Double-bundle ACL surgery lead to fewer graft ruptures than single-bundle surgeries .
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Double-bundle versus single-bundle anterior cruciate ligament reconstruction: a prospective randomized study with 5-year results
Am J Sports Med. 2012 Jul;40(7):1511-8. doi: 10.1177/0363546512448177. Epub 2012 Jun 1190 patients were randomized to examine which method of ACL reconstruction, double or single bundle, is the most suitable in treating ACL ruptures. Patients received either double-bundle ACL reconstruction with bioabsorbable screw fixation, or single-bundle ACL reconstruction with bioabsorbable screw fixation, or single-bundle ACL reconstruction with metallic screw fixation. At the 5-year follow up, the double-bundle surgery resulted in significantly fewer graft failures and subsequent revision ACL surgery than the single-bundle surgeries; however, knee stability and osteoarthritis (OA) rates were similar at this time.
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