Kim Ha Sung, Seon Jong Keun, Jo Ah Reum
Department of Orthopaedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun, Korea.
Knee Surg Relat Res. 2013 Dec;25(4):165-73. doi: 10.5792/ksrr.2013.25.4.165. Epub 2013 Nov 29.
The advances in the knowledge of anatomy, surgical techniques, and fixation devices have led to the improvement of anterior cruciate ligament (ACL) reconstruction over the past 10 years. Nowadays, double bundle and anatomical single bundle ACL reconstruction that more closely restores the normal anatomy of the ACL are becoming popular. Although there is still no definite conclusion whether double bundle ACL reconstruction provides better clinical results than single bundle reconstruction, the trend has shifted to anatomic reconstruction regardless of single bundle or double bundle techniques. We could not find any significant differences in the clinical outcomes and stability after ACL reconstruction according to the type of graft or fixation device. Therefore, surgeons should select an ideal ACL reconstruction according to the patient's condition and surgeon's experience.
在过去十年中，解剖学知识、手术技术和固定装置的进步推动了前交叉韧带（ACL）重建技术的发展。如今，更能紧密恢复ACL正常解剖结构的双束和解剖单束ACL重建正逐渐流行起来。尽管对于双束ACL重建是否比单束重建能带来更好的临床效果尚无定论，但无论单束还是双束技术，趋势都已转向解剖重建。根据移植物或固定装置的类型，我们未发现ACL重建术后的临床结果和稳定性存在任何显著差异。因此，外科医生应根据患者情况和自身经验选择理想的ACL重建方式。
