Arthroscopic anterior cruciate ligament reconstruction Progress.docVIP

 PAGE \* MERGEFORMAT 14 Arthroscopic anterior cruciate ligament reconstruction Progress [Abstract] arthroscopic anterior cruciate ligament reconstruction with less trauma, quicker recovery, effective, less complications. This anterior cruciate ligament reconstruction on graft selection, fixation and reconstruction problems such as long-reviewed. [Keywords:] anterior cruciate ligament; transplantation; so long reconstruction; navigation Anterior cruciate ligament (ACL is an important structural stability of the knee, sports and daily life in a variety of factors can lead to injury, ACL rupture, the knee’s instability will not only affect daily life and sports, but will also cause intra-articular structures further damage. Therefore, in order to restore the structure and function of the knee, on the need for reconstruction of ACL injuries has become the consensus. With the continuous progress and development of innovative surgical instruments, arthroscopic reconstruction has become the mainstream treatment of ACL injury method. In recent years, much progress ACL reconstruction surgery, the clinical therapeutic effect and gradually increase. 1, the choice of graft Present in ACL reconstruction surgery, according to graft material can be divided into autologous tissue, heterologous tissue, and artificial ligaments. 1.1 The most commonly used autologous tissue is autologous hamstring tendon (HT) and bone - patellar tendon - bone (BTB). 1.1.1 Friedman first described in 1988 Arthroscopic ST (semitendinosus tendon) reconstruction of ACL. Because of the strength of single strand HT ACL reconstruction can not meet the requirements, one after another after some scholars have used double-stranded / reconstruction of three strands HT ACL, clinical effect entirely satisfied. current clinical four shares HT’s the most widely, the general four-unit ST, or two shares of ST plus two shares of GT (gracilis muscle tendon. four stocks ST’s strength of ACL 250%