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Knee Surgery, Sports Traumatology, Arthroscopy
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 1/2022

20.12.2021 | KNEE

Current trends in the anterior cruciate ligament part 1: biology and biomechanics

verfasst von: Volker Musahl, Ehab M. Nazzal, Gian Andrea Lucidi, Rafael Serrano, Jonathan D. Hughes, Fabrizio Margheritini, Stefano Zaffagnini, Freddie H. Fu, Jon Karlsson

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 1/2022

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Abstract

A trend within the orthopedic community is rejection of the belief that “one size fits all.” Freddie Fu, among others, strived to individualize the treatment of anterior cruciate ligament (ACL) injuries based on the patient’s anatomy. Further, during the last two decades, greater emphasis has been placed on improving the outcomes of ACL reconstruction (ACL-R). Accordingly, anatomic tunnel placement is paramount in preventing graft impingement and restoring knee kinematics. Additionally, identification and management of concomitant knee injuries help to re-establish knee kinematics and prevent lower outcomes and registry studies continue to determine which graft yields the best outcomes. The utilization of registry studies has provided several large-scale epidemiologic studies that have bolstered outcomes data, such as avoiding allografts in pediatric populations and incorporating extra-articular stabilizing procedures in younger athletes to prevent re-rupture. In describing the anatomic and biomechanical understanding of the ACL and the resulting improvements in terms of surgical reconstruction, the purpose of this article is to illustrate how basic science advancements have directly led to improvements in clinical outcomes for ACL-injured patients.
Level of evidence
V.
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Metadaten
Titel
Current trends in the anterior cruciate ligament part 1: biology and biomechanics
verfasst von
Volker Musahl
Ehab M. Nazzal
Gian Andrea Lucidi
Rafael Serrano
Jonathan D. Hughes
Fabrizio Margheritini
Stefano Zaffagnini
Freddie H. Fu
Jon Karlsson
Publikationsdatum
20.12.2021
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 1/2022
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-021-06826-y

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