Progression of Osteoarthritis After Double-Bundle Versus Single-Bundle Anterior Cruciate Ligament Reconstruction: A Systematic Review of Randomized Controlled Trial

Introduction: Recently, anterior cruciate ligament (ACL) reconstruction procedures are frequently performed both single-bundle (SB) and double-bundle (DB) techniques. Following anterior cruciate ligament (ACL) injury, the knee suffers from a high incidence of osteoarthritis (OA), which has been decreased by ACL reconstruction using DB and SB techniques. However, there is debate regarding the extent to which the DB and SB techniques work at preventing the progression of OA after an ACL reconstruction. Methods: The databases, which included Scopus, Embase, and PubMed, were searched up. A Randomized Controlled Trial (RCT) comparing SB and DB ACL reconstruction and reporting the clinical outcomes for OA progression was included in the study. Only studies with a minimum of two years of follow-up and a ten-year time frame were included. Result: The evaluation was conducted on seven RCTs that satisfied the eligibility requirements. Overall, the studies indicate that there was no statistically significant difference in the rate of radiological OA progression between the DB group and the SB group. Conclusion: When it came to OA changes in ACL reconstruction, the DB technique was not better than the SB technique. This necessitates further research with longer follow-up periods, a larger sample size, and improved study designs.