Original Article Yonsei Med J 2016 Sep;57(5):1199-1208 http://dx.doi.org/10.3349/ymj.2016.57.5.1199
pISSN: 0513-5796 · eISSN: 1976-2437
A Comparison between Clinical Results of Selective Bundle and Double Bundle Anterior Cruciate Ligament Reconstruction Yon-Sik Yoo1, Si Young Song1, Cheol Jung Yang1, Jong Mun Ha1, Yoon Sang Kim2, and Young-Jin Seo1 Department of Orthopedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong; HiLab, Korea University of Technology and Education, Cheonan, Korea.
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Purpose: The purpose of this study was to compare the clinical outcomes of arthroscopic anatomical double bundle (DB) anterior cruciate ligament (ACL) reconstruction with either selective anteromedial (AM) or posterolateral (PL) bundle reconstruction while preserving a relatively healthy ACL bundle. Materials and Methods: The authors evaluated 98 patients with a mean follow-up of 30.8±4.0 months who had undergone DB or selective bundle ACL reconstructions. Of these, 34 cases underwent DB ACL reconstruction (group A), 34 underwent selective AM bundle reconstruction (group B), and 30 underwent selective PL bundle reconstructions (group C). These groups were compared with respect to Lysholm and International Knee Documentation Committee (IKDC) score, side-to-side differences of anterior laxity measured by KT-2000 arthrometer at 30 lbs, and stress radiography and Lachman and pivot shift test results. Pre- and postoperative data were objectively evaluated using a statistical approach. Results: The preoperative anterior instability measured by manual stress radiography at 90° of knee flexion in group A was significantly greater than that in groups B and C (all p
pISSN: 0513-5796 · eISSN: 1976-2437
A Comparison between Clinical Results of Selective Bundle and Double Bundle Anterior Cruciate Ligament Reconstruction Yon-Sik Yoo1, Si Young Song1, Cheol Jung Yang1, Jong Mun Ha1, Yoon Sang Kim2, and Young-Jin Seo1 Department of Orthopedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong; HiLab, Korea University of Technology and Education, Cheonan, Korea.
1 2
Purpose: The purpose of this study was to compare the clinical outcomes of arthroscopic anatomical double bundle (DB) anterior cruciate ligament (ACL) reconstruction with either selective anteromedial (AM) or posterolateral (PL) bundle reconstruction while preserving a relatively healthy ACL bundle. Materials and Methods: The authors evaluated 98 patients with a mean follow-up of 30.8±4.0 months who had undergone DB or selective bundle ACL reconstructions. Of these, 34 cases underwent DB ACL reconstruction (group A), 34 underwent selective AM bundle reconstruction (group B), and 30 underwent selective PL bundle reconstructions (group C). These groups were compared with respect to Lysholm and International Knee Documentation Committee (IKDC) score, side-to-side differences of anterior laxity measured by KT-2000 arthrometer at 30 lbs, and stress radiography and Lachman and pivot shift test results. Pre- and postoperative data were objectively evaluated using a statistical approach. Results: The preoperative anterior instability measured by manual stress radiography at 90° of knee flexion in group A was significantly greater than that in groups B and C (all p
