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ACL Double-Bundle Reconstruction versus Single-Bundle Reconstruction

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OrthopaedicsOne Poll: Double-bundle ACL reconstruction should replace single-bundle ACL for most patients

We are honoured and privileged to have two world-renowned surgeons with vast experience in anterior cruciate ligament (ACL) reconstruction of the knee — Drs. Freddie Fu and Donald Johnson — debate the merits of single- versus double-bundle ACL surgeries.


Although ACL repair surgery is well established in the surgical armamentarium, recent cadaveric studies have questioned the appropriateness of a single-bundle reconstruction of the ACL. This has generated significant scientific interest into the value of a more anatomic restoration of the ACL (ie, double-bundle) versus the more classic reconstruction using the single-bundle technique.

As with any new surgical techniques in orthopaedics, and stressed by both authors, it is critical that we minimize the learning curve by appropriate patient selection as well as surgical technique. As more research is completed and concrete results are published, it is likely that the role of the double-bundle reconstruction versus single-bundle will be reserved for specific anatomical situations as well as patient requirements.


Viewpoint 1: Freddie H. Fu, MD, DSc (Hon), DPs (Hon)

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Double-Bundle ACL Reconstruction

Viewpoint 2: Donald H. Johnson, MD, FRCSC

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Single-Bundle ACL Reconstruction


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Viewpoint:Poll - ACL Double-Bundle Reconstruction versus Single-Bundle Reconstruction