J Korean Orthop Assoc.  2021 Feb;56(1):1-13. 10.4055/jkoa.2021.56.1.1.

What Has Been Learned in Anterior Cruciate Ligament Reconstruction during the Past 20 Years?

Affiliations
  • 1Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea

Abstract

Considerable progress on anterior cruciate ligament reconstruction surgery has been made over the past 20 years, and the results have improved significantly. An anatomical understanding of the anterior cruciate ligament has also changed, and the surgical technique has also changed accordingly. The double-bundle concept is still valid, but the ribbon-shaped anterior cruciate ligament concept, including direct fiber and indirect fiber, is gradually replacing it. The isometry point theory no longer exists, and various surgical methods, such as single-bundle anatomical reconstruction, double-bundle reconstruction, remnant preservation, and rectangular tunnel technique, are being performed. Regarding the graft, interest in the bone-patellar tendon-bone, patellar tendon, quadriceps tendon, and allogeneic tendon change over time, and this change is ongoing.

Keyword

anterior cruciate ligament; anterior cruciate ligament reconstruction; bone-patellar tendon-bone grafts; hamstring tendon
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