Surgical management of anterior cruciate ligament injuries
نویسندگان
چکیده
Background : Anatomic ACL surgery, including double bundle ACL reconstruction, has been investigated widely. The purpose of this study was to gain insight in the currently used surgical management of anterior cruciate ligament injuries amongst Belgian orthopaedic surgeons. Methods : A survey consisting of epidemiological questions, ACL surgery related questions and questions concerning rehabilitation was submitted to all members of the Belgian Knee Society. Results : Anatomic single bundle ACL repair with transportal femoral tunnel drilling, using an autologous hamstring graft fixed with a cortical suspension system proximal and an interference screw distal is currently the most common technique. The surgery is usually performed under general anesthesia with a one-night stay in the hospital. Postoperatively a hinge brace is mostly used. Conclusion : Although much research concerning double bundle ACL surgery is performed, only few surgeons perform this technique. Most surgeons perform an anatomic single bundle repair. This is in accordance with the current knowledge regarding cost effective care. Performing this procedure in day care with the aid of loco-regional anesthesia and avoidance of a hinged brace can help to reduce the cost for the healthcare system without compromising the outcome.
منابع مشابه
Surgical Management of the Multiple-Ligament Knee Injury
The management of multiligament knee injury is a complex process starting with the adequate identification of the injury. A detailed physical and radiographic examination with a thorough understanding of knee anatomy is crucial to assess all damaged structures: anterior cruciate ligament, posterior cruciate ligament, posteromedial corner including the medial collateral ligament, and posterolate...
متن کاملSports knee injuries - assessment and management.
BACKGROUND Sports knee injuries present commonly in the general practice setting. A good understanding of the anatomy and biomechanics of the knee assists accurate diagnosis of acute knee injuries. OBJECTIVE This article describes the assessment and management of sports knee injuries in the general practice setting. DISCUSSION When a patient presents with a sporting knee injury, a detailed ...
متن کاملComparison the Effect Plyometric Exercises with and without Stretching Exercises on Dynamic Knee Valgus, Flexibility and Functional Factors on Female Elite Taekwondo Athletes Exposed to Anterior Cruciate Ligament Injury
The prevalence of sports injuries in martial arts is high. Most Taekwondo injuries also occur in the lower extremities. The aim of this study is to compare the effect of a period of plyometric exercises, with and without stretching exercises, on knee valgus dynamics, flexibility and functional variables of elite female taekwondo athletes at risk of anterior cruciate ligament injuries. 45 elite...
متن کاملAnterior Cruciate Ligament Reconstruction with Patellar or Hamstring Tendon Grafts: a Review of the Evidence
Rupture of the anterior cruciate ligament (ACL) is a common injury. The management of such injuries has been much debated and surgical reconstruction with an autograft is a popular option. Here the evidence on the use of two popular candidates (the patellar tendon and hamstring tendons) are compared in an attempt to discover the superior or to gain an indication of factors that may influence th...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2016