Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Arthroscopy. 2010 Feb;26(2):258-68. doi: 10.1016/j.arthro.2009.07.027.
Anatomy is the foundation of orthopaedic surgery, and the advancing knowledge of the anterior cruciate ligament (ACL) anatomy has led to the development of improved modern reconstruction techniques that approach the anatomy of the native ACL. Current literature on the anatomy of the ACL and its reconstruction techniques, as well as our surgical experience, was used to develop a flowchart that can aid the surgeon in performing anatomic ACL reconstruction. We define anatomic ACL reconstruction as the functional restoration of the ACL to its native dimensions, collagen orientation, and insertion sites. A guideline was written to accompany this flowchart with more detailed information on anatomic ACL reconstruction and its pitfalls, all accompanied by relevant literature and helpful figures. Although there is still much to learn about anatomic ACL reconstruction methods, we believe this is a helpful document for surgeons. We continue to modify the flowchart as more information about the anatomy of the ACL, and how to more closely reproduce it, becomes available.
解剖学是骨科手术的基础，对前交叉韧带 (ACL) 解剖结构的深入了解，推动了现代重建技术的发展，使其更接近 ACL 的解剖结构。本研究结合 ACL 的解剖结构及其重建技术的相关文献和我们的手术经验，制定了一个流程图，以帮助外科医生进行解剖重建。我们将解剖重建定义为 ACL 功能的恢复，包括 ACL 的原始尺寸、胶原纤维方向和止点位置。本研究还附有一份指南，详细介绍了 ACL 的解剖重建及其潜在风险，同时提供了相关文献和有用的图表。尽管在解剖 ACL 重建方法方面仍有许多需要了解的地方，但我们相信这对于外科医生来说是一个有帮助的文件。随着有关 ACL 解剖结构以及如何更接近其解剖结构的信息不断增加，我们将继续修改该流程图。
