University of Michigan.
Arthroscopy. 2019 Jun;35(6):1656-1657. doi: 10.1016/j.arthro.2019.03.017.
The concept of an "anatomic" anterior cruciate ligament (ACL) reconstruction remains a major focus of active research in the literature, but the true definition remains elusive. Although most authors have defined this by a tunnel position contained within the native ligament footprint, it is clear that such a description is grossly inadequate to recapitulate the form and function of the native ACL: Aperture surface area, geometry, graft bundles, collagen fiber tension, and isometry, as well as incorporation and maturation, are all critical factors that affect the final outcome. It is clear that no single- or double-bundle ACL reconstruction in 2019 is in fact anatomic; rather, it is guided by the native anatomic landmarks to more appropriately place the new graft.
“解剖”前交叉韧带（ACL）重建的概念仍然是文献中活跃研究的主要焦点，但真正的定义仍难以捉摸。尽管大多数作者通过位于固有韧带附着点内的隧道位置来定义，但很明显，这样的描述远远不能重现固有 ACL 的形态和功能：孔径面积、几何形状、移植物束、胶原纤维张力和等距性，以及结合和成熟，都是影响最终结果的关键因素。很明显，2019 年没有任何单束或双束 ACL 重建实际上是解剖学的；相反，它是通过固有解剖学标志来更恰当地放置新的移植物。
