All-inside anterior cruciate ligament reconstruction: a review of development, evolution and clinical significance
10.3760/cma.j.cn121113-20220905-00522
- VernacularTitle:全内技术重建前十字韧带的发展、演变和临床意义的研究进展
- Author:
Jianhao FENG
1
;
Yihong XU
;
Weidong XU
Author Information
1. 同济大学附属同济医院骨科，上海 200065
- Keywords:
Knee joint;
Anterior cruciate ligament reconstruction;
Arthroscopy;
Review
- From:
Chinese Journal of Orthopaedics
2023;43(8):526-533
- CountryChina
- Language:Chinese
-
Abstract:
Rupture of anterior cruciate ligament (ACL) is one of the most common sports injuries of the knee, which may cause limitation of motor function and degeneration of the knee, seriously affecting patients' living quality. Currently, arthroscopic ACL reconstruction (ACLR) has been identified as the gold standard for ACL rupture. In an effort to further increase surgical accuracy and decrease surgical trauma so as to promotes quick recovery, all-inside ACLR has gained increasing attention in recent years. All-inside ACLR is as effective as traditional reconstruction, but it has benefits such as the preservation of tendons, preservation of bone mass, reduction of postoperative pain, prevention of synovial fluid leakage, expansion of the tendon-bone healing area, avoidance of complications related to extrusion screws, and suitability for children and adolescents. However, applying of numerous novel techniques for all-inside ACLR increases the learning curve, operating time, and cost. Besides, improper bone tunnel fabrication and graft fixation may lead to the widening of the bone tunnel, affecting the surgical effect. Therefore, in order to provide a theoretical foundation for further promoting the clinical application of this technique, this article reviews the development, evolution, and clinical outcomes of this technique as well as its advantages and disadvantages.
