title: [Indications for anterior cruciate ligament reconstruction--current surgical techniques, choice of transplant].
abstract: At present there is still a great deal of uncertainty about the natural history of ruptures of the ACL. The literature reveals that a significant number of secondary meniscus lesions and chondral damage results, when a high activity level is maintained. Reconstruction of the ACL now improves objective stability and decreases the meniscectomy rate in a large number of cases. Replacement with a patellar tendon or semitendinosus graft and augmented repair give better results than primary suture of the ligament. A limited arthrotomy or an arthroscopic technique should be used for reconstruction of the ACL. Two tunnel techniques with a lateral incision and single incision techniques with a femoral half tunnel are used. There is no consensus at present on the optimal graft source and surgical technique for ACL reconstruction.
authors.affiliation: Unfallchirurgische Klinik, Medizinische Hochschule Hannover.
authors.forename: P
authors.initials: P
authors.lastname: Lobenhoffer
authors.forename: H
authors.initials: H
authors.lastname: Tscherne
mesh_terms: D016118:Anterior Cruciate Ligament / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D006801:Humans; D007593:Joint Instability; D007718:Knee Injuries / Q000601:surgery*; D012421:Rupture; D013525:Surgical Instruments; D013536:Suture Techniques / Q000295:instrumentation; D013709:Tendon Transfer / Q000295:instrumentation*
vernacular_title: Indikation zur vorderen Kreuzbandrekonstruktion--Gegenwärtige Operationstechniken, Transplantatwahl.