Getgood Alan, Spalding Tim
University Hospitals Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Walsgrave, Coventry, CV2 2DX, UK.
Open Orthop J. 2012;6:287-94. doi: 10.2174/1874325001206010287. Epub 2012 Jul 27.
Anterior cruciate ligament reconstruction has evolved significantly since the early 1900's, back when an emphasis was placed on repair and not reconstruction. Over the past century, the technique has evolved from intra-articular non anatomic reconstruction, to extra articular reconstruction, back to intra articular (performed arthroscopically), to now, the advent of anatomic insertion site restoration. This review will aim to illustrate the changes that have occurred, describing the rational for this process, based upon anatomical, radiological, biomechanical and clinical studies, all of which have aimed to improve patient function following ACL injury.
自20世纪初以来，前交叉韧带重建技术有了显著发展，当时重点在于修复而非重建。在过去的一个世纪里，该技术已从关节内非解剖重建发展到关节外重建，再回到关节内（通过关节镜进行），直至如今解剖学插入位点恢复技术的出现。本综述旨在阐述所发生的变化，基于解剖学、放射学、生物力学和临床研究描述这一过程的原理，所有这些研究均旨在改善前交叉韧带损伤后患者的功能。
