Banovetz Mark T, Familiari Filippo, Kennedy Nicholas I, Russo Raffaella, Palco Michelangelo, Simonetta Roberto, DePhillipo Nicholas N, LaPrade Robert F
University of Minnesota Medical School, Minneapolis, MN, USA.
Department of Orthopaedic and Trauma Surgery, Magna Graecia University, Catanzaro, Italy.
Ann Jt. 2023 Jul 3;8:28. doi: 10.21037/aoj-22-49. eCollection 2023.
A thorough understanding of the anatomical properties of the native anterior cruciate ligament (ACL), as well as the native specimens that are most commonly considered as viable autograft choices for anterior cruciate ligament reconstruction (ACLR), is warranted for continuing to pursue the best-possible graft choice for patients undergoing ACLR. While a wide variety of graft choices remain available to the operating surgeon, choosing the correct graft choice remains a consideration and discussion with patients on the pros and cons of each option. This article combines a review of the current literature on the quantitative and qualitative anatomy of the native ACL and common autograft specimens with the expert consensus of the senior author on the surgically-pertinent anatomy of these structures. The purpose of this article is to review the anatomy pertaining to the native ACL, along with the distal anatomy of the hamstring tendons, patellar tendon and quadriceps tendon (QT). Multiple tendinous and ligamentous structures exist around the knee that serve as viable candidates for use as autologous grafts for ACLR, and the anatomy of these distal extents of these structures are discussed thoroughly, including bony attachments, quantitative and relational anatomy, cross sectional area, and histological features of these structures.
为了继续为接受前交叉韧带重建（ACLR）的患者寻求最佳的移植物选择，有必要深入了解天然前交叉韧带（ACL）的解剖学特性，以及最常被视为ACLR可行自体移植物选择的天然标本。虽然手术医生仍有多种移植物选择，但选择正确的移植物仍是一个需要考虑的问题，并且需要与患者讨论每种选择的利弊。本文结合了对当前关于天然ACL和常见自体移植物标本的定量和定性解剖学文献的综述，以及资深作者对这些结构的手术相关解剖学的专家共识。本文的目的是回顾与天然ACL相关的解剖结构，以及腘绳肌腱、髌腱和股四头肌肌腱（QT）的远端解剖结构。膝关节周围存在多个肌腱和韧带结构，可作为ACLR自体移植物的可行选择，本文将对这些结构远端范围的解剖进行全面讨论，包括骨附着点、定量和相关解剖、横截面积以及这些结构的组织学特征。
