Comparison of mid-term efficacy between anatomical single-bundle preservation reconstruction and anatomical double-bundle reconstruction for anterior cruciate ligament injury
Comparison of mid-term efficacy between anatomical single-bundle preservation reconstruction and anatomical double-bundle reconstruction for anterior cruciate ligament injury
Objective To compare the mid-term efficacy of anatomical single-bundle preservation reconstruction and anatomical double-bundle reconstruction for anterior cruciate ligament(ACL)injury.Methods A total of 200 patients with ACL admitted in Shanghai Sixth People's Hospital,Shanghai First People's Hospital,Ruijin Hospital,Xinhua Hospital and the Eastern Hospital from January 2021 to April 2022 were enrolled in the study.Among them,100 patients underwent preservation single-bundle reconstruction and 100 patients underwent anatomical double-bundle reconstruction.Preoperative and postoperative knee joint function evaluations were performed,and all patients were followed up for one year.Results There were no statistically significant differences in Lysholm scores and International Knee Documentation Committee(IKDC)scores between the preservation single-bundle group and the anatomical double-bundle group at 1 year postoperatively.Compared to single-bundle group,the anatomical double-bundle group had a higher proportion of patients having recovery in competitive sport activities after surgery(P=0.041).Conclusion The difference in postoperative recovery of daily life activities is not significant between anatomical single-bundle preservation reconstruction and anatomical double-bundle reconstruction for ACL injury.However,anatomical double-bundle reconstruction has certain advantages in recovery of performing intense competitive sport activities.
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