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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
NEW TECHNOLOGY FOR THE TREATMENT OF ADULT HIP AND KNEE DISORDERS
Minerva Ortopedica e Traumatologica 2012 October;63(5):337-44
Management of ACL rupture: current dilemmas and future options
Kohl S., Kleer B., Zumstein M., Schär M., Eggli S., Evangelopoulos D. S.
Department of Orthopedic Surgery, University of Bern, Inselspital, Bern, Switzerland
Anterior cruciate injury is a growing problem primarily affecting young, active individuals. Management of anterior cruciate ligament (ACL) lesions therefore aims to restore preinjury stability and activity and prevent debilitating long-term consequences, such as early onset of osteoarthritis, which can have a severe impact on quality of life. Currently, management options centre around a choice between conservative and surgical approaches. However, there is a great degree of debate and controversy as to the optimal strategy for the management of ACL rupture. In this review, these issues and the limitations of currently available approaches are discussed, alongside novel techniques that seek to exploit the potential for healing and repair that has recently been discovered in the ACL.