MOJ Header

Current Issue - March 2023, Volume 17, Issue No. 1

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Comparison of Outcomes Between All-Inside Single-Bundle and Double-Bundle Anterior Cruciate Ligament Reconstruction: A Retrospective Study


  1. Chen G, Wang S. Comparison of single-bundle versus double-bundle anterior cruciate ligament reconstruction after a minimum of 3-year follow-up: a meta-analysis of randomized controlled trials. Int J Clin Exp Med. 2015; 8(9): 14604-14.
  2. Gans I, Retzky JS, Jones LC, Tanaka MJ. Epidemiology of Recurrent Anterior Cruciate Ligament Injuries in National Collegiate Athletic Association Sports: The Injury Surveillance Program, 2004-2014. Orthop J Sports Med. 2018; 6(6):2325967118777823. doi: 10.1177/2325967118777823
  3. Casado M, Seijas R, Perez-Bellmunt A, Navarro R, Ragazzi P, Alvarez P. Epidemiology of Primary Anterior Cruciate Ligament Ruptures in Men and Women. Int J Sports Exerc Med. 2019; 5(1): 114-8. doi: 10.23937/2469-5718/1510114
  4. Sanders TL, Maradit Kremers H, Bryan AJ, Larson DR, Dahm DL, Levy BA, et al. Incidence of Anterior Cruciate Ligament Tears and Reconstruction: A 21-Year Population-Based Study. Am J Sports Med. 2016; 44(6): 1502-7. doi: 10.1177/0363546516629944
  5. Filbay SR, Grindem H. Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture. Best Pract Res Clin Rheumatol. 2019; 33(1): 33-47. doi: 10.1016/j.berh.2019.01.018
  6. Chen K, Zhu W, Zheng Y, Zhang F, Ouyang K, Peng L, et al. A retrospective study to compare the clinical effects of individualized anatomic single- and double-bundle anterior cruciate ligament reconstruction surgery. Sci Rep. 2020; 10: 14712. doi: 10.1038/s41598-020-71721-4
  7. Chen H, Chen B, Tie K, Fu Z, Chen L. Single-bundle versus double-bundle autologous anterior cruciate ligament reconstruction: a meta-analysis of randomized controlled trials at 5-year minimum follow-up. J Orthop Surg Res. 2018; 13(1): 50. doi: 10.1186/s13018-018-0753-x
  8. Connaughton AJ, Geeslin AG, Uggen CW. All-inside ACL reconstruction: How does it compare to standard ACL reconstruction techniques? J Orthop. 2017; 14(2): 241-6. doi: 10.1016/j.jor.2017.03.002
  9. Lubowitz JH, Ahmad CS, Anderson K. All-inside anterior cruciate ligament graft-link technique: second-generation, no-incision anterior cruciate ligament reconstruction. Arthroscopy. 2011; 27(5): 717-27. doi: 10.1016/j.arthro.2011.02.008
  10. Lubowitz JH, Schwartzberg R, Smith P. Randomized controlled trial comparing all-inside anterior cruciate ligament reconstruction technique with anterior cruciate ligament reconstruction with a full tibial tunnel. Arthroscopy. 2013; 29(7): 1195-200. doi: 10.1016/j.arthro.2013.04.009
  11. Benea H, d'Astorg H, Klouche S, Bauer T, Tomoaia G, Hardy P. Pain evaluation after all-inside anterior cruciate ligament reconstruction and short term functional results of a prospective randomized study. Knee. 2014; 21(1): 102-6. doi: 10.1016/j.knee.2013.09.006
  12. Nanjundeswaraswamy TS, Divakar S. Determination of sample size and sampling methods in applied research. Proc Eng Sci. 2021; 3(1): 25-32. doi: 10.24874/PES03.01.003
  13. D’Amato M, Bach Jr BR. Knee Injuries. In: Brotzman BS, Wilk KE, editors. Handbook of Orthopaedic Rehabilitation. 2nd ed. Philadelphia: Mosby, Elsevier; 2007. p 375-546
  14. Fabbriciani C, Milano G, Mulas PD, Ziranu F, Severini G. Anterior cruciate ligament reconstruction with doubled semitendinosus and gracilis tendon graft in rugby players. Knee Surg Sports Traumatol Arthrosc. 2005; 13(1): 2-7. doi: 10.1007/s00167-004-0505-9
  15. Aglietti P, Buzzi R, Zaccherotti G, De Biase P. Patellar tendon versus doubled semitendinosus and gracilis tendons for anterior cruciate ligament reconstruction. Am J Sports Med. 1994; 22(2): 211-7; discussion 217-8. doi: 10.1177/036354659402200210
  16. Torkaman A, Yazdi H, Hosseini MG. The Results of Single Bundle Versus Double Bundle ACL Reconstruction Surgery, a Retrospective Study and Review of Literature. Med Arch. 2016; 70(5): 351-3. doi: 10.5455/medarh.2016.70.351-353
  17. Zhang Z, Gu B, Zhu W, Zhu L. Double-bundle versus single-bundle anterior cruciate ligament reconstructions: a prospective, randomized study with 2-year follow-up. Eur J Orthop Surg Traumatol. 2014; 24(4): 559-65. doi: 10.1007/s00590-013-1221-2
  18. Oh JY, Kim KT, Park YJ, Won HC, Yoo JI, Moon DK, et al. Biomechanical comparison of single-bundle versus double-bundle anterior cruciate ligament reconstruction: a meta-analysis. Knee Surg Relat Res. 2020; 32(1): 14. doi: 10.1186/s43019-020-00033-8
  19. Zamarra G, Fisher MB, Woo SL, Cerulli G. Biomechanical evaluation of using one hamstrings tendon for ACL reconstruction: a human cadaveric study. Knee Surg Sports Traumatol Arthrosc. 2010; 18(1): 11-9. doi: 10.1007/s00167-009-0911-0
  20. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med. 2011; 45(7): 596-606. doi: 10.1136/bjsm.2010.076364
  21. Hensler D, Van Eck CF, Fu FH, Irrgang JJ. Anatomic anterior cruciate ligament reconstruction utilizing the double-bundle technique. J Orthop Sports Phys Ther. 2012; 42(3): 184-95. doi: 10.2519/jospt.2012.3783
  22. Joreitz R, Lynch A, Rabuck S, Lynch B, Davin S, Irrgang J. Patient-Specific and Surgery-Specific Factors that Affect Return to Sport after ACL Reconstruction. Int J Sports Phys Ther. 2016; 11(2): 264-78.
  23. Shelbourne KD, Nitz P. Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med. 1990; 18(3): 292-9. doi: 10.1177/036354659001800313
  24. Yaseen Z, Guenther D, Irarrázaval S, Fu FH. Double-Bundle Anterior Cruciate Ligament Reconstruction. In: Scott WN, editor. 6th ed. Insall and Scott Surgery of the Knee. Philadelphia: Elsevier; 2017. p. 658-64.
  25. Ashraf Y, Senevirathna SR, Ashraf T. Conventional versus 'all-inside' anterior cruciate ligament reconstruction: a randomized controlled trial comparing hamstring strength and functional outcome. Bone Jt Open. 2020; 1(11): 706-8. doi: 10.1302/2633-1462.111.BJO-2020-0012.R1
  26. Blackman AJ, Stuart MJ. All-inside anterior cruciate ligament reconstruction. J Knee Surg. 2014; 27(5): 347-52. doi: 10.1055/s-0034-1381960
  27. Cournapeau J, Klouche S, Hardy P. Material costs of anterior cruciate ligament reconstruction with hamstring tendons by two different techniques. Orthop Traumatol Surg Res. 2013; 99(2): 196-201. doi: 10.1016/j.otsr.2012.10.013
  28. Tajima T, Yamaguchi N, Nagasawa M, Morita Y, Nakamura Y, Chosa E. Early weight-bearing after anterior cruciate ligament reconstruction with hamstring grafts induce femoral bone tunnel enlargement: a prospective clinical and radiographic study. BMC Musculoskelet Disord. 2019; 20(1): 274. doi: 10.1186/s12891-019-2653-6

Abstract   |   Reference

MOJ footer

About Us

The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

Keep in Touch

creative-commons License