukuda A, Tsukada H, Toh S (2009) Comparable results between lateralized single- and double-bundle ACL reconstructions. Clin Orthop Relat Res 467(4):1042–1055
63. Volpi P, Cervellin M, Denti M, Bait C, Melegati G, Quaglia A, de Girolamo L (2010) ACL reconstruction in sports active people: transtibial DB technique with ST/G vs. transtibial SB technique with BPTB: preliminary results. Injury 41(11):1168–1171
64. Wang JQ, Ao YF, Yu CL, Liu P, Xu Y, Chen LX (2009) Clinical evaluation of double-bundle anterior cruciate ligament reconstruction procedure using hamstring tendon grafts: a prospective, randomized and controlled study. Chin Med J (Engl) 122(6):706–711
65. Wang HJ, Ao YF, Chen LX, Gong X, Wang YJ, Ma Y, Leung KK, Yu JK (2011) Second-look arthroscopic evaluation of the articular cartilage after primary single-bundle and double-bundle anterior cruciate ligament reconstructions. Chin Med J (Engl) 124(21):3551–3555
66. Wang JH, Kim JG, Lee DK, Lim HC, Ahn JH (2011) Comparison of femoral graft bending angle and tunnel length between transtibial technique and transportal technique in anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-011-1781-9
67. Yagi M, Kuroda R, Nagamune K, Yoshiya S, Kurosaka M (2007) Double-bundle ACL reconstruction can improve rotational stability. Clin Orthop Relat Res 454:100–107
68. Yasuda K, Kondo E, Ichiyama H, Tanabe Y, Tohyama H (2006) Clinical evaluation of anatomic double-bundle anterior cruciate ligament reconstruction procedure using hamstring tendon grafts: comparisons among 3 different procedures. Arthroscopy 22(3):240–251
69. Zaffagnini S, Bruni D, Russo A, Takazawa Y, Lo Presti M, Giordano G, Marcacci M (2008) ST/G ACL reconstruction: double strand plus extra-articular sling vs double bundle, randomized study at 3-year follow-up. Scand J Med Sci Sports 18(5):573–581
70. Zaffagnini S, Bruni D, Marcheggiani Muccioli GM, Bonanzinga T, Lopomo N, Bignozzi S, Marcacci M (2011) Single-bundle patellar tendon versus non-anatomical double-bundle hamstrings ACL reconstruction: a prospective randomized study at 8-year minimum follow-up. Knee Surg Sports Traumatol Arthrosc 19(3):390–397
71. Zaffagnini S, Signorelli C, Lopomo N, Bonanzinga T, Marcheggiani Muccioli GM, Bignozzi S, Visani A, Marcacci M (2011) Anatomic double-bundle and over-the-top single-bundle with additional extra-articular tenodesis: an in vivo quantitative assessment of knee laxity in two different ACL reconstructions. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-011-1589-7
72. Zantop T, Petersen W, Sekiya JK, Musahl V, Fu FH (2006) Anterior cruciate ligament anatomy and function relating to anatomical reconstruction. Knee Surg Sports Traumatol Arthrosc 14(10):982–992
73. Zantop T, Herbort M, Raschke MJ, Fu FH, Petersen W (2007) The role of the anteromedial and posterolateral bundles of the anterior cruciate ligament in anterior tibial translation and internal rotation. Am J Sports Med 35(2):223–227