Document Detail

The evolution of ACL reconstruction over the last fifty years.
MedLine Citation:
PMID:  23322063     Owner:  NLM     Status:  MEDLINE    
Anterior cruciate ligament (ACL) reconstruction has evolved considerably over the past 30 years. This has largely been due to a better understanding of ACL anatomy and in particular a precise description of the femoral and tibial insertions of its two bundles. In the 1980s, the gold standard was anteromedial bundle reconstruction using the middle third of the patellar ligament. Insufficient control of rotational laxity led to the development of double bundle ACL reconstruction. This concept, combined with a growing interest in preservation of the ACL remnant, led in turn to selective reconstruction in partial tears, and more recently to biological reconstruction with ACL remnant conservation. Current ACL reconstruction techniques are not uniform, depending on precise analysis of the type of lesion and the aspect of the ACL remnant in the intercondylar notch.
Pierre Chambat; Christian Guier; Bertrand Sonnery-Cottet; Jean-Marie Fayard; Mathieu Thaunat
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Publication Detail:
Type:  Historical Article; Journal Article; Review     Date:  2013-01-16
Journal Detail:
Title:  International orthopaedics     Volume:  37     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-02-01     Completed Date:  2013-06-25     Revised Date:  2014-02-04    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  181-6     Citation Subset:  IM    
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MeSH Terms
Anterior Cruciate Ligament / injuries,  surgery*
Anterior Cruciate Ligament Reconstruction / history*,  trends
Biomechanical Phenomena
History, 19th Century
History, 20th Century
History, 21st Century
Knee Injuries / history*,  surgery
Knee Joint / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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