Anatomy, Biomechanics and Complications of Arthroscopic Anterior Cruciate Ligament Reconstruction

Document Type : Original Article

Authors

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Abstract

Background: With increasing road traffic accidents and athletic participation, traumatic lesions of the ligaments about the knee are becoming increasingly more common. Those injuries can be isolated or combined with other components of the knee. No procedure is ever completely free of risks. However, Anterior Cruciate Ligament (ACL) reconstruction is a safe procedure that is performed thousands of times each year. ACL reconstruction surgery uses a graft to replace the ligament. The most common grafts are autografts using part of body, such as patellar tendon or one of the hamstring tendons. Results of arthroscopic ACL reconstruction have been excellent; the success rate has been reported to be more than 95% in term of patient satisfaction. Aim of the work: was to discuss anatomy and biomechanics of anterior cruciate ligament and the complications of arthroscopic anterior cruciate ligament reconstruction. Conclusion: It could be concluded that the challenge is to perform the reconstructive procedure with high success and minimal complications and morbidity. To accomplish this, it requires a combination of a skilled surgeon, appropriate graft selection and careful attention to the details of rehabilitation.

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