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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

A prospective comparison of double- and single-bundle anterior cruciate ligament reconstructions

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Department of Orthopedics and Traumatology
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Department of Anesthesiology, Kaunas University of Medicine, Lithuania
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Author to whom correspondence should be addressed.
Medicina 2008, 44(2), 110; https://doi.org/10.3390/medicina44020014
Received: 31 August 2007 / Accepted: 11 January 2008 / Published: 16 January 2008
Objective. A nonrandomized clinical study was performed to compare the clinical and radiological outcome between double-bundle and single-bundle anterior cruciate ligament (ACL) reconstructions with semitendinosus tendon in athletes.
Material and methods
. We examined 70 patients with unilateral anterior cruciate ligament injury. They were followed up for a mean of 24 months. Each group of 35 patients underwent either double- or singlebundle ACL reconstruction. The mean age of the patients was 24.7 years (range, 18–35 years). There were no differences between two groups regarding age at surgery, sex, follow-up period, period before surgery, combined meniscus injuries, athletic activity level, and International Knee Documentation Committee (IKDC) and Tegner scores. All patients followed the same postoperative program. They were evaluated using manual knee laxity tests, knee extension and flexion strength testing. General knee condition was evaluated by the IKDC and Tegner scores.
Results
. The results were excellent and good in 32 (91.4%) patients after double-bundle ACL reconstruction and in 30 (85.7%) patients after single-bundle ACL reconstruction, evaluating by IKDC system. However, statistical analysis showed no significant difference between the two groups regarding all IKDC-categorized data (P=0.87). The average scores of Tegner activity in double-bundle and single-bundle groups were 8.0 and 8.1, respectively.
Conclusions. This trial showed no significant difference between the double and single-bundle ACL repairs.
Keywords: anterior cruciate ligament; sports injuries; single-bundle reconstruction; double-bundle technique anterior cruciate ligament; sports injuries; single-bundle reconstruction; double-bundle technique
MDPI and ACS Style

Gudas, R.; Smailys, A.; Vostrugina, K.; Tamoðiûnas, R.; Simonaitis, D.; Kalesinskas, R.J. A prospective comparison of double- and single-bundle anterior cruciate ligament reconstructions. Medicina 2008, 44, 110.

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