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Document Title: Fu-AJSM-Jan00.shtml
Article Title: Current Trends in Anterior Cruciate Ligament Reconstruction; Part 2: Operative Procedures and Clinical Correlations
Authors: Freddie H. Fu, MD, DSc, Craig H. Bennett, MD, C. Benjamin Ma, MD, Jacques Menetrey, MD and Christian Lattermann, MD.
Publication: American Journal of Sports Medicine, Baltimore, Maryland
Date: January-February 2000
Volume 28, Number 1, pages 124-130
Keywords: ACL reconstruction, patellar-tendon autograft, hamstring autograft, allograft, current concepts.
(Reference-denoting numbers appear in the same point size as the document text. As with all Knee Library documents, this article is provided in full-text form, complete with all figures.)
Comments: This absolutely superb article provides a comprehensive overview of the anatomy, physiology, and kinematics/biomechanics of the natural and reconstructed ACLs. (This article is the second of a two-part set.)
ABSTRACT
Surgical management of the anterior cruciate ligament-deficient knee has evolved from primary repair to extracapsular augmentation to anterior cruciate ligament reconstruction using biologic tissue grafts. The technique of anterior cruciate ligament reconstruction has improved over the last few decades with the aid of knowledge gained from basic science and clinical research. The biology and biomechanics of anterior cruciate ligament reconstruction were analyzed in the previously published first part of this article. In this second part, current operative concepts of anterior cruciate ligament reconstruction as well as clinical correlations are discussed. The latest information regarding anterior cruciate ligament reconstruction is presented with a goal of demonstrating the correlation between the application of basic science knowledge and the improvement of clinical outcomes.
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