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Strategies in Trauma and Limb Reconstruction

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Open Access 01-04-2007 | REVIEW

Biomechanics of the anterior cruciate ligament and implications for surgical reconstruction

Authors: J. Dargel, M. Gotter, K. Mader, D. Pennig, J. Koebke, R. Schmidt-Wiethoff

Published in: Strategies in Trauma and Limb Reconstruction | Issue 1/2007

Abstract

Injury to the anterior cruciate ligament (ACL) is regarded as critical to the physiological kinematics of the femoral-tibial joint, its disruption eventually causing long-term functional impairment. Both the initial trauma and the pathologic motion pattern of the injured knee may result in primary degenerative lesions of the secondary stabilisers of the knee, each of which are associated with the early onset of osteoarthritis. Consequently, there is a wide consensus that young and active patients may profit from reconstructing the ACL. Several factors have been identified as significantly influencing the biomechanical characteristics and the functional outcome of an ACL reconstructed knee joint. These factors are: (1) individual choice of autologous graft material using either patellar tendon-bone grafts or quadrupled hamstring tendon grafts, (2) anatomical bone tunnel placement within the footprints of the native ACL, (3) adequate substitute tension after cyclic graft preconditioning, and (4) graft fixation close to the joint line using biodegradable graft fixation materials that provide an initial fixation strength exceeding those loads commonly expected during rehabilitation. Under observance of these factors, the literature encourages mid-to long-term clinical and functional outcomes after ACL reconstruction.

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Title: Biomechanics of the anterior cruciate ligament and implications for surgical reconstruction
Authors: J. Dargel
M. Gotter
K. Mader
D. Pennig
J. Koebke
R. Schmidt-Wiethoff
Publication date: 01-04-2007
Publisher: Springer-Verlag
Published in: Strategies in Trauma and Limb Reconstruction / Issue 1/2007
Print ISSN: 1828-8936
Electronic ISSN: 1828-8928
DOI: https://doi.org/10.1007/s11751-007-0016-6

At a glance: The STEP trials

Springer Medicine

Biomechanics of the anterior cruciate ligament and implications for surgical reconstruction

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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