PDF(Pubmed)
Abstract：
The surgical treatment of anterior cruciate ligament (ACL) injuries dates back over 100 years from the present day [2022]. While open repair of the torn ACL was popularized in the early 1900s, the first ACL reconstructions utilized the fascia lata as a graft and other extra-articular stabilizing techniques. The first free tendon graft reported for ACL reconstructions was the quadriceps tendon (QT) in the 1930s, followed by the hamstrings tendon (HT), and then the patellar tendon. With improved understanding of the ACL anatomy and biomechanics and the invention of the arthroscope, ACL reconstruction evolved from open procedures to arthroscopic. Similarly, with the help of many surgeon-scientists who reported patient outcomes following ACL reconstruction with various techniques, graft choice evolved with the hamstrings and patellar tendon grafts becoming the dominant and preferred choice of both surgeons and patients. In present day, we see a resurgence of one of the original grafts reported, the QT, as well as primary ACL repair. Future research will result in continued advancements of ACL surgical techniques and graft harvesting, which will allow the orthopedic community (including patients and surgeons) to benefit from such innovations and advanced technologies.
摘要：
前交叉韧带（ACL）损伤的手术治疗可以追溯到100多年以来的今天[2022]。虽然撕裂的ACL的开放式修复在1900年代初得到了普及，第一次ACL重建利用阔筋膜作为移植物和其他关节外稳定技术。据报道，用于ACL重建的第一个自由肌腱移植物是1930年代的股四头肌腱（QT），其次是腿筋肌腱（HT），然后是髌腱.随着对ACL解剖学和生物力学的理解以及关节镜的发明，ACL重建从开放手术发展到关节镜手术。同样，在许多外科医生科学家的帮助下，他们报告了使用各种技术重建ACL后的患者结果，随着腿筋和髌腱移植物的发展，移植物的选择逐渐成为外科医生和患者的主导和首选。在今天,我们看到一个原始移植物的复苏，QT,以及主要的ACL修复。未来的研究将导致ACL手术技术和移植物收获的不断进步，这将使骨科社区（包括患者和外科医生）受益于此类创新和先进技术。
