Double-Bundle vs Single-Bundle ACL Reconstruction: 10-Year RCT Results (ptpodcast.com)

• Double-bundle ACLR reduced pivot shift at 10 years
• Graft failure lower with double-bundle (5% vs 15%)
• No difference in patient-reported outcomes or OA

"A 10-year prospective randomized trial found that double-bundle ACL reconstruction provides better rotational stability and lower graft failure rates compared to single-bundle, but no significant differences in patient-reported outcomes or osteoarthritis incidence."