Anterior Cruciate Ligament Reconstruction: A Literature Review of the Anatomy, Biomechanics, Surgical Considerations, and Clinical Outcomes
Anterior Cruciate Ligament Reconstruction: A Literature Review of the Anatomy, Biomechanics, Surgical Considerations, and Clinical Outcomes
复制标题
DOI：
10.1053/j.oto.2004.11.003
复制
发表时间：
2005-01-01
影响因子：
0.1
通讯作者：
West, Robin, V
中科院分区：
文献类型：
--
作者：
Beasley, Leslie S.;Weiland, Daniel E.;West, Robin, V
前交叉韧带（ACL）断裂是运动医学医生最常见的膝关节损伤之一。然而，鉴于ACL的复杂解剖结构和功能，该韧带的重建绝非简单。在过去的十年中，ACL重建取得了很大的进步，移植物结合的生物学和生物力学知识得到了提高，移植物材料和移植物固定器械的新选择，以及更快的康复方案。尽管文献中有许多关于ACL重建的研究，但外科医生对“最佳”移植物选择和“最佳”固定器械尚未达成共识。这通常归因于大多数研究中的样本量较小，无法得出一种技术优于另一种技术的明确结论。此外，很难直接比较一项研究与另一项研究的结果，因为研究之间存在巨大的异质性。本综述旨在研究过去10年文献中强调的ACL重建后的解剖结构、生物力学、手术考虑因素和临床结局。Oper Tech Orthop 15：5-19（C）2005 Elsevier Inc. All rights reserved.
Anterior cruciate ligament (ACL) ruptures are some of the most common knee injuries seen by sports medicine physicians. However, given the complex anatomy and function of the ACL, reconstruction of this ligament is anything but straightforward. The last decade has seen much advancement in ACL reconstruction, with an improved knowledge of the biology and biomechanics of graft incorporation, new choices for graft material and graft fixation devices, and more accelerated rehabilitation protocols. Although there are numerous studies in the literature on ACL reconstruction, there is yet to be a consensus among surgeons on the "best" graft choice and the "optimal" fixation device. This is generally attributed to the small sample size in most studies, which prohibits a definite conclusion of superiority of one technique over another. Additionally, it is difficult to directly compare the results from one study to another because there is tremendous heterogeneity between studies. This review is intended to examine the anatomy, biomechanics, surgical considerations, and clinical outcomes after ACL reconstruction that have been highlighted in the literature during the past 10 years. Oper Tech Orthop 15:5-19 (C) 2005 Elsevier Inc. All rights reserved.