Anatomic double-bundle anterior cruciate ligament reconstruction
Anatomic double-bundle anterior cruciate ligament reconstruction
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DOI：
10.1016/j.arthro.2006.06.005
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发表时间：
2006-09-01
影响因子：
4.7
通讯作者：
Fu, Freddie H.
中科院分区：
文献类型：
--
作者：
Buoncristiani, Anthony M.;Tjoumakaris, Fotios P.;Fu, Freddie H.
前交叉韧带（ACL）重建是骨科医生最常见的手术之一。该程序自1900年开始以来已得到显著改进，并继续得到深入研究，其结果受到相当大的关注。传统的ACL重建技术集中在ACL的一部分-前内侧束。单束ACL重建是标准，并提供了良好到优秀的结果，许多运动员能够重返运动;然而，最近，一些作者注意到单束ACL重建后功能测试和退行性影像学变化的持续不稳定性。因此，几家临床试验机构尝试通过重建ACL的前内侧束和后外侧束来改进单束技术。本文将介绍双束ACL重建的胚胎学、解剖学和生物力学原理。此外，还将介绍双束ACL重建的最新结果。
Anterior cruciate ligament (ACL) reconstruction is one of the most common procedures performed by orthopaedic surgeons. The procedure has improved significantly since its inception in 1900 and continues to be intensively studied with outcomes receiving considerable attention. Traditional ACL reconstruction techniques have focused on one portion of the ACL-the anteromedial bundle. Single-bundle ACL reconstruction is the criterion standard and has provided good to excellent results, with many athletes being able to return to sports; however, recently, some authors have noted persistent instability with functional testing and degenerative radiographic changes after single-bundle ACL reconstruction. As a result, several centers have attempted to improve upon the single-bundle technique by reconstructing both the anteromedial and posterolateral bundles of the ACL. This article will present the embryologic, anatomic, and biomechanical rationale for double-bundle ACL reconstruction. In addition, the latest outcomes of double-bundle ACL reconstruction will be presented.