23.07.2022 | Editorial
Combined ACL and anterolateral ligament reconstruction: time to pivot and shift the focus?
verfasst von:
John Nyland, Gilbert Moatshe, Robin Martin
Erschienen in:
Knee Surgery, Sports Traumatology, Arthroscopy
|
Ausgabe 2/2023
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Excerpt
The incidence of anterior cruciate ligament (ACL) injuries among adolescent athletes has been steadily increasing, with females peaking at age 16 years and males at age 17 years, with rates of 392 ACL tears and 422 ACL tears per 100 000 person-years, respectively [
1]. In 2015, Smigielski et al. reported that native ACL morphology was “ribbon-like”, becoming more strand or bundle-like as it rotated upon itself [
26]. General anatomic ACL reconstruction principles, such as better appreciation of native anatomy, individualizing surgery to patient-specific anatomical variability and functional needs, graft positioning within the native footprint centers, and physiologic tension restoration [
12], has led to better transverse plane knee movement control during stressful running–cutting directional change and single leg jump landing movements. Despite these surgical technique advances, alarming failure rates and re-injury rates after ACL reconstruction have been reported, especially in younger people who participate in pivoting sports [
28,
29]. …
