Advancements in Anterior Cruciate Ligament Repair-Current State of the Art

被引：3

作者：

Bosco, Francesco ^{[1
,2
,3
]}

Rovere, Giuseppe ^{[4
,5
]}

Giustra, Fortunato ^{[6
]}

Masoni, Virginia ^{[7
]}

Cassaro, Salvatore ^{[3
]}

Capella, Marcello ^{[7
]}

Risitano, Salvatore ^{[7
]}

Sabatini, Luigi ^{[8
]}

Lucenti, Ludovico ^{[3
]}

Camarda, Lawrence ^{[3
]}

机构：

[1] Univ Palermo, Dept Precis Med Med Surg & Cit Care Me Pre CC, I-90133 Palermo, Italy

[2] GF Ingrassia Hosp Unit, Dept Orthopaed & Traumatol, ASP 6, I-90131 Palermo, Italy

[3] Univ Palermo, Dept Orthoped & Traumatol DICHIRONS, I-90127 Palermo, Italy

[4] Univ Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli IRCCS, Dept Orthopaed & Traumatol, I-00168 Rome, Italy

[5] Univ Roma Tor Vergata, Dept Clin Sci & Translat Med, Sect Orthopaed & Traumatol, I-00133 Rome, Italy

[6] Osped San Giovanni Bosco Torino ASL Citta Torino, Dept Orthopaed & Traumatol, I-10154 Turin, Italy

[7] Univ Turin, Orthopaed & Trauma Ctr, Dept Orthopaed & Traumatol, I-10125 Turin, Italy

[8] Human Gradenigo, Dept Robot & Minimally Invas Arthroplasty Surg, I-10153 Turin, Italy

来源：

SURGERIES | 2024年 / 5卷 / 02期

关键词：

ACL; anterior cruciate ligament; repair; state of the art; review; TERM-FOLLOW-UP; DYNAMIC INTRALIGAMENTARY STABILIZATION; RECONSTRUCTION;

D O I：

10.3390/surgeries5020022

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

While anterior cruciate ligament reconstruction (ACL-R) has been considered the gold standard for ACL tears, renewed interest in ACL repair has emerged. This review aims to examine the current knowledge regarding ACL repair. A comprehensive literature search was conducted on the PubMed, Web of Science, Scopus, and Embase databases, focusing on the most recent studies up to January 2024. Arthroscopic ACL repair has several advantages, such as resulting in a natural ligament with proprioceptive properties, preservation, and donor graft comorbidity absence. Several ACL repair surgical procedures have been developed thanks to the advancement in new fixation devices. The current literature showed that when performed on a suitable patient with the appropriate lesion type, corresponding to the proximal third with good tissue quality, ACL repair leads to satisfactory outcomes. Despite the benefits of ACL repair with promising results, ACL-R remains the gold standard for ACL lesions. There is still a lack of literature analyzing long-term outcomes; large series with homogenous populations and types of lesions are lacking. Based on the current evidence, further research and higher-quality studies investigating ACL repair will be necessary.

引用

页码：234 / 247

页数：14

共 53 条

[1] Clinical and mechanical outcomes in isolated anterior cruciate ligament reconstruction vs additional lateral extra-articular tenodesis or anterolateral ligament reconstruction [J].