ACL HAMSTRINGS RECONSTRUCTION WITH SINGLE BUNDLE PLUS LATERAL AUGMENTATION VERSUS DOUBLE BUNDLE: PROSPECTIVE, RANDOMIZED, COMPARATIVE STUDY WITH 3 YEARS FOLLOW-UP

Abstract

Purpose: Functional, radiological and instrumental comparison between ACL reconstruction with Single Bundle plus lateral augmentation (SB) versus Double Bundle technique (DB).

Materials and methods: Random choice of 70 patients operated by the same equipe for ACL reconstruction with autologous hamstrings, 35 with SB+lateral augmentation and 35 with DB technique.

Investigation based on: Sport activity recover; IKDC; KT2000; isokinetical tests; muscular throphysm recover; Tegner and Lyshom score; Activity Rating Scale (ARS); Psychovitality Questionnaire; radio graphical evaluation in AP, LL and Rosemberg.

Results: IKDC results superior for DB group, with no bad results and superposable ROM for both groups. Sport activity recover in 100% patients of DB group, with reduced time respect to SB group. Excellent and superposable results for both groups at KT2000. Better muscular throphysm and isocinetic tests results for DB group. Ahlback score same to pre-op in both groups. ARS and Psychovitality questionnaire results better for DB group.

Discussion: Both surgical techniques guarantee excellent results.

DB technique allows a faster sport activity and muscular throphysm recover and better results in the isoci-netical tests.