RESEARCH ARTICLE

The Evolution of Anatomic Anterior Cruciate Ligament Reconstruction

The Open Orthopaedics Journal 27 July 2012 RESEARCH ARTICLE DOI: 10.2174/1874325001206010287

Abstract

Anterior cruciate ligament reconstruction has evolved significantly since the early 1900’s, back when an emphasis was placed on repair and not reconstruction. Over the past century, the technique has evolved from intra-articular non anatomic reconstruction, to extra articular reconstruction, back to intra articular (performed arthroscopically), to now, the advent of anatomic insertion site restoration. This review will aim to illustrate the changes that have occurred, describing the rational for this process, based upon anatomical, radiological, biomechanical and clinical studies, all of which have aimed to improve patient function following ACL injury.

Keywords: Anterior cruciate ligament, reconstruction, repair, surgical technique, evolution.
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