Rabuck Stephen J, Middleton Kellie K, Maeda Shugo, Fujimaki Yoshimasa, Muller Bart, Araujo Paulo H, Fu Freddie H
Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.
Arthrosc Tech. 2012 Mar 3;1(1):e23-9. doi: 10.1016/j.eats.2011.12.004. Print 2012 Sep.
Arthroscopic anterior cruciate ligament reconstruction (ACL-R) is a technique that continues to evolve. Good results have been established with respect to reducing anteroposterior laxity. However, these results have come into question because nonanatomic techniques have been ineffective at restoring knee kinematics and raised concerns that abnormal kinematics may impact long-term knee health. Anatomic ACL-R attempts to closely reproduce the patient's individual anatomic characteristics. Measurements of the patient's anatomy help determine graft choice and whether anatomic reconstruction should be performed with a single- or double-bundle technique. The bony landmarks and insertions of the anterior cruciate ligament (ACL) are preserved to assist with anatomic placement of both tibial and femoral tunnels. An anatomic single- or double-bundle reconstruction is performed with a goal of reproducing the characteristics of the native ACL. Long-term outcomes for anatomic ACL reconstruction are unknown. By individualizing ACL-R, we strive to reproduce the patient's native anatomy and restore knee kinematics to improve patient outcomes.
关节镜下前交叉韧带重建术（ACL-R）是一种不断发展的技术。在减少前后松弛方面已取得了良好的效果。然而，这些结果受到了质疑，因为非解剖技术在恢复膝关节运动学方面效果不佳，并引发了人们对异常运动学可能影响膝关节长期健康的担忧。解剖学ACL-R试图紧密复制患者的个体解剖特征。对患者解剖结构的测量有助于确定移植物的选择以及是否应采用单束或双束技术进行解剖重建。保留前交叉韧带（ACL）的骨性标志和附着点，以协助胫骨和股骨隧道的解剖定位。进行解剖单束或双束重建的目的是重现天然ACL的特征。解剖学ACL重建的长期结果尚不清楚。通过个体化的ACL-R，我们努力重现患者的天然解剖结构并恢复膝关节运动学，以改善患者的预后。
