Current trends in anterior cruciate ligament reconstruction.
Current trends in anterior cruciate ligament reconstruction.
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DOI：
10.5792/ksrr.2013.25.4.165
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发表时间：
2013-12
影响因子：
3.1
通讯作者：
Jo AR
中科院分区：
文献类型：
--
作者：
Kim HS;Seon JK;Jo AR
在过去的10年里，解剖学知识、手术技术和固定器械的进步导致了前交叉韧带（ACL）重建术的改进。如今，双束和解剖单束ACL重建术更接近地恢复ACL的正常解剖结构变得流行。尽管双束ACL重建术是否比单束重建术提供更好的临床结果仍无明确结论，但无论单束还是双束技术，趋势已转向解剖重建。根据移植物或固定器械的类型，我们没有发现ACL重建后的临床结局和稳定性有任何显著差异。因此，外科医生应根据患者的病情和外科医生的经验选择理想的ACL重建术式。
The advances in the knowledge of anatomy, surgical techniques, and fixation devices have led to the improvement of anterior cruciate ligament (ACL) reconstruction over the past 10 years. Nowadays, double bundle and anatomical single bundle ACL reconstruction that more closely restores the normal anatomy of the ACL are becoming popular. Although there is still no definite conclusion whether double bundle ACL reconstruction provides better clinical results than single bundle reconstruction, the trend has shifted to anatomic reconstruction regardless of single bundle or double bundle techniques. We could not find any significant differences in the clinical outcomes and stability after ACL reconstruction according to the type of graft or fixation device. Therefore, surgeons should select an ideal ACL reconstruction according to the patient's condition and surgeon's experience.