{"title":"Anterior cruciate ligament reconstruction: current concepts and latest thinking","authors":"Ian Douglas McDermott","doi":"10.1016/j.mporth.2023.03.008","DOIUrl":null,"url":null,"abstract":"<div><p><span>Never has there been such focus on just one small ribbon-like ligament in the human body: the anterior cruciate ligament<span> (ACL) is the most highly studied and highly written about ligament in the knee, and yet still, there seem to be many ongoing unknowns. Despite this, there seem to be even more so-called experts than papers, all with their own firm and didactic opinions. This review article provides a contemporary opinion on the subject of ACL tears<span> and ACL reconstruction, with a focus on the diagnosis of ACL tears and the decision-making process, with respect to conservative </span></span></span><em>versus</em><span> surgical management. The review also discusses the topics of tunnel placement, graft options, internal bracing, the anterolateral ligament and, importantly, outcomes. This paper highlights that there are a number of different approaches and options, and emphasizes the importance of discussing the pros and cons of these options with your patients, thoroughly, with shared decision-making leading to fully informed consent.</span></p></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"37 3","pages":"Pages 195-206"},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopaedics and Trauma","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1877132723000283","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Never has there been such focus on just one small ribbon-like ligament in the human body: the anterior cruciate ligament (ACL) is the most highly studied and highly written about ligament in the knee, and yet still, there seem to be many ongoing unknowns. Despite this, there seem to be even more so-called experts than papers, all with their own firm and didactic opinions. This review article provides a contemporary opinion on the subject of ACL tears and ACL reconstruction, with a focus on the diagnosis of ACL tears and the decision-making process, with respect to conservative versus surgical management. The review also discusses the topics of tunnel placement, graft options, internal bracing, the anterolateral ligament and, importantly, outcomes. This paper highlights that there are a number of different approaches and options, and emphasizes the importance of discussing the pros and cons of these options with your patients, thoroughly, with shared decision-making leading to fully informed consent.
期刊介绍：
Orthopaedics and Trauma presents a unique collection of International review articles summarizing the current state of knowledge and research in orthopaedics. Each issue focuses on a specific topic, discussed in depth in a mini-symposium; other articles cover the areas of basic science, medicine, children/adults, trauma, imaging and historical review. There is also an annotation, self-assessment questions and a second opinion section. In this way the entire postgraduate syllabus will be covered in a 4-year cycle.
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