Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 12 , Pages 1470-1477 , December 2009

Single-Bundle Versus Double-Bundle Posterior Cruciate Ligament Reconstruction

  • Robert B. Kohen, M.D.

      Affiliations

    • Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan, U.S.A.
    • ,
  • Jon K. Sekiya, M.D.

      Affiliations

    • Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan, U.S.A.
    • MedSport, University of Michigan, Ann Arbor, Michigan, U.S.A.
    • Corresponding Author InformationAddress correspondence and reprint requests to Jon K. Sekiya, M.D., MedSport and Department of Orthopaedic Surgery, University of Michigan, 24 Frank Lloyd Wright Dr, PO Box 0391, Ann Arbor, MI 48106-0391, U.S.A.

Received 28 August 2008 ,Accepted 7 November 2008.

References 

  1. Butler DL, Noyes FR, Grood ES. Ligamentous restraints to anterior-posterior drawer in the human knee (A biomechanical study). J Bone Joint Surg Am. 1980;62:259–270
  2. Keller PM, Shelbourne KD, McCarroll JR, Rettig AC. Nonoperatively treated isolated posterior cruciate ligament injuries. Am J Sports Med. 1993;21:132–136
  3. Dejour H, Walch G, Peyrot J, Eberhard P. The natural history of rupture of the posterior cruciate ligament. Rev Chir Orthop Reparatrice Appar Mot. 1988;74:35–43(in French)
  4. Boynton MD, Tietjens BR. Long-term followup of the untreated isolated posterior cruciate ligament-deficient knee. Am J Sports Med. 1996;24:306–310
  5. Clancy WG, Shelbourne KD, Zoellner GB, Keene JS, Reider B, Rosenberg TD. Treatment of knee joint instability secondary to rupture of the posterior cruciate ligament (Report of a new procedure). J Bone Joint Surg Am. 1983;65:310–322
  6. Skyhar MJ, Warren RF, Ortiz GJ, Schwartz E, Otis JC. The effects of sectioning of the posterior cruciate ligament and the posterolateral complex on the articular contact pressures within the knee. J Bone Joint Surg Am. 1993;75:694–699
  7. Zehms CT, Whiddon DR, Miller MD, et al. Comparison of a double bundle arthroscopic inlay and open inlay posterior cruciate ligament reconstruction using clinically relevant tools: A cadaveric study. Arthroscopy. 2008;24:472–480
  8. Weimann A, Wolfert A, Zantop T, Eggers A, Raschke M, Petersen W. Reducing the “killer turn” in posterior cruciate ligament reconstruction by fixation level and smoothing the tibial aperture. Arthroscopy. 2007;23:1104–1111
  9. Edwards A, Bull A, Amis AA. The attachments of the fiber bundles of the posterior cruciate ligament: An anatomic study. Arthroscopy. 2007;23:284–290
  10. Harner CD, Janaushek MA, Kanamori A, Yagi M, Vogrin TM, Woo SL. Biomechanical analysis of a double-bundle posterior cruciate ligament reconstruction. Am J Sports Med. 2000;28:144–151
  11. Race A, Amis AA. PCL reconstruction (In vitro biomechanical comparison of ‘isometric' versus single and double-bundled “anatomic” grafts). J Bone Joint Surg Br. 1998;80:173–179
  12. Girgis FG, Marshall JL, Monajem A. The cruciate ligaments of the knee joint (Anatomical, functional and experimental analysis). Clin Orthop Relat Res. 1975;216–231
  13. Mannor DA, Shearn JT, Grood ES, Noyes FR, Levy MS. Two-bundle posterior cruciate ligament reconstruction (An in vitro analysis of graft placement and tension). Am J Sports Med. 2000;28:833–845
  14. Bergfeld JA, Graham SM, Parker RD, Valdevit AD, Kambic HE. A biomechanical comparison of posterior cruciate ligament reconstructions using single- and double-bundle tibial inlay techniques. Am J Sports Med. 2005;33:976–981
  15. Wiley WB, Askew MJ, Melby A, Noe DA. Kinematics of the posterior cruciate ligament/posterolateral corner-injured knee after reconstruction by single- and double-bundle intra-articular grafts. Am J Sports Med. 2006;34:741–748
  16. Markolf KL, Feeley BT, Jackson SR, McAllister DR. Biomechanical studies of double-bundle posterior cruciate ligament reconstructions. J Bone Joint Surg Am. 2006;88:1788–1794
  17. Apsingi S, Nguyen T, Bull AM, Unwin A, Deehan DJ, Amis AA. The role of PCL reconstruction in knees with combined PCL and posterolateral corner deficiency. Knee Surg Sports Traumatol Arthrosc. 2008;16:104–111
  18. Apsingi S, Nguyen T, Bull AM, Unwin A, Deehan DJ, Amis AA. Control of laxity in knees with combined posterior cruciate ligament and posterolateral corner deficiency: Comparison of single-bundle versus double-bundle posterior cruciate ligament reconstruction combined with modified Larson posterolateral corner reconstruction. Am J Sports Med. 2008;36:487–494
  19. Davies H, Unwin A, Aichroth P. The posterolateral corner of the knee (Anatomy, biomechanics and management of injuries). Injury. 2004;35:68–75
  20. Whiddon DR, Zehms CT, Miller MD, Quinby JS, Montgomery SL, Sekiya JK. Double compared with single-bundle open inlay PCL reconstruction in a cadaver model. J Bone Joint Surg Am. 2008;90:1820–1829
  21. Wang CJ, Weng LH, Hsu CC, Chan YS. Arthroscopic single- versus double-bundle posterior cruciate ligament reconstructions using hamstring autograft. Injury. 2004;35:1293–1299
  22. Houe T, Jorgensen U. Arthroscopic posterior cruciate ligament reconstruction: One- vs. two-tunnel technique. Scand J Med Sci Sports. 2004;14:107–111
  23. Fanelli GC, Edson CJ, Reinheimer KN, Beck J. Arthroscopic single-bundle versus double-bundle posterior cruciate ligament reconstruction (SS-46). Arthroscopy. 2008;24:e26;(abstr)
  24. Ahmad CS, Cohen ZA, Levine WN, Gardner TR, Ateshian GA, Mow VC. Codominance of the individual posterior cruciate ligament bundles (An analysis of bundle lengths and orientation). Am J Sports Med. 2003;31:221–225
  25. MacGillivray JD, Stein BE, Park M, Allen AA, Wickiewicz TL, Warren RF. Comparison of tibial inlay versus transtibial techniques for isolated posterior cruciate ligament reconstruction: Minimum 2-year follow-up. Arthroscopy. 2006;22:320–328
  26. Markolf KL, Feeley BT, Tejwani SG, Martin DE, McAllister DR. Changes in knee laxity and ligament force after sectioning the posteromedial bundle of the posterior cruciate ligament. Arthroscopy. 2006;22:1100–1106
  27. Carson EW, Deng XH, Allen A, Wickiewicz T, Warren RF. Evaluation of in situ graft forces of a 2-bundle tibial inlay posterior cruciate ligament reconstruction at various flexion angles. Arthroscopy. 2007;23:488–495

 J.K.S. has received support exceeding $500 related to this research from Arthrex, Naples, FL.

PII: S0749-8063(08)00884-0

doi: 10.1016/j.arthro.2008.11.006

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 12 , Pages 1470-1477 , December 2009

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