The evolution of anatomic anterior cruciate ligament reconstruction.
The evolution of anatomic anterior cruciate ligament reconstruction.
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DOI：
10.2174/1874325001206010287
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Spalding T
中科院分区：
文献类型：
--
作者：
Getgood A;Spalding T
自20世纪初以来，前交叉韧带重建已经取得了显著进展，当时重点放在修复而不是重建上。在过去的世纪，该技术已经从关节内非解剖重建发展到关节外重建，再回到关节内（关节镜下进行），到现在，解剖插入部位恢复的出现。本综述旨在说明已经发生的变化，描述该过程的合理性，基于解剖学、放射学、生物力学和临床研究，所有这些研究都旨在改善ACL损伤后的患者功能。
Anterior cruciate ligament reconstruction has evolved significantly since the early 1900’s, back when an emphasis was placed on repair and not reconstruction. Over the past century, the technique has evolved from intra-articular non anatomic reconstruction, to extra articular reconstruction, back to intra articular (performed arthroscopically), to now, the advent of anatomic insertion site restoration. This review will aim to illustrate the changes that have occurred, describing the rational for this process, based upon anatomical, radiological, biomechanical and clinical studies, all of which have aimed to improve patient function following ACL injury.