Treatment of anterior cruciate ligament injuries, part I

被引:348
作者
Beynnon, BD
Johnson, RJ
Abate, JA
Fleming, BC
Nichols, CE
机构
[1] Univ Vermont, Coll Med, Dept Orthopaed & Rehabil, Mcclure Musculoskeletal Res Ctr, Burlington, VT 05405 USA
[2] Brown Med Sch, Dept Orthopaed Res, Providence, RI USA
关键词
anterior cruciate ligament; knee; reconstruction;
D O I
10.1177/0363546505279913
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Anterior cruciate ligament injuries are common among athletes. Although the true natural history remains unclear, anterior cruciate ligament injuries are functionally disabling; they predispose the knee to subsequent injuries and the early onset of osteoarthritis. This article, the first in a 2-part series, was initiated with the use of the PubMed database and a comprehensive search of articles that appeared between January 1994 to the present, using the keywords anterior cruciate ligament. A total of 3810 citations were identified and reviewed to determine the current state of knowledge about the treatment of these injuries. Articles pertaining to the biomechanical behavior of the anterior cruciate ligament, the prevalence of anterior cruciate ligament injury, the natural history of the anterior cruciate ligament-deficient knee, injuries associated with anterior cruciate ligament disruption, risk factors for anterior cruciate ligament injury, indications for treatment of anterior cruciate ligament injuries, and non-operative and operative treatments were obtained, reviewed, and served as the basis for part I. Part II, to be presented in another issue of this journal, includes technical aspects of anterior cruciate ligament surgery, bone tunnel widening, graft healing, rehabilitation after reconstruction, and the effect of sex, age, and activity level on the outcome of surgery. Our approach was to build on prior reviews and to provide an overview of the literature for each of the before-mentioned areas of study by summarizing the highest level of scientific evidence available. For the areas that required a descriptive approach to research, we focused on the prospective studies that were available; for the areas that required an experimental approach, we focused on the prospective, randomized controlled trials and, when necessary, the highest level of evidence available. We were surprised to learn that considerable advances have been made during the past decade regarding the treatment of this devastating injury.
引用
收藏
页码:1579 / 1602
页数:24
相关论文
共 306 条
[1]
Reconstruction of the anterior cruciate ligament -: Single- versus double-bundle multistranded hamstring tendons [J].
Adachi, N ;
Ochi, M ;
Uchio, Y ;
Iwasa, J ;
Kuriwaka, M ;
Ito, Y .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2004, 86B (04) :515-520
[2]
LONG-TERM STUDY OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION FOR CHRONIC INSTABILITY USING THE CENTRAL 1/3 PATELLAR TENDON AND A LATERAL EXTRAARTICULAR TENODESIS [J].
AGLIETTI, P ;
BUZZI, R ;
DANDRIA, S ;
ZACCHEROTTI, G .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1992, 20 (01) :38-45
[3]
Aglietti P, 1997, J SPORT TRAUMATOL, V19, P57
[4]
Aglietti P, 1997, Knee Surg Sports Traumatol Arthrosc, V5, P138
[5]
Anterior cruciate ligament reconstruction: Bone-patellar tendon-bone compared with double semitendinosus and gracilis tendon grafts - A prospective, randomized clinical trial [J].
Aglietti, P ;
Giron, F ;
Buzzi, R ;
Biddau, F ;
Sasso, F .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (10) :2143-2155
[6]
PATELLAR TENDON VERSUS DOUBLED SEMITENDINOSUS AND GRACILIS TENDONS FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION [J].
AGLIETTI, P ;
BUZZI, R ;
ZACCHEROTTI, G ;
DEBIASE, P .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1994, 22 (02) :211-218
[7]
The natural history and treatment of rupture of the anterior cruciate ligament in children and adolescents - A prospective review [J].
Aichroth, PM ;
Patel, DV ;
Zorrilla, P .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2002, 84B :38-41
[8]
Revision anterior cruciate ligament reconstruction [J].
Allen, CR ;
Giffin, JR ;
Harner, CD .
ORTHOPEDIC CLINICS OF NORTH AMERICA, 2003, 34 (01) :79-+
[9]
FUNCTIONAL-ANATOMY OF THE ANTERIOR CRUCIATE LIGAMENT - FIBER BUNDLE ACTIONS RELATED TO LIGAMENT REPLACEMENTS AND INJURIES [J].
AMIS, AA ;
DAWKINS, GPC .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1991, 73 (02) :260-267
[10]
Anterior cruciate ligament reconstruction - A prospective randomized study of three surgical methods [J].
Anderson, AF ;
Snyder, RB ;
Lipscomb, AB .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2001, 29 (03) :272-279