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.
|