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Geschichte des implantatfreien Kreuzbandersatzes

History of implant-free anterior cruciate ligament reconstruction

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Zusammenfassung

Liest man heutige Artikel über die anatomische Kreuzbandchirurgie, bekommt man den Eindruck, als sei dies eine Entdeckung der Neuzeit. Doch schon in der Frühzeit der Kreuzbandchirurgie wiesen Autoren wie Hey-Groves vor fast 100 Jahren auf die Bedeutung der anatomischen Rekonstruktion hin. Noch vor dem 2. Weltkrieg hat Palmer ein erstes Zielgerät zur präzisen anatomischen Auffindung des femoralen Bohrkanals entwickelt. Dass die Fixierung von Kreuzbandtransplantaten auch ohne Fremdmaterial möglich ist, verdanken wir dem Rostocker Chirurgen Brückner, der bereits 1967 eine technische Press-fit-Möglichkeit aufzeigte. Viele Fehlentwicklungen in der Kreuzbandchirurgie wie das transtibiale Bohren des femoralen Kanals hätten vermieden werden können, wenn den jeweiligen Chirurgen die Arbeiten von Hey-Groves, Palmer, Brückner und vielen anderen Pionieren bewusst gewesen wären.

Abstract

Most recent articles on anterior cruciate ligament (ACL) reconstruction focus on anatomic tunnel placement, but reviewing the early history of ACL reconstruction it can be seen that at the beginning of the 20th century Ernest Hey-Groves had already pointed out the importance of anatomic placement of the tunnels. Palmer even developed a femoral drill guide for precise anatomic placing of the tunnel before World War II. The possibility of graft fixation without any fixation material is also not new and was described as early as 1967 by Brückner from Rostock. Many techniques in ACL reconstruction with non-anatomic placement and high failure rates could have been avoided if surgeons had been aware of what the early pioneers in this important field of orthopedic surgery had already described.

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  1. Atos-Klinik, Bismarckstr. 9, 69115, Heidelberg, Deutschland

    H.H. Pässler

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Pässler, H. Geschichte des implantatfreien Kreuzbandersatzes. Unfallchirurg 113, 524–531 (2010). https://doi.org/10.1007/s00113-010-1787-7

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