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- Title
CURRENT CONCEPTS REGARDING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION.
- Authors
IOANOVICI, ANDREI-CONSTANTIN; FEIER, ANDREI-MARIAN; GERGELY, ISTVĂN; ROMAN, MIHAI; VIG, CAMELIA; RUSSU, OCTAV
- Abstract
Anterior cruciate ligament reconstruction is regarded as the standard procedure in patients suffering anterior cruciate ligament injuries, whereas the conservative approach often fails to alleviate all issues involved. Controversy still exists in literature regarding aspects of the reconstruction technique and this study aims to provide answers to some of the conflicting aspects that arise in today's literature. We assessed recent literature, with most of the studies dating from 2015 to 2017 and analyzed aspects such as graft choice, surgical technique, tunnel placement and time to intervention. Bone- patellar tendon-bone graft seems to be leading to osteoarthritis, while stability proved relatively deficient when single-bundle reconstruction was performed. Transtibial drilling technique reportedly presents inferior results. Surgery delay was correlated with meniscal injury. The aspects and recommendations in the studies reviewed were not always consonant. The best surgical approach is still debatable and further studies need to be done before reaching consensus in this matter.
- Subjects
ANTERIOR cruciate ligament transplantation; ANTERIOR cruciate ligament injuries; OPERATIVE surgery; MENISCUS injuries; OSTEOARTHRITIS
- Publication
Acta Medica Transilvanica, 2017, Vol 22, Issue 3, p57
- ISSN
1453-1968
- Publication type
Article