UPMC Center for Sports Medicine, Department of Orthopaedic Surgery, Pittsburgh, PA, USA.
J Orthop Sports Phys Ther. 2012 Mar;42(3):196-207. doi: 10.2519/jospt.2012.4083. Epub 2012 Jan 25.
The anterior cruciate ligament (ACL) is an important stabilizer of the knee against translational and rotational forces. The goal of anatomic reconstruction of the ACL-deficient knee is to re-create a stable knee that will allow for return to sport and prevent recurrent injury. Multiple graft options exist for ACL reconstruction, and each option has unique advantages and disadvantages. With appropriate patient selection, each graft can be utilized to optimize patient outcomes. Allograft options limit morbidity following ACL reconstruction, but care must be taken with surgical technique and postoperative rehabilitation to allow for graft incorporation. An understanding of the surgical technique and differences between graft options will allow the patient, surgeon, and physical therapist to maximize outcomes following ACL reconstruction.
前交叉韧带（ACL）是膝关节抵抗平移和旋转力的重要稳定器。ACL 缺失膝关节的解剖重建的目标是重建一个稳定的膝关节，使患者能够重返运动并防止再次受伤。ACL 重建有多种移植物选择，每种选择都有独特的优缺点。通过适当的患者选择，每种移植物都可以用于优化患者的结果。同种异体移植物选择可以减少 ACL 重建后的发病率，但必须注意手术技术和术后康复，以允许移植物的融合。了解手术技术和移植物选择之间的差异将使患者、外科医生和物理治疗师能够最大限度地提高 ACL 重建后的结果。
