Table 1: A Comparison of Various Surgical Techniques

Issues Compared Conclusions from Review of Current Literature Over which Appear to be More Advantageous Remarks
Reconstruction vs Conservative, non-surgical treatment Both are associated with an increased incidence of osteoarthritis
  • Multiple factors e.g. meniscal damage/surgical technique employed/ patient activity levels confound this issue
Open vs Arthroscopic technique Arthroscopic
  • RCTs are necessary to determine true difference.
Patellar tendon vs Hamstring tendon autograft Hamstring
  • Though native knee mechanics are still not completely restored with the hamstring graft, it seems to be considerably less altered than with use of the patellar tendon graft and thus is associated with less osteoarthritis.
Double Bundle vs Single Bundle No difference on osteoarthritis rates as of present
  • This new technique has demonstrated improved rotational / anterior-posterior control and decrease in failure.
  • Interim trials looking at osteoarthritis rates have not showed significant difference.
  • Longer term trials required.