{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:15:47Z","timestamp":1777389347375,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2013,8,6]],"date-time":"2013-08-06T00:00:00Z","timestamp":1375747200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The aim of the study was to compare the results after arthroscopic anterior cruciate ligament (ACL) reconstruction using either the double-bundle or single-bundle technique with hamstring tendon autografts in an unselected group of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>Double-bundle ACL reconstruction will render a better outcome on the pivot-shift test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Randomized controlled trial; Level of evidence, 1.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A randomized series of 103 patients (33 women, 70 men; median age, 27 years; range, 18-52 years) with a unilateral ACL rupture underwent anatomic ACL reconstruction. The double-bundle technique was used in 53 patients, and the single-bundle technique was used in 50 patients. The ACL footprint was visualized, and the femoral tunnel was drilled through the anteromedial portal; interference screw fixation was used at both ends. The patients were examined preoperatively and at a median of 26 months (range, 22-42 months) after the reconstruction by a blinded observer. The primary variable was the pivot-shift test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At 2-year follow-up, 98 patients (93%) were examined. Clinical assessments at follow-up revealed no significant differences between the double-bundle and single-bundle groups in terms of the pivot-shift test, KT-1000 arthrometer laxity measurements, manual Lachman test, range of motion, Lysholm knee scoring scale, Tegner activity scale, Knee Injury and Osteoarthritis and Outcome Score (KOOS), 1-legged hop test, and square hop test. A significant improvement was seen in both groups compared with the preoperative values in terms of most clinical assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this prospective randomized study, the primary variable, the pivot-shift test, and other subjective and objective outcome variables revealed no significant differences between the double-bundle and single-bundle techniques at 2 years after ACL reconstruction in an unselected group of patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546513497926","type":"journal-article","created":{"date-parts":[[2013,8,6]],"date-time":"2013-08-06T21:05:50Z","timestamp":1375823150000},"page":"2484-2491","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":64,"title":["A Prospective Randomized Study Comparing Double- and Single-Bundle Techniques for Anterior Cruciate Ligament Reconstruction"],"prefix":"10.1177","volume":"41","author":[{"given":"Mattias","family":"Ahld\u00e9n","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Sahlgrenska University Hospital\/M\u00f6lndal, Sahlgrenska Academy, University of Gothenburg, M\u00f6lndal,\rSweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ninni","family":"Sernert","sequence":"additional","affiliation":[{"name":"Department of Research and Development, NU Hospital Group, Trollh\u00e4ttan\/Uddevalla, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f3n","family":"Karlsson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sahlgrenska University Hospital\/M\u00f6lndal, Sahlgrenska Academy, University of Gothenburg, M\u00f6lndal,\rSweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcri","family":"Kartus","sequence":"additional","affiliation":[{"name":"Department of Research and Development, NU Hospital Group, Trollh\u00e4ttan\/Uddevalla, Sweden"},{"name":"Department of Orthopaedics, NU Hospital Group, Trollh\u00e4ttan\/Uddevalla, 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