Abstract：
BACKGROUND:Single bundle anterior cruciate ligament (ACL) reconstruction has been the current standard of treatment for ACL deficiency. However, a significant subset of patients continue to report residual symptoms of instability with a poor pivot control. Cadaveric biomechanical studies have shown double bundle (DB) ACL reconstructions to restore the knee kinematics better. This study evaluates the outcome of DB ACL reconstruction. MATERIALS AND METHODS:30 consecutive patients who underwent anatomic DB ACL reconstruction were included in this prospective longitudinal study. There were all males with a mean age of 25 ± 7.45 years. All patients were prospectively evaluated using GeNouRoB (GNRB) arthrometer, functional knee scores (International Knee Documentation Committee [IKDC] and Lysholm) and postoperative magnetic resonance imaging (MRI) for comparing the graft orientation and footprint of the reconstructed ACL with that of the normal knee. RESULTS:The average followup was 36.2 months. At the time of final followup the mean Lysholm score was 93.13 ± 3.31. As per the objective IKDC score, 26 patients (86.6%) were in Group A while 4 patients (13.3%) were in Group B. The mean differential anterior tibial translation by GNRB, arthrometer was 1.07 ± 0.8 mm (range 0.1-2.3 mm). All cases had a negative pivot shift test. MRI scans of operated and the contralateral normal knee showed the mean sagittal ACL tibial angle coronal ACL tibial angle and tibial ACL footprint to be in accordance with the values of the contralateral, normal knee. CONCLUSION:The study demonstrates that DB ACL reconstruction restores the ACL anatomically in terms of size and angle of orientation. However, long term studies are needed to further substantiate its role in decreasing the incidence of early osteoarthritic changes compared to the conventional single bundle reconstructions.
journal_name
Indian J Orthopjournal_title
Indian journal of orthopaedicsauthors
Devgan A,Singh A,Gogna P,Singla R,Magu NK,Mukhopadhyay Rdoi
10.4103/0019-5413.152406subject
Has Abstractpub_date
2015-03-01 00:00:00pages
136-42issue
2eissn
0019-5413issn
1998-3727pii
IJOrtho-49-136journal_volume
49pub_type
杂志文章abstract：Background:In spite of frequent injuries to the acromioclavicular (AC) joint, there is no consensus regarding optimal technique to be used. This cohort study evaluated the clinical results of a modified Weaver-Dunn procedure with or without chip bone graft for the treatment of AC joint separation retrospectively. Mate...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/ortho.IJOrtho_394_17
更新日期：2019-01-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
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更新日期：2011-07-01 00:00:00
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journal_title：Indian journal of orthopaedics
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journal_title：Indian journal of orthopaedics
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更新日期：2007-10-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 已发布勘误
doi：10.4103/0019-5413.181808
更新日期：2016-05-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.106918
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.96369
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journal_title：Indian journal of orthopaedics
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doi：10.4103/0019-5413.38576
更新日期：2008-01-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
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更新日期：2020-04-30 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/ortho.IJOrtho_92_19
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
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更新日期：2017-03-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.101031
更新日期：2012-09-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.61997
更新日期：2010-04-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.49388
更新日期：2009-07-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/ortho.IJOrtho_245_17
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.128762
更新日期：2014-03-01 00:00:00
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journal_title：Indian journal of orthopaedics
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更新日期：2013-07-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
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更新日期：2016-05-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
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更新日期：2013-05-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.143916
更新日期：2015-01-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
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更新日期：2016-09-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
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更新日期：2011-01-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
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更新日期：2013-11-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
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更新日期：2010-04-01 00:00:00
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journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.125487
更新日期：2014-01-01 00:00:00
