CURRENT CONCEPTS REGARDING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
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. Bonepatellar
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.
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