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A study using robotic rotation analysis has demonstrated improved dynamic rotational stability with a double bundle reconstruction [81].
Within the double bundle groups, no significant differences regarding clinical or radiologic results have been found [24].
An anatomical ACL reconstruction using the double bundle reconstruction technique has recently been advocated to improve rotational stability.
Among 23 LSF studies, 15 were single bundle fixation, 10 were double bundle fixation, 12 were arthroscopically assisted and 13 were open technique.
Unfortunately, a number of randomised studies investigating double bundle ACL reconstruction outcomes have not been able to demonstrate consistent improvement of rotational stability by reducing pivot shift [95].
However, this technique has become more popular in the last few years, as the double bundle ACL reconstruction technique has started to be used more frequently [6].
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However, there are some concerns about double-bundle ACL reconstruction.
For double-bundle reconstructions, the anteromedial bundle was comprised between 15 and 33.9%.
This is a simplified operative technique for anatomic double-bundle ACL reconstruction that maximizes bone preservation.
Anatomic double-bundle anterior cruciate ligament (ACL) reconstruction has become popular during the last 5 years.
For this reason, double-bundle procedures were developed; however, they must be evaluated.
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