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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-02-2012 | Knee

Why perform an ACL augmentation?

Authors: Carlo Angelo Borbon, George Mouzopoulos, Rainer Siebold

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2012

Abstract

Purpose

The objective of this article is to determine the importance of an intact anterior cruciate ligament (ACL) stump and its role in the clinical outcome of an ACL reconstruction.

Method

A PubMed database search was conducted using the key words “anterior cruciate ligament healing” and “double-bundle structure”. Articles concerning ACL healing, reconstruction, and rehabilitation were obtained. A total of 35 studies were incorporated in this article, and factors preset in the intact ACL stump were taken into consideration.

Results

Four factors were noted to be important in preserving the stump: protection in early rehabilitation, maintenance of vascular supply, preservation of proprioceptive receptors and may serve as reference for accurate tunnel placement. Also noted was the significance of the intact stump in the natural history, examination, and imaging of such injuries.

Conclusion

This study provides a detailed justification in preserving ACL remnants and their vital role in surgical reconstruction of partial anterior cruciate ligament tears.

Level of evidence

Therapeutic study, expert opinion with review of Level II-V studies, Level V.

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Title: Why perform an ACL augmentation?
Authors: Carlo Angelo Borbon
George Mouzopoulos
Rainer Siebold
Publication date: 01-02-2012
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-011-1565-2

At a glance: The STEP trials

Springer Medicine

Why perform an ACL augmentation?

Abstract

Purpose

Method

Results

Conclusion

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

Level of evidence

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