SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Single and double bundle posterior cruciate ligament reconstruction yield comparable clinical and functional outcomes: a systematic review and meta-analysis.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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Who cites it
19 citing papers in PubMed, 20 citations in OpenAlex.
- Outcomes Following Multiligament Knee Injuries: A Systematic Review of Studies With a Minimum 7-Year Follow-up.Orthopaedic journal of sports medicine · 2026Review
- [Progress in prevention and treatment of knee laxity after posterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- A flat posterior cruciate ligament reconstruction restores native knee kinematics, comparable to a double-bundle reconstruction-A biomechanical robotic investigation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Ultrasound-Assisted Anatomic Posterior Cruciate Ligament Reconstruction With Remnant Preservation by Reference to Distal Reflection of the Posterior Capsule and Posterior Septum.Arthroscopy techniques · 2025Article
- Specific fibre areas in the femoral footprint of the posterior cruciate ligament act as a major contributor in resisting posterior tibial displacement: A biomechanical robotic investigation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Double-bundle posterior cruciate ligament reconstruction procedure leads to better restoration of posterior knee laxity in isolated and multiple ligament knee injuries than single-bundle procedure.Journal of experimental orthopaedics · 2025Article
- Interventions for treating posterior cruciate ligament injuries of the knee in adults: A systematic review and meta-analysis protocol.PloS one · 2025Article
- Nonanatomic Posterolateral Tenodesis for Posterior Ligament Reconstruction Augmentation.Arthroscopy techniques · 2025Article
- The central fibre areas in the tibial footprint of the posterior cruciate ligament show the highest contribution to restriction of a posterior drawer force-A biomechanical robotic investigation.Journal of experimental orthopaedics · 2025Article
- Oval Tunnel Shows Better Rotational Stability Than Round Tunnel in Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction: Biomechanical Study in a Porcine Model.Clinics in orthopedic surgery · 2024Article
- Bone Density Distribution Pattern in the Lateral Wall of the Femoral Intercondylar Notch: Implications for the Direct Insertion of the Femoral ACL Attachment.Orthopaedic journal of sports medicine · 2024Article
- Clinical and Functional Results Following Posterior Cruciate Ligament Reconstruction in Young Patients.Cureus · 2024Article
- Altered knee kinematics after posterior cruciate ligament single-bundle reconstruction-a comprehensive prospective biomechanicalFrontiers in bioengineering and biotechnology · 2024Article
- The tibial tunnel drilling angles of 60° provided a lower ultimate load to failure on a single bundle posterior cruciate ligament graft using interference screw fixation compared to 30°/45°.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Safe femoral tunnel drilling angles avoid injury to the medial and posteromedial femoral anatomic structures during single-bundle posterior cruciate ligament reconstruction with the inside-out technique.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Posterior Cruciate Ligament Reconstruction With Quadriceps Tendon-Patellar Bone Autograft.Arthroscopy techniques · 2023Article
- Onlay Technique for Posterior Cruciate Ligament Reconstruction: The Paccola's Technique.Arthroscopy techniques · 2023Article
- Quad Tendon Autograft for Posterior Cruciate Ligament Reconstruction Using Transseptal and Posteromedial Portals.Arthroscopy techniques · 2023Article
- Postless Tape Augmentation for Posterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 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
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo perform a systematic review and compare the functional and objective outcomes after single-bundle (SB) vs. double-bundle (DB) posterior cruciate ligament reconstruction (PCLR). Where possible to pool outcomes and arrive at summary estimates of treatment effect for DB PCLR vs. SB PCLR via an embedded meta-analysis.
methodsA comprehensive PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) literature search identified 13 eligible studies evaluating clinical outcomes of both techniques for PCLR. Clinical outcome measures included in the meta-analysis were functional outcomes (Lysholm Score, Tegner Activity Scale) and objective measurements of posterior laxity of the operated knee (arthrometer and stress radiographs).
resultsThe meta-analysis included 603 patients. Three hundred and fifteen patients were treated with SB and two hundred and eighty-eight patients with DB PCLR. There were no significant differences between SB and DB PCLR in postoperative functional Lysholm Scores (CI [- 0.18, 0.17]), Tegner Activity Scales (CI [- 0.32, 0.12]) and IKDC objective grades (CI [- 0.13, 1.17]). Regarding posterior stability using KT-1000 and Kneelax III arthrometer measurements, there were no differences between the SB and DB group. However, double-bundle reconstruction provided better objective outcome of measurement of posterior laxity (CI [0.02, 0.46]) when measured with Telos stress radiography.
conclusionA systematic review was conducted to identify current best evidence pertaining to DB and SB PCLR. An embedded meta-analysis arrived at similar summary estimates of treatment effect for motion, stability and overall function for both techniques. There is no demonstrable clinically relevant difference between techniques based on the currently available evidence. LEVEL OF EVIDENCE: III.
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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.