ReviewKnee surgery & related research2020
Biomechanical comparison of single-bundle versus double-bundle anterior cruciate ligament reconstruction: a meta-analysis.
Review in Knee surgery & related research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Subjective assessment reported by patients shows differences between single-bundle and double-bundle anterior cruciate ligament reconstruction, systematic review and meta-analysis.Scientific reports · 2021Pooled it
- Association of Lateral Extra-Articular Tenodesis With Graft Failure and Return to Sport in Pivoting Athletes: A Multicenter Comparative Study of Augmented and Isolated ACL Reconstructions.Orthopaedic journal of sports medicine · 2026Article
- Arthrokinematic Analysis of High-Impact and Large-Rotation Activities at 1 to 2 Years After Anterior Cruciate Ligament Reconstruction and Meniscal Surgery.Orthopaedic journal of sports medicine · 2026Article
- Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With Two 4-Strand Hamstring Tendon Autografts With All-Suspensory Fixation Devices.Arthroscopy techniques · 2025Article
- Functional Double-Bundle Anterior Cruciate Ligament Reconstruction Through a Single Bone Tunnel Using Hamstring Tendon Autografts With Preserved Insertions.Arthroscopy techniques · 2025Article
- Review
- Age under 20 years, pre-operative participation in pivoting sports, and steep posterior tibial slope of more than 12° are risk factors for graft failure after double-bundle anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2024Article
- Anatomic Double-Bundle Transtibial Anterior Cruciate Ligament Reconstruction With Ligament Advanced Reinforcement System.Arthroscopy techniques · 2024Article
- Double-bundle ACL combined with ALL reconstruction for patients at high risk of ACL failure: clinical and radiological results.BMC musculoskeletal disorders · 2024Article
- Return to Sports After Anterior Cruciate Ligament Reconstruction.The Permanente journal · 2024Review
- Correlation between higher lateral tibial slope and inferior long term subjective outcomes following single bundle anterior cruciate ligament reconstruction.Journal of orthopaedic surgery and research · 2024Article
- Graft Suturing Method Affects on Graft Diameter in Hamstring-Based Anterior Cruciate Ligament Reconstruction.Cureus · 2024Article
- The increased lateral tibial slope may result in inferior long-term clinical outcome after DB-ACL reconstruction.Archives of orthopaedic and trauma surgery · 2024Article
- Can patient anthropometry predict the anterior cruciate ligament footprint dimensions? - An MRI-based observational study on north Indian population.Journal of clinical orthopaedics and trauma · 2024Article
- Trends of Publications on Single- and Double-Bundle ACL Reconstructions over the Last 20 Years: A Bibliometric Analysis of the PubMed Literature.Indian journal of orthopaedics · 2023Article
- Reconstruction of the anterior cruciate ligament: a historical view.Annals of translational medicine · 2023Review
- Influence of knee flexion angle on graft bending angle during anterior cruciate ligament reconstruction using the transportal technique.Scientific reports · 2023Article
- Meniscal resection increases the risk of residual knee laxity even in patients undergoing anatomic double-bundle anterior cruciate ligament reconstruction with eight strands of hamstring autografts.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The proximal posterior cartilage of the lateral femoral condyle can be used as a reference for positioning the femoral tunnel in ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Review
- Comparison of Outcomes Between All-Inside Single-Bundle and Double-Bundle Anterior Cruciate Ligament Reconstruction: A Retrospective Study.Malaysian orthopaedic journal · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOf the many issues regarding surgical techniques related to anterior cruciate ligament reconstruction (ACLR), single-bundle (SB) or double-bundle (DB) ACLR is one of the most debated topics. However, it is unclear which of the techniques yields better outcomes after ACLR for ACL injury. The purpose of this meta-analysis was to compare the benefits of SB versus DB ACLR in terms of biomechanical outcomes.
methodsThe electronic databases MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, Web of Science, and Scopus were searched for relevant articles comparing the outcomes of SB-ACLR versus DB-ACLR that were published until November 2019.
resultsSeventeen biomechanical studies were included. The anterior laxity measured using the anterior drawer test showed significantly better results in DB-ACLR when compared with SB-ACLR. In addition, outcomes of the anterior tibial translation test under a simulated pivot shift presented with better results at low flexion and 30° in DB-ACLR, compared with SB-ACLR. However, there were no significant biomechanical differences between the groups in internal rotation.
conclusionsThe present study demonstrated that both techniques for ACLR are associated with restoration of normal knee kinematics. DB-ACLR is superior to SB-ACLR in terms of restoration of anteroposterior stability. However, which technique yields better improvement in internal rotation laxity, and internal rotation laxity under a simulated pivot shift at a specific angle, remains unclear. LEVEL OF EVIDENCE: This is a level II meta-analysis.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.