{"title":"Anatomical ACL Reconstruction","authors":"Benjamin B. Rothrauff, Bryson P. Lesniak","doi":"10.1016/j.oto.2022.100965","DOIUrl":null,"url":null,"abstract":"<div><p><span>Dr Freddie Fu was a pioneer of sports medicine, making numerous scientific contributions that ultimately improved patient care. He was perhaps best known as a world expert on the </span>anterior cruciate ligament<span><span> (ACL). Herein we review the seminal studies of Dr Fu guiding the evolution and adoption of anatomical ACL reconstruction. From these studies, Dr Fu defined the ACL as a dynamic structure, rich in neurovascular supply and comprised of distinct bundles, which function synergistically to facilitate normal knee kinematics in concert with bony morphology. Characterized by individual uniqueness, the ACL is inherently subject to both anatomical and morphological variations as well as physiologic aging. Accordingly, anatomical ACL reconstruction entails the functional restoration of the ACL to its native dimensions, collagen orientation, and insertion sites according to individual </span>anatomy<span>. Anatomical ACL reconstruction has been consistently demonstrated to be superior to traditional (Ie, non-anatomical) ACL reconstruction in restoring knee stability, but graft failure<span> and an inability to return to pre-injury sporting levels remain a challenge. In embracing the past discoveries and lessons afforded us by Dr Fu, we may embrace future efforts to improve outcomes for patients with an ACL injury.</span></span></span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1048666622000246","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Dr Freddie Fu was a pioneer of sports medicine, making numerous scientific contributions that ultimately improved patient care. He was perhaps best known as a world expert on the anterior cruciate ligament (ACL). Herein we review the seminal studies of Dr Fu guiding the evolution and adoption of anatomical ACL reconstruction. From these studies, Dr Fu defined the ACL as a dynamic structure, rich in neurovascular supply and comprised of distinct bundles, which function synergistically to facilitate normal knee kinematics in concert with bony morphology. Characterized by individual uniqueness, the ACL is inherently subject to both anatomical and morphological variations as well as physiologic aging. Accordingly, anatomical ACL reconstruction entails the functional restoration of the ACL to its native dimensions, collagen orientation, and insertion sites according to individual anatomy. Anatomical ACL reconstruction has been consistently demonstrated to be superior to traditional (Ie, non-anatomical) ACL reconstruction in restoring knee stability, but graft failure and an inability to return to pre-injury sporting levels remain a challenge. In embracing the past discoveries and lessons afforded us by Dr Fu, we may embrace future efforts to improve outcomes for patients with an ACL injury.
期刊介绍：
Operative Techniques in Orthopaedics is an innovative, richly illustrated resource that keeps practitioners informed of significant advances in all areas of surgical management. Each issue of this atlas-style journal explores a single topic, often offering alternate approaches to the same procedure. Its current, definitive information keeps readers in the forefront of their specialty.
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