Anterior cruciate ligament reconstruction: principles of treatment. Issue 11 (November 2016)

• Record Type: Journal Article
• Authors: Paschos, Nikolaos K.; Howell, Stephen M.
• Is Part Of: EFORT open reviews. Volume 1:Issue 11(2016)
• Page Start: 398
• Page End: 408
• Publication Date: 2016-11
• Subjects: anterior cruciate ligament -- ACL tear -- reconstruction -- timing -- rehabilitation -- autograft -- allograft -- tunnel position; Orthopedics -- Periodicals; Musculoskeletal system -- Periodicals; Musculoskeletal system -- Wounds and injuries -- Periodicals; 616.7
• DOI: 10.1302/2058-5241.1.160032
• Languages: English
• ISSNs: 2058-5241

Abstract

Abstract : Anterior cruciate ligament (ACL) reconstruction is one of the most common procedures in sports medicine. Several areas of controversy exist in ACL tear management which have engaged surgeons and researchers in debates towards identifying an ideal approach for these patients. This instructional review discusses the principles of ACL reconstruction in an attempt to provide guidelines and initiate a critical thinking approach on the most common areas of controversy regarding ACL reconstruction. Using high-level evidence from the literature, as presented in randomised controlled trials, systematic reviews, and meta-analyses, operative versus conservative treatment, timing of surgery, and rehabilitation are discussed. Also, the advantages and disadvantages of the most common types of autografts, such as patellar tendon and hamstrings as well as allografts are presented. Key considerations for the anatomical, histological, biomechanical and clinical data ('IDEAL') graft positioning are reviewed. Cite this article: Paschos NK, Howell SM. Anterior cruciate ligament reconstruction: principles of treatment. EFORT Open Rev 2016;398-408. DOI: 10.1302/2058-5241.1.160032.