[Anterior cruciate ligament reconstruction: indications and techniques].
The anterior cruciate ligament (ACL) is a key structure for the knee joint stability and is frequently injured. Patients can be classified as "low-risk" or "high-risk" to have subsequent knee instability or meniscal injuries. This risk is based on the pre-injury level of sports participation and on the initial knee stability. For low-risk patients (mostly sedentary, senior), conservative treatment with physiotherapy leads to a satisfactory outcome. For high-risk patients (the young, competitive athlete), early ligament reconstruction is mandatory. Numerous ACL reconstruction techniques exist with auto- or allografts. However these guidelines must be adapted to the patient characteristics, motivations and expectations, in order to offer a treatment "a la carte".
Duthon
Victoria B
VB
Service de chirurgie orthopédique et traumatologie de l'appareil moteur, Département de chirurgie HUG, Faculté de médecine 1211 Genève 14. victoria.duthon@hcuge.ch
Messerli
Guy
G
Menetrey
Jacques
J
D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001265:Athletic Injuries / Q000601:surgery; D006801:Humans; D018579:Patient Selection; D013709:Tendon Transfer; D013710:Tendons / Q000637:transplantation