ST/G ACL reconstruction: double strand plus extra-articular sling vs double bundle, randomized study at 3-year follow-up
Several investigators have reported the presence of biomechanical, kinematic, anatomic, fiber orientation patterns and biological differences between the anteromedial bundle and the posterolateral bundle of ACL. The purpose of this prospective randomized study was to compare the clinical, instrument...
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| Veröffentlicht in: | Scandinavian journal of medicine & science in sports 2008-10, Vol.18 (5), p.573-581 |
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| container_title | Scandinavian journal of medicine & science in sports |
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| creator | Zaffagnini, S. Bruni, D. Russo, A. Takazawa, Y. Lo Presti, M. Giordano, G. Marcacci, M. |
| description | Several investigators have reported the presence of biomechanical, kinematic, anatomic, fiber orientation patterns and biological differences between the anteromedial bundle and the posterolateral bundle of ACL. The purpose of this prospective randomized study was to compare the clinical, instrumental and X‐ray outcome of two ACL reconstruction techniques with hamstring tendons: one with a single intra‐articular bundle associated to an extra‐articular sling, the second with a more anatomic double‐bundle technique that reproduces better the native ACL function. From an initial group of 100 patients who underwent ACL reconstruction, 72 patients (35 single bundle plus lateral plasty and 37 double bundle) were evaluated with IKDC, Tegner score, KT2000 arthrometer, Activity Rating Scale, Psychovitality Questionnaire and Ahlback radiographic score at a mean 3 years follow‐up. Double‐bundle group showed significantly better results regarding IKDC, ROM, Activity Rating Scale and time to return to sport. Also KT 2000 showed significant differences in objective stability. The double‐bundle technique for ACL reconstruction described in this paper has demonstrated significantly better subjective, objective and functional results compared with a double‐stranded hamstrings plus extra‐articular sling at a minimum 3‐year follow‐up. |
| doi_str_mv | 10.1111/j.1600-0838.2007.00697.x |
| format | Article |
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The purpose of this prospective randomized study was to compare the clinical, instrumental and X‐ray outcome of two ACL reconstruction techniques with hamstring tendons: one with a single intra‐articular bundle associated to an extra‐articular sling, the second with a more anatomic double‐bundle technique that reproduces better the native ACL function. From an initial group of 100 patients who underwent ACL reconstruction, 72 patients (35 single bundle plus lateral plasty and 37 double bundle) were evaluated with IKDC, Tegner score, KT2000 arthrometer, Activity Rating Scale, Psychovitality Questionnaire and Ahlback radiographic score at a mean 3 years follow‐up. Double‐bundle group showed significantly better results regarding IKDC, ROM, Activity Rating Scale and time to return to sport. Also KT 2000 showed significant differences in objective stability. The double‐bundle technique for ACL reconstruction described in this paper has demonstrated significantly better subjective, objective and functional results compared with a double‐stranded hamstrings plus extra‐articular sling at a minimum 3‐year follow‐up.</description><identifier>ISSN: 0905-7188</identifier><identifier>EISSN: 1600-0838</identifier><identifier>DOI: 10.1111/j.1600-0838.2007.00697.x</identifier><identifier>PMID: 18208432</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>ACL reconstruction ; Adult ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; arthroscopy ; Clinical outcomes ; Clinical trials ; comparative study ; double bundle ; Female ; Humans ; Knee Injuries - surgery ; Knee Joint - physiopathology ; Male ; Middle Aged ; Orthopedic Procedures - methods ; Prospective Studies ; Range of Motion, Articular ; Reconstructive Surgical Procedures - methods ; Sports medicine ; Surgery ; surgical technique ; Suture Techniques ; Tendons ; Tendons - transplantation ; Treatment Outcome ; Young Adult</subject><ispartof>Scandinavian journal of medicine & science in sports, 2008-10, Vol.18 (5), p.573-581</ispartof><rights>Copyright © 2007 The Authors. Journal compilation © 2007 Blackwell Munksgaard</rights><rights>Journal compilation © 2008 Blackwell Munksgaard</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4977-cf5aeef55d703fa3b4daec4edc9cf4da11d3987adea77deeeb2ccb52d8dea97d3</citedby><cites>FETCH-LOGICAL-c4977-cf5aeef55d703fa3b4daec4edc9cf4da11d3987adea77deeeb2ccb52d8dea97d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0838.2007.00697.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0838.2007.00697.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18208432$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zaffagnini, S.</creatorcontrib><creatorcontrib>Bruni, D.</creatorcontrib><creatorcontrib>Russo, A.</creatorcontrib><creatorcontrib>Takazawa, Y.</creatorcontrib><creatorcontrib>Lo Presti, M.</creatorcontrib><creatorcontrib>Giordano, G.</creatorcontrib><creatorcontrib>Marcacci, M.</creatorcontrib><title>ST/G ACL reconstruction: double strand plus extra-articular sling vs double bundle, randomized study at 3-year follow-up</title><title>Scandinavian journal of medicine & science in sports</title><addtitle>Scand J Med Sci Sports</addtitle><description>Several investigators have reported the presence of biomechanical, kinematic, anatomic, fiber orientation patterns and biological differences between the anteromedial bundle and the posterolateral bundle of ACL. The purpose of this prospective randomized study was to compare the clinical, instrumental and X‐ray outcome of two ACL reconstruction techniques with hamstring tendons: one with a single intra‐articular bundle associated to an extra‐articular sling, the second with a more anatomic double‐bundle technique that reproduces better the native ACL function. From an initial group of 100 patients who underwent ACL reconstruction, 72 patients (35 single bundle plus lateral plasty and 37 double bundle) were evaluated with IKDC, Tegner score, KT2000 arthrometer, Activity Rating Scale, Psychovitality Questionnaire and Ahlback radiographic score at a mean 3 years follow‐up. Double‐bundle group showed significantly better results regarding IKDC, ROM, Activity Rating Scale and time to return to sport. Also KT 2000 showed significant differences in objective stability. The double‐bundle technique for ACL reconstruction described in this paper has demonstrated significantly better subjective, objective and functional results compared with a double‐stranded hamstrings plus extra‐articular sling at a minimum 3‐year follow‐up.</description><subject>ACL reconstruction</subject><subject>Adult</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>arthroscopy</subject><subject>Clinical outcomes</subject><subject>Clinical trials</subject><subject>comparative study</subject><subject>double bundle</subject><subject>Female</subject><subject>Humans</subject><subject>Knee Injuries - surgery</subject><subject>Knee Joint - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedic Procedures - methods</subject><subject>Prospective Studies</subject><subject>Range of Motion, Articular</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Sports medicine</subject><subject>Surgery</subject><subject>surgical technique</subject><subject>Suture Techniques</subject><subject>Tendons</subject><subject>Tendons - transplantation</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0905-7188</issn><issn>1600-0838</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU9v0zAYhy0EYt3GV0AWB04ks_PPDuIyVVDQOpjUIrhZjv0GpbhxZ8cs3afHWcuQOOGL7dfP85OlH0KYkpTGdbFJaUVIQnjO04wQlhJS1Swdn6DZ48NTNCM1KRNGOT9Bp95vCKGsLsrn6ITyjPAiz2ZoXK0vFvhyvsQOlO394IIaOtu_xdqGxgCOE9lrvDPBYxjjJZFu6FQw0mFvuv4H_uX_sE3otYE3eDLstrsHHfWg91gOOE_2EJXWGmPvkrA7R89aaTy8OO5n6OuH9-v5x2T5ZfFpfrlMVFEzlqi2lABtWWpG8lbmTaElqAK0qlUbz5TqvOZMapCMaQBoMqWaMtM8Tmqm8zP0-pC7c_Y2gB_EtvMKjJE92OBFVTEaE0gEX_0DbmxwffybyGhBypJlVYT4AVLOeu-gFTvXbaXbC0rEVI3YiKkBMTUgpmrEQzVijOrLY35otqD_iscuIvDuANx1Bvb_HSxW16t4iHpy0Ds_wPioS_dTVCxnpfj2eSG-36yvr9aLTKzy30XPrwA</recordid><startdate>200810</startdate><enddate>200810</enddate><creator>Zaffagnini, S.</creator><creator>Bruni, D.</creator><creator>Russo, A.</creator><creator>Takazawa, Y.</creator><creator>Lo Presti, M.</creator><creator>Giordano, G.</creator><creator>Marcacci, M.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200810</creationdate><title>ST/G ACL reconstruction: double strand plus extra-articular sling vs double bundle, randomized study at 3-year follow-up</title><author>Zaffagnini, S. ; Bruni, D. ; Russo, A. ; Takazawa, Y. ; Lo Presti, M. ; Giordano, G. ; Marcacci, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4977-cf5aeef55d703fa3b4daec4edc9cf4da11d3987adea77deeeb2ccb52d8dea97d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>ACL reconstruction</topic><topic>Adult</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>arthroscopy</topic><topic>Clinical outcomes</topic><topic>Clinical trials</topic><topic>comparative study</topic><topic>double bundle</topic><topic>Female</topic><topic>Humans</topic><topic>Knee Injuries - surgery</topic><topic>Knee Joint - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedic Procedures - methods</topic><topic>Prospective Studies</topic><topic>Range of Motion, Articular</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Sports medicine</topic><topic>Surgery</topic><topic>surgical technique</topic><topic>Suture Techniques</topic><topic>Tendons</topic><topic>Tendons - transplantation</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zaffagnini, S.</creatorcontrib><creatorcontrib>Bruni, D.</creatorcontrib><creatorcontrib>Russo, A.</creatorcontrib><creatorcontrib>Takazawa, Y.</creatorcontrib><creatorcontrib>Lo Presti, M.</creatorcontrib><creatorcontrib>Giordano, G.</creatorcontrib><creatorcontrib>Marcacci, M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of medicine & science in sports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zaffagnini, S.</au><au>Bruni, D.</au><au>Russo, A.</au><au>Takazawa, Y.</au><au>Lo Presti, M.</au><au>Giordano, G.</au><au>Marcacci, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ST/G ACL reconstruction: double strand plus extra-articular sling vs double bundle, randomized study at 3-year follow-up</atitle><jtitle>Scandinavian journal of medicine & science in sports</jtitle><addtitle>Scand J Med Sci Sports</addtitle><date>2008-10</date><risdate>2008</risdate><volume>18</volume><issue>5</issue><spage>573</spage><epage>581</epage><pages>573-581</pages><issn>0905-7188</issn><eissn>1600-0838</eissn><abstract>Several investigators have reported the presence of biomechanical, kinematic, anatomic, fiber orientation patterns and biological differences between the anteromedial bundle and the posterolateral bundle of ACL. The purpose of this prospective randomized study was to compare the clinical, instrumental and X‐ray outcome of two ACL reconstruction techniques with hamstring tendons: one with a single intra‐articular bundle associated to an extra‐articular sling, the second with a more anatomic double‐bundle technique that reproduces better the native ACL function. From an initial group of 100 patients who underwent ACL reconstruction, 72 patients (35 single bundle plus lateral plasty and 37 double bundle) were evaluated with IKDC, Tegner score, KT2000 arthrometer, Activity Rating Scale, Psychovitality Questionnaire and Ahlback radiographic score at a mean 3 years follow‐up. Double‐bundle group showed significantly better results regarding IKDC, ROM, Activity Rating Scale and time to return to sport. Also KT 2000 showed significant differences in objective stability. 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| ispartof | Scandinavian journal of medicine & science in sports, 2008-10, Vol.18 (5), p.573-581 |
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| subjects | ACL reconstruction Adult Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries arthroscopy Clinical outcomes Clinical trials comparative study double bundle Female Humans Knee Injuries - surgery Knee Joint - physiopathology Male Middle Aged Orthopedic Procedures - methods Prospective Studies Range of Motion, Articular Reconstructive Surgical Procedures - methods Sports medicine Surgery surgical technique Suture Techniques Tendons Tendons - transplantation Treatment Outcome Young Adult |
| title | ST/G ACL reconstruction: double strand plus extra-articular sling vs double bundle, randomized study at 3-year follow-up |
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