Operative treatment of primary anterior cruciate ligament rupture in adults

Operative management of an acute anterior cruciate ligament (ACL) rupture may be required in young and active patients to stabilize the knee and return patients to desired daily activities. ACL reconstruction should be performed anatomically. The majority of studies show no differences between anato...

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Bibliographic Details
Published inJournal of bone and joint surgery. American volume Vol. 96; no. 8; p. 685
Main Authors Murawski, Christopher D, van Eck, Carola F, Irrgang, James J, Tashman, Scott, Fu, Freddie H
Format Journal Article
LanguageEnglish
Published United States 16.04.2014
Subjects
Adult
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Anterior Cruciate Ligament Reconstruction - methods
Arthroscopy
Biomechanical Phenomena
Humans
Knee Injuries - complications
Knee Injuries - diagnosis
Knee Injuries - physiopathology
Knee Injuries - surgery
Knee Joint - surgery
Osteoarthritis - etiology
Osteoarthritis - surgery
Rupture
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Summary:Operative management of an acute anterior cruciate ligament (ACL) rupture may be required in young and active patients to stabilize the knee and return patients to desired daily activities. ACL reconstruction should be performed anatomically. The majority of studies show no differences between anatomic single-bundle and double-bundle ACL reconstruction with respect to patient-reported outcome scores. Double-bundle reconstruction may provide superior knee joint laxity measurements compared with the single-bundle technique. Following ACL reconstruction, the age and activity level of a patient are predictive of his or her time of return to sports and reinjury. Concomitant meniscal and/or cartilage damage at the time of surgery, in addition to a persistent knee motion deficit, are associated with the development of osteoarthritis after ACL reconstruction.
ISSN:1535-1386
DOI:10.2106/jbjs.m.00196