Current Trends in Anterior Cruciate Ligament Reconstruction

Abstract

The advances in the knowledge of anatomy, surgical techniques, and fixation devices have led to the improvement of anterior cruciate ligament (ACL) reconstruction over the past 10 years. Nowadays, double bundle and anatomical single bundle ACL reconstruction that more closely restores the normal anatomy of the ACL are becoming popular. Although there is still no definite conclusion whether double bundle ACL reconstruction provides better clinical results than single bundle reconstruction, the trend has shifted to anatomic reconstruction regardless of single bundle or double bundle techniques. We could not find any significant differences in the clinical outcomes and stability after ACL reconstruction according to the type of graft or fixation device. Therefore, surgeons should select an ideal ACL reconstruction according to the patient's condition and surgeon's experience.

Local delivery of controlled-release simvastatin to improve the biocompatibility of polyethylene terephthalate artificial ligaments for reconstruction of the anterior cruciate ligament

“…Graft choice for ACL reconstruction is influenced by the patient's age, activity level, sex, associated injuries, degree of laxity, and planned concomitant operations. 6 Autografts usually consist of either four-strand hamstring grafts (double semitendinosus and gracilis tendon grafts), bone-patella tendon-bone, or the quadriceps tendons. However, the autograft also has drawbacks, such as donor site morbidity, unlimited availability, and longer recovery times, while the allografts carry the possibility of disease transmission and infection.…”

Effectiveness of Accelerated Rehabilitation for Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction in Football Players

“…Double bundle and anatomical single bundle ACL reconstruction (that restores more closely the normal anatomy of the ACL) are becoming popular. However, no significant differences in the clinical outcomes and stability after ACL reconstruction according to the type of graft or fixation device have been reported [27].…”

CT Based Analysis of Arthroscopic Femoral Tunnel Placement in Single Bundle Primary ACL Reconstruction Using Medial Portal Technique

“…Due to the unsatisfactory outcomes of conservative treatment for ACL injuries, reconstruction surgery remains the treatment of choice in most young patients who want to maintain an active lifestyle. The main aims of ACL reconstruction are to restore intact knee stability and normal knee kinematics after reconstruction (6).…”