Schreiber Verena M, van Eck Carola F, Fu Freddie H
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
Sports Med Arthrosc Rev. 2010 Mar;18(1):27-32. doi: 10.1097/JSA.0b013e3181bf6634.
Rupture of the anterior cruciate ligament (ACL) is one of the most frequent forms of knee trauma. The traditional surgical treatment for ACL rupture is single-bundle reconstruction. However, during the past few years there has been a shift in interest toward double-bundle reconstruction to closely restore the native ACL anatomy. This paper evaluates the basis for double-bundle ACL reconstruction including anatomy, biomechanics and kinematics, describes our surgical technique, and discusses why we prefer anatomic double-bundle ACL reconstruction, as well as its outcome, the choices, and the controversies of double-bundle ACL reconstruction. Pitfalls of traditional ACL surgery are also discussed, the recognition of which is the key to performing anatomic ACL reconstruction.
前交叉韧带（ACL）断裂是膝关节创伤最常见的形式之一。ACL断裂的传统手术治疗是单束重建。然而，在过去几年中，人们的兴趣已转向双束重建，以更紧密地恢复天然ACL的解剖结构。本文评估双束ACL重建的基础，包括解剖学、生物力学和运动学，描述我们的手术技术，并讨论我们为何更倾向于解剖学双束ACL重建，以及其结果、双束ACL重建的选择和争议。还讨论了传统ACL手术的陷阱，认识到这些陷阱是进行解剖学ACL重建的关键。
