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Document Title: Fu-AJSM-Nov99.shtml
Article Title: Current Trends in Anterior Cruciate Ligament Reconstruction; Part 1: Biology and Biomechanics of Reconstruction
Authors: Freddie H. Fu, MD, Craig H. Bennett, MD, Christian Lattermann, MD and C. Benjamin Ma, MD.
Publication: American Journal of Sports Medicine, Baltimore, Maryland
Date: November-December 1999
Volume 27, Number 6, pages 821-830
Keywords: ACL reconstruction, patellar-tendon autograft, hamstring autograft, allograft, current concepts.
(Reference-denoting numbers appear in the same point size as the document text. As with all Knee Library documents, this article is provided in full-text form, complete with all figures.)
Comments: This absolutely superb article provides a comprehensive overview of the anatomy, physiology, and kinematics/biomechanics of the natural and reconstructed ACLs. (This article is the first of a two-part set.)
ABSTRACT
With today’s increasing emphasis on sporting activities, the incidence of anterior cruciate ligament injuries has also increased. Epidemiologic studies estimate that the prevalence of anterior cruciate ligament injuries is about 1 per 3000 Americans. Management of these injuries has evolved from nonoperative treatment to extracapsular augmentation and primary ligament repair to anterior cruciate ligament reconstruction. Treatment of these injuries has significantly improved over the last few decades with the application of knowledge gained from both basic science and clinical research. This article is composed of two parts. The first part reviews the biology and biomechanics of the injured anterior cruciate ligament and the basic science of reconstruction. In the second part, to be published later, current operative concepts of reconstruction, as well as clinical correlations, are reviewed. Summarizing the latest information on basic scientific as well as clinical studies regarding the anterior cruciate ligament, this article intends to demonstrate the correlation between the application of basic science knowledge and improvement of clinical outcomes.
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