A review of anterior cruciate ligament injuries and reconstructive techniques. Part 2: Treatment

Author:

Nandra R1,Matharu GS1,Porter K1,Ashraf T1,Greaves I1

Affiliation:

1. Trauma & Orthopaedics – University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, UK

Abstract

The aims of treatment of anterior cruciate ligament rupture are to eliminate pain, restore stability and allow early return to activity while preventing early degeneration. Ruptures can be treated conservatively, which requires careful patient selection and avoidance of high-risk activity. Each patient must be treated on an individual basis with consideration given to the level of activity, desire to return to sport, donor site morbidity and compliance with post-operative regimes. Through the evolution of single incision, arthroscopic anatomic reconstruction, our knowledge of the native anterior cruciate ligament anatomy and knee kinematics has progressed. The current gold standard uses four-stranded hamstring autograft with endobutton and interference screw fixation. Double-bundle reconstruction is technically challenging with greater risk and best reserved for larger knees with larger native ligaments. Although treatment has advanced considerably over the years, there are still a number of contentious issues which are considered in this review. Part two of this review discusses the short- and long-term objectives of surgery, the indications and timing of surgery, different graft materials, tunnel positions and rehabilitation programmes. We also evaluate the role of anatomical reconstruction and single- versus double-bundle anterior cruciate ligament reconstructions.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine,Emergency Medicine,Surgery

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3