Treatment of Anterior Cruciate Ligament Injuries, Part I
Top Cited Papers
- 1 October 2005
- journal article
- review article
- Published by SAGE Publications in The American Journal of Sports Medicine
- Vol. 33 (10), 1579-1602
- https://doi.org/10.1177/0363546505279913
Abstract
Anterior cruciate ligament injuries are common among athletes. Although the true natural history remains unclear, anterior cruciate ligament injuries are functionally disabling; they predispose the knee to subsequent injuries and the early onset of osteoarthritis. This article, the first in a 2-part series, was initiated with the use of the PubMed database and a comprehensive search of articles that appeared between January 1994 to the present, using the keywords anterior cruciate ligament. A total of 3810 citations were identified and reviewed to determine the current state of knowledge about the treatment of these injuries. Articles pertaining to the biomechanical behavior of the anterior cruciate ligament, the prevalence of anterior cruciate ligament injury, the natural history of the anterior cruciate ligament–deficient knee, injuries associated with anterior cruciate ligament disruption, risk factors for anterior cruciate ligament injury, indications for treatment of anterior cruciate ligament injuries, and nonoperative and operative treatments were obtained, reviewed, and served as the basis for part I. Part II, to be presented in another issue of this journal, includes technical aspects of anterior cruciate ligament surgery, bone tunnel widening, graft healing, rehabilitation after reconstruction, and the effect of sex, age, and activity level on the outcome of surgery. Our approach was to build on prior reviews and to provide an overview of the literature for each of the before-mentioned areas of study by summarizing the highest level of scientific evidence available. For the areas that required a descriptive approach to research, we focused on the prospective studies that were available; for the areas that required an experimental approach, we focused on the prospective, randomized controlled trials and, when necessary, the highest level of evidence available. We were surprised to learn that considerable advances have been made during the past decade regarding the treatment of this devastating injury.Keywords
This publication has 277 references indexed in Scilit:
- Long-term outcome of MacIntosh reconstruction of chronic anterior cruciate ligament insufficiency using fascia lataJournal of Orthopaedic Science, 2003
- Special considerations: Anterior cruciate ligament reconstruction in the skeletally immatureOrthopedic Clinics of North America, 2003
- There are differences in early morbidity after ACL reconstruction when comparing patellar tendon and semitendinosus tendon graftScandinavian Journal of Medicine & Science in Sports, 2001
- Direct measurement of strain in the posterolateral bundle of the anterior cruciate ligamentJournal of Biomechanics, 1997
- ARTHROSCOPIC ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTIONClinics in Sports Medicine, 1997
- Osteoarthritis of the knee after injury to the anterior cruciate ligament or meniscus: the influence of time and ageOsteoarthritis and Cartilage, 1995
- Combined knee loading states that generate high anterior cruciate ligament forcesJournal of Orthopaedic Research, 1995
- Location-dependent variations in the material properties of the anterior cruciate ligamentJournal of Biomechanics, 1992
- Intraarticular Versus Intraarticular and Extraarticular Reconstruction for Chronic Anterior Cruciate Ligament InstabilityClinical Orthopaedics and Related Research, 1989
- Measurement of mechanical properties of ligament substance from a bone‐ligament‐bone preparationJournal of Orthopaedic Research, 1983