|
KMID : 1037920160030020067
|
|
Arthroscopy and Orthopedic Sports Medicine
2016 Volume.3 No. 2 p.67 ~ p.76
|
|
|
Biomechanics of the knee joint after anatomical anterior cruciate ligament reconstruction
|
|
Song Si-Young
Chung Hyun-Min
Seo Young-Jin
|
|
|
Abstract
|
|
|
|
The traditional methods of anterior cruciate ligament (ACL) reconstruction aim to achieve graft isometry. But the remnant rotational instability makes the long-term outcomes far from satisfactory. On the basis of findings that placing the graft in a more anatomical ACL insertion site restored rotational control more effectively, the general consensus changed to a need to perform an anatomical ACL reconstruction. Despite the many biomechanical phenomena of anatomical ACL reconstruction there lacks a consensus as to the gold standard. One of the reasons why it has been difficult to single out the treatment of choice is because many studies have been performed on cadavers. The convoluted biomechanical movements of the body can neither be fully reflected by cadaveric studies nor be wholly appreciated by experimental settings. All in all, the results of previous neumerous biomechanical studies have not contributed much to defining the gold standard of treatment for ACL reconstruction. This is thought to be because of the difficulties in analyzing the clinical and the experimental data of a postoperative knee, such as rotational instability. Well-designed experimental settings, in vivo studies and long-term clinical outcomes are warranted to develop more biomechanically-relevant and effective anatomical reconstruction techniques.
|
|
|
KEYWORD
|
|
|
Anterior cruciate ligament reconstruction, Biomechanical phenomena
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|