Merkiel, Dawid, Walus, Piotr, Piech, Piotr, Polak, Paweł, Węgłowski, Robert, Grodzicki, Wojciech, Flis, Piotr, Sławiński, Przemysław, Fatyga, Kamil, and Kozioł, Maciej
Merkiel Dawid, Walus Piotr, Piech Piotr, Polak Paweł, Węgłowski Robert, Grodzicki Wojciech, Flis Piotr, Sławiński Przemysław, Fatyga Kamil, Kozioł Maciej. Current trends in Anterior Cruciate Ligament reconstructions. Journal of Education, Health and Sport. 2018;8(10):105-110 eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1453368 http://ojs.ukw.edu.pl/index.php/johs/article/view/6159 https://pbn.nauka.gov.pl/sedno-webapp/works/881610 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.09.2018. Revised: 18.09.2018. Accepted: 09.10.2018. Current trends in Anterior Cruciate Ligament reconstructions Dawid Merkiel1, Piotr Walus1, Piotr Piech2,3, Paweł Polak3, Robert Węgłowski3, Wojciech Grodzicki1, Piotr Flis1, Przemysław Sławiński1, Kamil Fatyga3, MaciejKozioł2 1Orthopaedics and Traumatology Research Group, Department of Orthopaedics and Traumatology, Medical University of Lublin, Poland 2Department of Human Anatomy, Medical University of Lublin, Poland 3Department of Orthopaedics and Traumatology, Medical University of Lublin, Poland Corresponding Author: Dawid Merkiel Orthopaedics and Traumatology Research Group, Department of Orthopaedics and Traumatology, Medical University. Jaczewskiego 8 20-954 Lublin , Lublin, Poland. e-mail: dawid220894@gmail.com Abstract The rupture of the Anterior Cruciate Ligament (ACL) is a common complication of knee trauma. Arthroscopic ACL reconstructive surgery is the method of choice in most of these cases. This is an increasingly common procedure due to low invasiveness, good treatment results and a constantly growing number of operators able to perform them. The aim of the study is to review currently used methods for the reconstruction of the Anterior Cruciate Ligament. There are many types of transplants, and the choice depends on individual factors (including gender, age, occupation, physical activity) and the patient's expectations. The operator's skills and preferences also determine the choice of therapy. Considering the above-mentioned aspects, authors of the study will analyze ACL reconstruction methods based on the latest literature. Currently, the basic treatment of ACL injuries are arthroscopic procedures. Due to the various types of transplants, the procedure, result and complications may vary depending on the choice. An autograft is the preferred treatment for this injury. Autografts that are preferred are the ligaments of the semitendinosus muscle and the patellar tendon. Less frequently used autografts include ligaments of the quadriceps muscle of the thigh and gastrocnemius muscle (Achilles tendon). Another type of transplant is an allograft. The graft is taken from a donor (a deceased donor in cases of ligament transplants). It is less frequently used due to its high cost, lower strength compared to an autograft and a greater number of complications. The third type of transplants are synthetic grafts. These are fibers made of materials such as Gore-Tex. Synthetic grafts are also rarely used for the same reasons as allografts. Internal Bracing (IB) is becoming a more popular procedure. This method allows you to re-attach broken ligaments in their original position. This is possible if only one end of the ligament is broken. An important issue is the number of bundles (single-bundle, double-bundle), the position and the type of attachment (titanium screws, absorbable, endobutton). The final choice of the treatment method depends on the operator's skills and preferences.