[Contribution of biomechanics to anterior cruciate ligament reconstruction]. 2006

Savio L-Y Woo, and Sinan Karaoğlu, and Ozgür Dede
Musculoskeletal Research Center, Department of Bioengineering, University of Pittsburgh, Pittsburgh, USA. ddecenzo@pitt.edu

For years, bioengineers and orthopedic surgeons have applied the principles of biomechanics to gain valuable information about the complex function of the anterior cruciate ligament (ACL), as well as to improve the design of replacement grafts for ACL reconstruction. New experimental tools, such as robotic testing systems and mathematical models have been used to measure the multiple degree-of-freedom (DOF) knee kinematics, in situ forces, and biomechanical properties of the ACL. This manuscript will review specific examples of how biomechanics has impacted surgical reconstruction of the ACL by improving technical factors such as graft selection, tunnel placement, initial graft tension, graft fixation, and graft tunnel healing. Evolution of the single-bundle ACL reconstruction to the more anatomical double-bundle reconstruction will be featured. Finally, the future role of biomechanics to facilitate in vivo data for further improvement of ACL reconstruction will be discussed.

UI MeSH Term Description Entries
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000070598 Anterior Cruciate Ligament Injuries Sprain or tear injuries to the ANTERIOR CRUCIATE LIGAMENT of the knee. ACL Injuries,ACL Tears,Anterior Cruciate Ligament Injury,Anterior Cruciate Ligament Tear,Anterior Cruciate Ligament Tears,ACL Injury,ACL Tear,Injuries, ACL,Injury, ACL,Tear, ACL,Tears, ACL
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic
D016118 Anterior Cruciate Ligament A strong ligament of the knee that originates from the posteromedial portion of the lateral condyle of the femur, passes anteriorly and inferiorly between the condyles, and attaches to the depression in front of the intercondylar eminence of the tibia. Cruciate Ligament, Anterior,Anterior Cranial Cruciate Ligament,Cranial Cruciate Ligament,Anterior Cruciate Ligaments,Cranial Cruciate Ligaments,Cruciate Ligament, Cranial,Cruciate Ligaments, Anterior,Cruciate Ligaments, Cranial,Ligament, Anterior Cruciate,Ligament, Cranial Cruciate,Ligaments, Anterior Cruciate,Ligaments, Cranial Cruciate
D019651 Plastic Surgery Procedures Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures. Cosmetic Reconstructive Surgical Procedures,Cosmetic Surgical Procedures,Esthetic Reconstructive Surgical Procedures,Esthetic Surgical Procedures,Plastic Surgical Procedures,Reconstructive Surgical Procedures,Reconstructive Surgical Procedures, Cosmetic,Cosmetic Reconstructive Surgery,Procedure, Reconstructive Surgical,Procedures, Reconstructive Surgical,Reconstructive Surgical Procedure,Reconstructive Surgical Procedures, Esthetic,Surgical Procedure, Reconstructive,Surgical Procedures, Reconstructive,Cosmetic Reconstructive Surgeries,Cosmetic Surgical Procedure,Esthetic Surgical Procedure,Plastic Surgery Procedure,Plastic Surgical Procedure,Procedure, Cosmetic Surgical,Procedure, Esthetic Surgical,Procedure, Plastic Surgery,Procedure, Plastic Surgical,Procedures, Cosmetic Surgical,Procedures, Esthetic Surgical,Procedures, Plastic Surgery,Procedures, Plastic Surgical,Reconstructive Surgeries, Cosmetic,Reconstructive Surgery, Cosmetic,Surgeries, Cosmetic Reconstructive,Surgery Procedure, Plastic,Surgery Procedures, Plastic,Surgery, Cosmetic Reconstructive,Surgical Procedure, Cosmetic,Surgical Procedure, Esthetic,Surgical Procedure, Plastic,Surgical Procedures, Cosmetic,Surgical Procedures, Esthetic,Surgical Procedures, Plastic

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