Anatomic double bundle ACL reconstruction: a literature review

With the abundance of anatomic double bundle ACL reconstruction techniques that currently exist and limited patient outcome data, one has to ask whether or not they should be used and if so, which one, and what is the learning curve for the average knee surgeon to become competent with the technique...

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Veröffentlicht in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2007-08, Vol.15 (8), p.946-964
Hauptverfasser: Crawford, Charles, Nyland, John, Landes, Sarah, Jackson, Richard, Chang, Haw Chong, Nawab, Akbar, Caborn, David N M
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container_end_page 964
container_issue 8
container_start_page 946
container_title Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
container_volume 15
creator Crawford, Charles
Nyland, John
Landes, Sarah
Jackson, Richard
Chang, Haw Chong
Nawab, Akbar
Caborn, David N M
description With the abundance of anatomic double bundle ACL reconstruction techniques that currently exist and limited patient outcome data, one has to ask whether or not they should be used and if so, which one, and what is the learning curve for the average knee surgeon to become competent with the technique that they select? The purpose of this literature review is to summarize existing anatomic double bundle ACL reconstruction surgical and rehabilitation techniques and the clinical and biomechanical study evidence that currently exists. In choosing to perform anatomic double bundle ACL reconstruction we suggest that the knee surgeon should look for evidence of: (1) control of the pivot shift phenomenon, (2) improved transverse plane rotatory knee control during the performance of sports type movements, (3) a decreased likelihood of revision procedures either for ACL reconstruction or for treatment of associated primary or recurrent meniscal injuries, (4) improved patient self-reports of perceived function, satisfaction, and quality of life, and (5) radiographic evidence of a lower incidence and/or magnitude of osteoarthritic changes compared to conventional single bundle ACL reconstruction.
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subjects Anterior Cruciate Ligament - physiopathology
Anterior Cruciate Ligament - surgery
Biomechanical Phenomena
Humans
Knee Joint - physiopathology
Knee Joint - surgery
Knees
Ligaments
Literature reviews
Menisci, Tibial - surgery
Osteoarthritis - prevention & control
Patient Satisfaction
Patients
Quality of Life
Range of Motion, Articular - physiology
Reconstructive Surgical Procedures - methods
Reoperation
Rotation
Satisfaction
Sports
Sports - physiology
Sports medicine
Surgery
Techniques
Tibial Meniscus Injuries
title Anatomic double bundle ACL reconstruction: a literature review
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