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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2016

Open Access 01-12-2016 | Research article

A systematic review of double-bundle versus single-bundle posterior cruciate ligament reconstruction

Authors: Yan-Song Qi, Hai-Jun Wang, Shao-Jie Wang, Zheng-Zheng Zhang, Ai-Bing Huang, Jia-Kuo Yu

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

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Abstract

Background

Posterior Cruciate Ligament (PCL) ruptures are common sports injuries. One of the key controversies in PCL reconstruction is whether double-bundle reconstruction provides biomechanical and clinical outcomes superior to single-bundle reconstruction.

Methods

We performed a comprehensive search in multiple databases to evaluate the advantages of single-bundle or double bundle reconstructions in anteroposterior stability, graft tension, rotational stability, and functional outcome.

Results

Biomechanical comparisons evaluating anteroposterior stability described either no difference or increased stability in double-bundle reconstructions. Comparing these results is complicated by different graft choices, tensioning techniques, and tunnel positions. Biomechanical studies of graft tension demonstrated conflicting results regarding the optimal reconstruction technique. Seven retrospective clinical studies of single- and double-bundle reconstructions with methodological limitations reported no difference in clinical outcome.

Conclusions

The superiority of single-bundle or double-bundle posterior cruciate ligament reconstruction remains uncertain.
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Metadata
Title
A systematic review of double-bundle versus single-bundle posterior cruciate ligament reconstruction
Authors
Yan-Song Qi
Hai-Jun Wang
Shao-Jie Wang
Zheng-Zheng Zhang
Ai-Bing Huang
Jia-Kuo Yu
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-016-0896-z

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