Double-Bundle Versus Single-Bundle Anterior Cruciate Ligament (ACL) Reconstruction: A Systematic Review and Meta-Analysis of Knee Stability Outcomes
2024

Comparing Double-Bundle and Single-Bundle ACL Reconstruction Techniques

Sample size: 1125 publication 10 minutes Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Elsenosy Abdelfatah M, Elnewishy Ahmed, Rezk Karim, Delewar Radwa A, Teama Hagar, Abdelfatah Aya M

Primary Institution: University Hospitals Dorset National Health Service (NHS) Foundation Trust

Hypothesis

Does double-bundle ACL reconstruction provide better knee stability and functional outcomes compared to single-bundle techniques?

Conclusion

Both double-bundle and single-bundle ACL reconstruction techniques achieve similar functional outcomes and knee stability.

Supporting Evidence

  • Ten studies met the inclusion criteria for the meta-analysis.
  • Both techniques showed no significant differences in IKDC subjective scores.
  • Moderate heterogeneity was observed across analyses.
  • Further research is needed to verify findings across diverse populations.

Takeaway

Doctors compared two types of knee surgeries for injuries and found that both work about the same, so it depends on the patient's needs.

Methodology

A systematic review and meta-analysis of studies comparing single-bundle and double-bundle ACL reconstruction techniques, analyzing outcomes like IKDC subjective score and Lysholm score.

Potential Biases

Moderate risk of bias in some studies due to confounding and selection issues.

Limitations

Significant heterogeneity in study designs and patient populations may limit the generalizability of the findings.

Participant Demographics

Primarily active individuals aged 14-50 years, many engaged in sports.

Statistical Information

P-Value

0.59

Confidence Interval

95% CI: -0.68 to 0.39

Statistical Significance

p = 0.59

Digital Object Identifier (DOI)

10.7759/cureus.75352

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