Anterior cruciate ligament injury in adults Diagnostics and treatment

被引：0
作者：
Kohn, L. [1 ]
Rembeck, E. [2 ]
Rauch, A. [2 ]
机构：
[1] Krankenhaus Landshut Achdorf, Klin Unfallchirurg & Orthopad, Landshut, Germany
[2] ATOS Klin Munchen, Sporttraumatol & Kniechirurg, ECOM Praxis Orthopad Sportmed & Unfallchirurg, Munich, Germany
来源：
ORTHOPADE | 2020年 / 49卷 / 11期
关键词：
Knee injury; Knee instability; Anterior cruciate ligament rupture; Anterior cruciate ligament replacement; Anterior cruciate ligament refixation; ANTEROLATERAL LIGAMENT; PIVOT-SHIFT; RECONSTRUCTION; KNEE; ANATOMY; ACL; METAANALYSIS; BUNDLES; FIBERS;
D O I：
10.1007/s00132-020-03997-3
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
The anterior cruciate ligament (ACL) together with the posterior cruciate ligament is the central stabilizer of the knee. It stabilizes the tibia against increased anterior translation and internal rotation. With an incidence of 46/100,000 ACL tears are among the most common sports injuries in Germany. New prevention programs can reduce the risk of ACL injuries. Surgical treatment is recommended for young and athletic patients as it can also reduce the risk of further relevant injuries of the meniscus and cartilage. The standard of surgical treatment in Germany is the ACL reconstruction with an autologous tendon graft. In selected cases, the preservation of the ACL by arthroscopic refixation shows good results. Instead of the previously used purely time-based rehabilitation, function-based criteria are increasingly being included in the aftercare.
引用
收藏
页码：1013 / 1028
页数：16
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