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Reconstruction of the anterior cruciate ligament: a clinical comparison of bone-patellar tendon-bone single bundle versus semitendinosus and gracilis double bundle technique

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Abstract

The study hypothesis was that the outcome of semitendinosus gracilis double bundle (STG-DB) anterior cruciate ligament (ACL) reconstruction is advantageous in terms of clinical results and restoration of anterior-posterior and rotational laxity in comparison to bone-patellar tendon-bone single-bundle (PTB-SB) ACL reconstruction. We analysed 41 PTB-SB and 51 STG-DB patients using the Tegner, IKDC and WOMAC scores preoperatively and at a minimum follow-up of two years. At follow-up, there was no significant difference in the clinical scores. The KT 1000 side-to-side measurement showed no significant difference between groups. The STG-DB group was significantly superior in terms of the pivot-shift sign and anterior knee pain. We conclude that the outcome of STG-DB reconstruction in the mid-term was not advantageous in terms of clinical scores and anterior-posterior laxity evaluated by the KT 1000. Nevertheless, the restored rotational laxity measured by the pivot shift test was significantly superior in the STG-DB technique.

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Acknowledgement

The authors want to thank Mrs. Eva Steininger for her kind organisation of the patients' follow-up visits and Mrs. Evi Reisinger for proof reading of this manuscript. The first author (PS) wants to express deep thanks to Professor Dr. Andreas Leithner for his initial guidance in scientific research. Last, we want to thank the institutional board for the funding of this study.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Campus Grosshadern, Ludwig-Maximilians-University Munich, Marchioninistrasse 15, 81377, Munich, Germany

    Patrick Sadoghi, Peter E. Müller & Volkmar Jansson

  2. AUVA Traumacenter Unfallkrankenhaus Linz, Garnisonstrasse 7, 4017, Linz, Austria

    Albert Kröpfl & Martin F. Fischmeister

  3. Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, AUVA Research Center, Austrian Cluster for Tissue Regeneration, Donaueschingenstrasse 13, 1200, Wien, Austria

    Martin van Griensven

Authors
  1. Patrick Sadoghi
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  2. Peter E. Müller
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  3. Volkmar Jansson
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  4. Martin van Griensven
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  5. Albert Kröpfl
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  6. Martin F. Fischmeister
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Correspondence to Patrick Sadoghi.

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Level of evidence: Level II-1

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Sadoghi, P., Müller, P.E., Jansson, V. et al. Reconstruction of the anterior cruciate ligament: a clinical comparison of bone-patellar tendon-bone single bundle versus semitendinosus and gracilis double bundle technique. International Orthopaedics (SICOT) 35, 127–133 (2011). https://doi.org/10.1007/s00264-010-1037-1

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  • DOI: https://doi.org/10.1007/s00264-010-1037-1

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