| Autor: |
Wen-Chun Yen, Zhi-Hong Zheng |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Journal of Medical Sciences, Vol 43, Iss 5, Pp 197-201 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
1011-4564 |
| DOI: |
10.4103/jmedsci.jmedsci_75_23 |
| Popis: |
This article provides a narrative review of the risk factors for anterior cruciate ligament reconstruction (ACLR) failures, as well as strategies to prevent such failures. Early timing for ACLR is not a risk factor for arthrofibrosis anymore according to recent studies. Vancomycin-soaked grafts appear to decrease infection rates after ACLR and are cost-effective. Proper tunnel placement is critical for anatomic ACLR to restore knee kinematics and joint stability. The article proposes a reproducible and accurate method for tunnel positioning. Increased sagittal plane tibial slope has been identified as a risk factor for primary ACLR failure. An anterior closing wedge proximal tibial osteotomy is suggested as a viable option for reducing posterior tibial slope. The lateral extra-articular tenodesis procedure in ACLR is effective in restoring both anterior tibial translation and rotatory stability. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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