Published recently in The Journal of Bone and Joint Surgery – British Volume (JBJS-Br) is an annotation discussing the evidence for and against double-bundle arthroscopic reconstruction of the anterior cruciate ligament which will no doubt court controversy.
The researchers claim that ‘despite the enthusiasm of surgeons for the double-bundle technique, reconstruction with a single-bundle should remain the standard method for managing deficiency of the anterior cruciate ligament’. This is because the supposed advantages of double-bundle are yet to be confirmed.
The annotation weighed up the evidence for both methods and found that there is none ‘to show that fully anatomical double-bundle reconstruction of the ACL results in a better functional outcome’. The annotations authors therefore claim that single-bundle ‘should not be abandoned until stronger scientific evidence in favour of double-bundle reconstruction can be produced’.
However, a further opinion on the article by a respected orthpaedic surgeon, published today, shows how controversial the annotation will be, especially among practitioners of double-bundle:
‘I am not sure that the conclusions they [the annotations authors] present can be supported. They rightly concluded that the literature shows that there has been no clinical advantage of the DB over the SB technique. They do no state, however, nor does the literature show that DB is any worse than SB’.
Read the annotation
Read the further opinion
The Journal of Bone and Joint Surgery – British Volume is a world leading orthopaedics journal with an Impact Factor of 1.868. JBJS-Br publishes twelve issues a year of high-quality, peer-reviewed research, overseen by an international editorial board led by Editor James Scott.
The Journal was first published in 1948 by The British Editorial Society of Bone and Joint Surgery, a registered charity (No. 209299), with the object of the advancement and improvement of education in orthopaedic surgery and allied branches of surgery and the diffusion of knowledge of new and improved methods of teaching and practicing orthopaedic surgery in all its branches.
The Journal of Bone and Joint Surgery – British Volume