Pain Following Single-bundle versus Double-bundle Anterior Cruciate Ligament Reconstruction: A Systematic Review

Ludwig A. P. Pontoh; H. Dilogo Ismail; Jessica Fiolin; Oliver Emmanuel Yausep

doi:10.3889/oamjms.2021.5995

Authors

Ludwig A. P. Pontoh Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Fatmawati General Hospital, Jakarta, Indonesia
H. Dilogo Ismail Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Jessica Fiolin Jakarta Knee Orthopaedic Sports Center, Pondok Indah Hospital, Jakarta, Indonesia
Oliver Emmanuel Yausep Medical Student, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia https://orcid.org/0000-0002-8330-7643

DOI:

https://doi.org/10.3889/oamjms.2021.5995

Keywords:

Anterior cruciate ligament, Reconstruction, Single bundle, Double bundle, Pain

Abstract

BACKGROUND: Double-bundle (DB) anterior cruciate ligament reconstruction (ACLR) has been known to result in better functional outcomes, joint stability, and lower revision rates compared to single-bundle (SB) ACLR. However, given the increased invasiveness and damage to the surrounding tissue area, it is proposed that it may be associated with increased pain.

AIM: This review aims to gather all studies and literature that reported pain as an outcome when comparing SB versus DB ACLR.

METHODS: Literature searching was conducted across seven search engines for studies reporting pain as an outcome and comparing SB versus DB ACLR.

RESULTS: Eight studies met the eligibility criteria and were included in the study. Overall, the studies show variable findings regarding pain in DB compared to SB ACLR, with the only statistically significant results from two studies indicating that DB ACLR is associated with more pain than SB ACLR.

CONCLUSION: Based on the limited evidence available, no conclusions can be made regarding the pain experienced between people receiving either procedure. This constitutes a need for additional studies with increased follow-up time periods, larger sample size, and better study design.

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