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Review
. 2013 Dec;25(4):165-73.
doi: 10.5792/ksrr.2013.25.4.165. Epub 2013 Nov 29.

Current Trends in Anterior Cruciate Ligament Reconstruction

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Free PMC article
Review

Current Trends in Anterior Cruciate Ligament Reconstruction

Ha Sung Kim et al. Knee Surg Relat Res. .
Free PMC article

Abstract

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.

Keywords: Anatomical reconstruction; Anterior cruciate ligament; fixation; graft.

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Schematic drawing of the central and standard tunnel positions in anatomical single-bundle anterior cruciate ligament reconstructions. AM: anteromedial bundle, PL: posterolateral bundle.

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References

    1. Buoncristiani AM, Tjoumakaris FP, Starman JS, Ferretti M, Fu FH. Anatomic double-bundle anterior cruciate ligament reconstruction. Arthroscopy. 2006;22:1000–1006. - PubMed
    1. Freedman KB, D'Amato MJ, Nedeff DD, Kaz A, Bach BR., Jr Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med. 2003;31:2–11. - PubMed
    1. Abebe ES, Moorman CT, 3rd, Dziedzic TS, Spritzer CE, Cothran RL, Taylor DC, Garrett WE, Jr, DeFrate LE. Femoral tunnel placement during anterior cruciate ligament reconstruction: an in vivo imaging analysis comparing transtibial and 2-incision tibial tunnel-independent techniques. Am J Sports Med. 2009;37:1904–1911. - PubMed
    1. Prodromos CC, Fu FH, Howell SM, Johnson DH, Lawhorn K. Controversies in soft-tissue anterior cruciate ligament reconstruction: grafts, bundles, tunnels, fixation, and harvest. J Am Acad Orthop Surg. 2008;16:376–384. - PubMed
    1. Fu FH, Jordan SS. The lateral intercondylar ridge: a key to anatomic anterior cruciate ligament reconstruction. J Bone Joint Surg Am. 2007;89:2103–2104. - PubMed

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