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The Anterior Cruciate Ligament

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Joint Preservation in the Adult Knee

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Abstract

The anterior cruciate ligament (ACL) is the most common surgically treated ligament rupture in the adult knee. Disruption of the ACL has important consequences for knee kinematics, activities of daily living, return to sport and progression to symptomatic knee osteoarthritis in later life. While reconstructive procedures have good evidence for improving symptoms following ACL rupture, there is no strong evidence that reconstruction prevents osteoarthritis and selection of patients for reconstruction should be made on the basis of their clinical picture. Several controversies persist regarding surgical technique, including the use of single- or double-bundle techniques, the method of fixation and the selection of appropriate graft material. In this chapter, we discuss the natural history of ACL rupture, the evidence base for surgical interventions and the long-term outcomes of ACL reconstruction.

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Authors and Affiliations

  1. UCL Institute of Orthopaedics and Musculoskeletal Science, Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK

    Alexander D. Liddle

  2. Department of Orthopaedic Surgery, “La Paz” University Hospital-IdiPaz, Paseo de la Castellana 261, 28046, Madrid, Spain

    E. Carlos Rodríguez-Merchán

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  1. Alexander D. Liddle
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Correspondence to Alexander D. Liddle .

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  1. Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

    E. Carlos Rodríguez-Merchán

  2. University College London, Institute of Orthopaedics and Musculoskeletal Science, London, United Kingdom

    Alexander D. Liddle

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Liddle, A.D., Rodríguez-Merchán, E.C. (2017). The Anterior Cruciate Ligament. In: Rodríguez-Merchán , E., Liddle, A. (eds) Joint Preservation in the Adult Knee. Springer, Cham. https://doi.org/10.1007/978-3-319-41808-7_8

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