A Comparative Study of Arthroscopic ACL Reconstruction Using Single Bundle versus Double Bundle Technique
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 10
Abstract
The present comparative study of arthroscopic ACL Reconstruction using single bundle versus Double bundle technique was performed in the Department of Orthopaedics and Sports Medicine at Kamineni Hospitals, L B Nagar, and Hyderabad between August 2016 to August 2017. A total number of 51 patients were divided into two groups 26 patients underwent single bundle and 25 patients underwent double bundle Arthroscopic ACL reconstruction. The average surgical time was 59.23 ± 14.5 minutes and minutes in single and double bundle ACL reconstruction. Modified Lysholm score for single bundle Arthroscopic ACL reconstruction group (n = 26) preoperatively was 45.38 ± 8.06. And post operatively and at the end of one year was 93.65 ± 2.52 as compard to Double Bundle Arthroscopic ACL reconstruction group (n = 25), which was 45.48 ± 8.21preoperatively. And post operatively at the end of one year was 93.60 ± 2.56 which is statistically not significant. IKDC score for single bundle arthroscopic ACL reconstruction group (n = 26) preoperatively was 40.38 ± 6.95 and post operatively at the end of was 89.93 ± 4.01as compared to IKDC score for double bundle arthroscopic ACL reconstruction group (n = 25) which was preoperatively 52.2 ± 5.18and post operatively at the end of one year was 92.02 ± 3.32 { p value 0.249} which is statistically not significant. Lachman test in the single bundle arthroscopic ACL reconstruction group ( n = 26 ) preoperatively was 2.65 ± 0.48and post operatively at the end of 1 year was 0.35 ± 0.48as compared to double bundle arthroscopic ACL reconstruction group (n = 25 ) which was preoperatively 2.64 ± 0.49and post operatively at the end of one year was 0.52 ± 0.51 which is statistically not significant. Anterior drawer test in Single bundle arthroscopic ACL reconstruction group preoperatively was 2.58 ± 0.50and post operatively at the end of 1 year was 0.46 ± 0.50as compared to double bundle arthroscopic ACL reconstruction group which was preoperatively 2.64 ± 0.49and post operatively at the end of one year was 0.52 ± 0.51{ p value 0.684 } which is statistically not significant. Two patients in the double bundle group had wound healing complications and 17 patients (33%) had hypoaesthesia in the distribution of the infrapatellar branch of saphenous nerve, which was regained over a period of time.
Authors and Affiliations
Dr. Roshan Kumar M, Dr. Sai Phani Chandra Balijepalli, Dr. Sreedhar Rakasi, Dr. Krishna Subramanyam Pannala, Dr. Jayaprasad P
Keywords
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