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

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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References

Sanders TL, Kremers HM, Bryan AJ, Larson DR, Dahm DL, Levy BA, et al. Incidence of anterior cruciate ligament tears and reconstruction: A 21-year population-based study. Am J Sports Med. 2016;44(6):1502-7. https://doi.org/10.1177/0363546516629944 PMid:26920430 DOI: https://doi.org/10.1177/0363546516629944

Woo SL, Wu C, Dede O, Vercillo F, Noorani S. Biomechanics and anterior cruciate ligament reconstruction. J Orthop Surg. 2006;1:2. https://doi.org/10.1186/1749-799x-1-2 PMid:1715012 DOI: https://doi.org/10.1186/1749-799X-1-2

Woo SL, Kanamori A, Zeminski J, Yagi M, Papageorgiou C, Fu FH. The effectiveness of reconstruction of the anterior cruciate ligament with hamstrings and patellar tendon. A cadaveric study comparing anterior tibial and rotational loads. J Bone Joint Surg Am. 2002;84(6):907-14. https://doi.org/10.2106/00004623-200206000-00003 PMid:12063323 DOI: https://doi.org/10.2106/00004623-200206000-00003

Chouliaras V, Ristanis S, Moraiti C, Stergiou N, Georgoulis AD. Effectiveness of reconstruction of the anterior cruciate ligament with quadrupled hamstrings and bone-patellar tendon-bone autografts: An in vivo study comparing tibial internal-external rotation. Am J Sports Med. 2007;35(2):189-96. https://doi.org/10.1177/0363546506296040 PMid:17251174 DOI: https://doi.org/10.1177/0363546506296040

Georgoulis AD, Papadonikolakis A, Papageorgiou CD, Mitsou A, Stergiou N. Three-dimensional tibiofemoral kinematics of the anterior cruciate ligament-deficient and reconstructed knee during walking. Am J Sports Med. 2003;31(1):75-9. https://doi.org/10.1177/03635465030310012401 PMid:12531761 DOI: https://doi.org/10.1177/03635465030310012401

Georgoulis AD, Ristanis S, Chouliaras V, Moraiti C, Stergiou N. Tibial rotation is not restored after ACL reconstruction with a hamstring graft. Clin Orthop Relat Res. 2007;454:89-94. https://doi.org/10.1097/blo.0b013e31802b4a0a PMid:17075383 DOI: https://doi.org/10.1097/BLO.0b013e31802b4a0a

Yasuda K, van Eck CF, Hoshino Y, Fu FH, Tashman S. Anatomic single- and double-bundle anterior cruciate ligament reconstruction, Part 1: Basic science. Am J Sports Med. 2011;39(8):1789-99. https://doi.org/10.1177/0363546511402659 PMid:21596902 DOI: https://doi.org/10.1177/0363546511402659

Petersen W, Zantop T. Anatomy of the anterior cruciate ligament with regard to its two bundles. Clin Orthop Relat Res. 2007;454:35-47. https://doi.org/10.1097/blo.0b013e31802b4a59 PMid:17075382 DOI: https://doi.org/10.1097/BLO.0b013e31802b4a59

Muneta T, Sekiya I, Yagishita K, Ogiuchi T, Yamamoto H, Shinomiya K. Two-bundle reconstruction of the anterior cruciate ligament using semitendinosus tendon with endobuttons: Operative technique and preliminary results. Arthroscopy. 1999;15(6):618-24. https://doi.org/10.1053/ar.1999.v15.0150611 PMid:10495178 DOI: https://doi.org/10.1053/ar.1999.v15.0150611

Tiamklang T, Sumanont S, Foocharoen T, Laopaiboon M. Double-bundle versus single-bundle reconstruction for anterior cruciate ligament rupture in adults. Cochrane Database Syst Rev. 2012;11(11):CD008413. https://doi.org/10.1002/14651858.cd008413 PMid:23152258 DOI: https://doi.org/10.1002/14651858.CD008413.pub2

Xu M, Gao S, Zeng C, Han R, Sun J, Li H, et al. Outcomes of anterior cruciate ligament reconstruction using singlebundle versus double-bundle technique: Meta-analysis of 19 randomized controlled trials. Arthroscopy. 2013;29(2):357-65. https://doi.org/10.1016/j.arthro.2012.08.024 PMid:23369481 DOI: https://doi.org/10.1016/j.arthro.2012.08.024

Li YL, Ning GZ, Wu Q, Wu QL, Li Y, Hao Y, et al. Single-bundle or double-bundle for anterior cruciate ligament reconstruction: A meta-analysis. Knee. 2014;21(1):28-37. https://doi.org/10.1016/j.knee.2012.12.004 PMid:23306028 DOI: https://doi.org/10.1016/j.knee.2012.12.004

Gadea F, Monnot D, Quélard B, Mortati R, Thaunat M, Fayard JM, et al. Knee pain after anterior cruciate ligament reconstruction: Evaluation of a rehabilitation protocol. Eur J Orthop Surg Traumatol. 2014;24(5):789-95. https://doi.org/10.1007/s00590-013-1248-4 PMid:23744093 DOI: https://doi.org/10.1007/s00590-013-1248-4

Brown DW, Curry CM, Ruterbories LM, Avery FL, Anson PS. Evaluation of pain after arthroscopically assisted anterior cruciate ligament reconstruction. Am J Sports Med. 1997;25(2):182-6. https://doi.org/10.1177/036354659702500207 PMid:9079170 DOI: https://doi.org/10.1177/036354659702500207

Macdonald S, Heard M, Hiemstra L, Buchko GM, Kerslake S, Sasyniuk TM. A comparison of pain scores and medication use in patients undergoing single-bundle or double-bundle anterior cruciate ligament reconstruction. Can J Surg. 2014;57(3):E98-104. https://doi.org/10.1503/cjs.018612 PMid:24869623 DOI: https://doi.org/10.1503/cjs.018612

Hensler D, van Eck CF, Fu FH, Irrgang JJ. Anatomic anterior cruciate ligament reconstruction utilizing the double-bundle technique. J Orthop Sports Phys Ther. 2012;42:184-95. https://doi.org/10.2519/jospt.2012.3783 PMid:22382889 DOI: https://doi.org/10.2519/jospt.2012.3783

Yasuda K, Tanabe Y, Kondo E, Kitamura N, Tohyama H. Anatomic double-bundle anterior cruciate ligament reconstruction. Arthroscopy. 2010;26 Suppl 9:S21-34. https://doi.org/10.1016/j.arthro.2010.03.01 PMid:20810091 DOI: https://doi.org/10.1016/j.arthro.2010.03.014

Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and metaanalyses: The PRISMA statement. BMJ. 2009;339:b2535. https://doi.org/10.1136/bmj.b2535 PMid:19622551 DOI: https://doi.org/10.1136/bmj.b2535

Coleman BD, Khan KM, Maffulli N, Cook JL, Wark JD. Studies of surgical outcome after patellar tendinopathy: Clinical significance of methodological deficiencies and guidelines for future studies. Victorian institute of sport tendon study group. Scand J Med Sci Sports. 2000;10(1):2-11. https://doi.org/10.1034/j.1600-0838.2000.010001002.x PMid:10693606 DOI: https://doi.org/10.1034/j.1600-0838.2000.010001002.x

Parsa A, Ebrahimzadeh MH. Level of evidence in the archivs of bone and joint surgery journal. Arch Bone Jt Surg. 2017;5(6):347-50. PMid:29299488

Higgins JP, Altman DG, Gotzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928. https://doi.org/10.1136/bmj.d5928 PMid:22008217 DOI: https://doi.org/10.1136/bmj.d5928

Kondo E, Yasuda K, Azuma H, Tanabe Y, Yagi T. Prospective clinical comparisons of anatomic double-bundle versus singlebundle anterior cruciate ligament reconstruction procedures in 328 consecutive patients. Am J Sports Med. 2008;36(9):1675-87. https://doi.org/10.1177/0363546508317123 PMid:18490472 DOI: https://doi.org/10.1177/0363546508317123

Aglietti P, Giron F, Losco M, Cuomo P, Ciardullo A, Mondanelli N. Comparison between single-and double-bundle anterior cruciate ligament reconstruction: A prospective, randomized, single-blinded clinical trial. Am J Sports Med. 2010;38(1):25-34. https://doi.org/10.1177/0363546509347096 PMid:19793927 DOI: https://doi.org/10.1177/0363546509347096

Morey VM, Nag HL, Chowdhury B, Sankineani SR, Naranje SM. A prospective comparative study of clinical and functional outcomes between anatomic double bundle and single bundle hamstring grafts for arthroscopic anterior cruciate ligament reconstruction. Int J Surg. 2015;21:162-7. https://doi.org/10.1016/j.ijsu.2015.07.699 PMid:26253848 DOI: https://doi.org/10.1016/j.ijsu.2015.07.699

Torkaman A, Yazdi H, Hosseini M. The results of single bundle versus double bundle ACL reconstruction surgery, a retrospective study and review of literature. Med Arch. 2016;70(5):351-3. https://doi.org/10.5455/medarh.2016.70.351-353 PMid:27994295 DOI: https://doi.org/10.5455/medarh.2016.70.351-353

Zaffagnini S, Bruni D, Muccioli GM, Bonanzinga T, Lopomo N, Bignozzi S, et al. Single-bundle patellar tendon versus nonanatomical double-bundle hamstrings ACL reconstruction: A prospective randomized study at 8-year minimum follow-up. Knee Surg Sports Traumatol Arthrosc. 2011;19(3):390-7. https://doi.org/10.1007/s00167-010-1225-y PMid:20668835 DOI: https://doi.org/10.1007/s00167-010-1225-y

Zhang Z, Gu B, Zhu W, Zhu L. Double-bundle versus singlebundle anterior cruciate ligament reconstructions: A prospective, randomized study with 2-year follow-up. Eur J Orthop Surg Traumatol. 2014;24(4):559-65. https://doi.org/10.1007/s00590-013-1221-2 PMid:23595769 DOI: https://doi.org/10.1007/s00590-013-1221-2

Czamara A, Królikowska A, Szuba Ł, Widuchowski W, KentelM. Single-vs. Double-bundle anterior cruciate ligament reconstruction: A new aspect of knee assessment during activities involving dynamic knee rotation. J Strength Cond Res. 2015;29(2):489-99. https://doi.org/10.1519/jsc.0000000000000638 PMid:25148470 DOI: https://doi.org/10.1519/JSC.0000000000000638

Musahl V, Jordan SS, Colvin AC, Tranovich MJ, Irrgang JJ, Harner CD. Practice patterns for combined anterior cruciate ligament and meniscal surgery in the United States. Am J Sports Med. 2010;38(5):918-23. https://doi.org/10.1177/0363546509357900 PMid:20436052 DOI: https://doi.org/10.1177/0363546509357900

Spindler KP, Kuhn JE, Freedman KB, Matthews CE, Dittus RS, Harrell FE Jr. Anterior cruciate ligament reconstruction autograft choice: Bone-tendon-bone versus hamstring: Does it really matter? A systematic review. Am J Sports Med. 2004;32(8):1986-95. https://doi.org/10.1177/0363546504271211 PMid:15572332 DOI: https://doi.org/10.1177/0363546504271211

Poolman RW, Abouali JA, Conter HJ, Bhandari M. Overlapping systematic reviews of anterior cruciate ligament reconstruction comparing hamstring autograft with bonepatellar tendon-bone autograft: Why are they different? J Bone Joint Surg Am. 2007;89(7):1542-52. https://doi.org/10.2106/00004623-200707000-00019 DOI: https://doi.org/10.2106/00004623-200707000-00019

Wu H, Chen LX, Li YL, Wu Q, Wu QL, Ning GZ, et al. Tourniquet used in anterior cruciate ligament reconstruction: A system review. Eur J Orthop Surg Traumatol. 2014;24(6):999-1003. https://doi.org/10.1007/s00590-013-1351-6 PMid:24220745 DOI: https://doi.org/10.1007/s00590-013-1351-6

Arciero RA, Scoville CR, Hayda RA, Snyder RJ. The effect of tourniquet use in anterior cruciate ligament reconstruction. A prospective, randomized study. Am J Sports Med. 1996;24(6):758-64. https://doi.org/10.1177/036354659602400610 PMid:8947397 DOI: https://doi.org/10.1177/036354659602400610

Daniel DM, Lumkong G, Stone ML, Pedowitz RA. Effects of tourniquet use in anterior cruciate ligament reconstruction. Arthroscopy. 1995;11(3):307-11. https://doi.org/10.1016/0749-8063(95)90008-x PMid:7632307 DOI: https://doi.org/10.1016/0749-8063(95)90008-X

DeLee JC. Complications of arthroscopy and arthroscopic surgery: Results of a national survey. Arthroscopy. 1985;1:214-20. https://doi.org/10.1016/s0749-8063(85)80086-4 DOI: https://doi.org/10.1016/S0749-8063(85)80086-4

Johnson DS, Stewart H, Hirst P, Harper NJ. Is tourniquet use necessary for knee arthroscopy? Arthroscopy. 2000;16(6):648-51. https://doi.org/10.1053/jars.2000.4826 PMid:10976127 DOI: https://doi.org/10.1053/jars.2000.4826

Lee YG, Park W, Kim SH, Yun SP, Jeong H, Kim HJ, et al. A case of rhabdomyolysis associated with use of a pneumatic tourniquet during arthroscopic knee surgery. Korean J Intern Med. 2010;25(1):105-9. https://doi.org/10.3904/kjim.2010.25.1.105 PMid:20195412 DOI: https://doi.org/10.3904/kjim.2010.25.1.105

Small NC. Complications in arthroscopic surgery performed by experienced arthroscopists. Arthroscopy. 1988;4:215-21. https://doi.org/10.1016/s0749-8063(88)80030-6 PMid:3166663 DOI: https://doi.org/10.1016/S0749-8063(88)80030-6

Zhang Y, Li L, Wang J, Li ZH, Shi ZJ. Do patients benefit from tourniquet in arthroscopic surgeries of the knee? Knee Surg Sports Traumatol Arthrosc. 2013;21(5):1125-30. https://doi.org/10.1007/s00167-012-2094-3 PMid:22699853 DOI: https://doi.org/10.1007/s00167-012-2094-3

Hooper J, Rosaeg OP, Krepski B, Johnson DH. Tourniquet inflation during arthroscopic knee ligament surgery does not increase postoperative pain. Can J Anesth. 1999;46(10):925-9. https://doi.org/10.1007/bf03013125 PMid:10522577 DOI: https://doi.org/10.1007/BF03013125

Kuo LT, Yu PA, Chen CL, Hsu WH, Chi CC. Tourniquet use in arthroscopic anterior cruciate ligament reconstruction: A systematic review and meta-analysis of randomised controlled trials. BMC Musculoskelet Disord. 2017;18(1):358. https://doi.org/10.1186/s12891-017-1722-y PMid:28830402 DOI: https://doi.org/10.1186/s12891-017-1722-y

Wang JQ, Ao YF, Yu CL, Liu P, Xu Y, Chen LX. Clinical evaluation of double-bundle anterior cruciate ligament reconstruction procedure using hamstring tendon grafts: A prospective, randomized and controlled study. Chin Med J (Engl). 2009;122:706-11. https://doi.org/10.1016/b978-0-323-38962-4.00036-9 PMid:19323939 DOI: https://doi.org/10.1016/B978-0-323-38962-4.00036-9

Parvizi A, Haddadi S, Nabi B, Kivi MM, Azad SM, Kalayeh AD, et al. Comparison of postoperative pain in patients undergoing arthroscopic repair by spinal or general anesthesia. J Clin Anesth Manag. 2018;3(1):1-6. https://doi.org/10.16966/2470-9956.133 DOI: https://doi.org/10.16966/2470-9956.133

Secrist ES, Freedman KB, Ciccotti MG, Mazur DW, Hammoud S. Pain management after outpatient anterior cruciate ligament reconstruction: A systematic review of randomized controlled trials. Am J Sports Med. 2016;4(9):2435-47. https://doi.org/10.1177/0363546515617737 PMid:26684664 DOI: https://doi.org/10.1177/0363546515617737

Baverel L, Cucurulo T, Lutz C, Colombet, Cournapeau J, DalmayF, et al. Anesthesia and analgesia methods for outpatient anterior cruciate ligament reconstruction. Orthop Traumatol Surg Res. 2016;102(8S):S251-5. https://doi.org/10.1016/j.otsr.2016.08.007 PMid:27687059 DOI: https://doi.org/10.1016/j.otsr.2016.08.007

Brandsson S, Faxen E, Kartus J, Eriksson BI, Karlsson J. Is a knee brace advantageous after anterior cruciate ligament surgery? A prospective, randomised study with a two-year follow-up. Scand J Med Sci Sports. 2001;11(2):110-4. https://doi.org/10.1034/j.1600-0838.2001.011002110.x PMid:11252459 DOI: https://doi.org/10.1034/j.1600-0838.2001.011002110.x

Kassam AA, Schranz P, Mandalia V. Daycase anterior cruciate ligament reconstruction: Success, pitfalls and patient pain scores. Br J Med Pract. 2013;6:15.

Montes FR, Zarate E, Grueso R, Giraldo JC, Venegas MP, Gomez A, et al. Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy. J Clin Anesth. 2008;20(6):415-20. https://doi.org/10.1016/j.jclinane.2008.04.003 PMid:18929280 DOI: https://doi.org/10.1016/j.jclinane.2008.04.003

Daoud AK, Mandler T, Gagliardi AG, Parikh HB, Carry PM, Ice AC, et al. Combined femoral-sciatic nerve block is superior to continuous femoral nerve block during anterior cruciate ligament reconstruction in the pediatric population. Iowa Orthop J. 2018;38:101-6. https://doi.org/10.1097/01.sa.0000255127.10139.c7 PMid:30104931 DOI: https://doi.org/10.1097/01.sa.0000255127.10139.c7

Potter HG, Jain SK, Ma Y, Black BR, Fung S, Lyman S. Cartilage injury after acute, isolated anterior cruciate ligament tear: Immediate and longitudinal effect with clinical/MRI follow-up. Am J Sports Med. 2012;40(2):276-85. https://doi.org/10.1177/0363546511423380 PMid:21952715 DOI: https://doi.org/10.1177/0363546511423380

Everhart JS, Best TM, Flanigan DC. Psychological predictors of anterior cruciate ligament reconstruction outcomes: A systematic review. Knee Surg Sports Traumatol Arthrosc. 2015;23:752-62. https://doi.org/10.1007/s00167-013-2699-1Ä PMid:24126701 DOI: https://doi.org/10.1007/s00167-013-2699-1

Pinski JM, Boakye LA, Murawski CD, Hannon CP, Ross KA, Kennedy JG. Low level of evidence and methodologic quality of clinical outcome studies on cartilage repair of the ankle. Arthroscopy. 2016;32(1):214-22.e1. https://doi.org/10.1016/j.arthro.2015.06.050 PMid:26372522 DOI: https://doi.org/10.1016/j.arthro.2015.06.050

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2021-05-14

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Pontoh LAP, Ismail HD, Fiolin J, Yausep OE. Pain Following Single-bundle versus Double-bundle Anterior Cruciate Ligament Reconstruction: A Systematic Review. Open Access Maced J Med Sci [Internet]. 2021 May 14 [cited 2024 Mar. 29];9(F):153-62. Available from: https://oamjms.eu/index.php/mjms/article/view/5995

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