Many knee injuries that previously caused disability can now be diagnosed accurately and treated successfully. Arthroscopy has been instrumental in this progress. The anterior cruciate ligament, which is an important stabilizer of the knee, is commonly injured. Disruption of the restraint provided by the ligament results in an unstable knee that can give way during pivoting motions. Early reconstruction is usually effective in restoring stability and improving function. Considerable progress has been made in knee bracing. However, prophylactic bracing has not been demonstrated to be effective in preventing knee injuries.
Source Information
Orthopaedic Surgery Service, Massachusetts General Hospital, Boston 02114.
This article has been cited by other articles:
Lewis, P. B., Parameswaran, A. D., Rue, J.-P. H., Bach, B. R. Jr
(2008). Systematic Review of Single-Bundle Anterior Cruciate Ligament Reconstruction Outcomes: A Baseline Assessment for Consideration of Double-Bundle Techniques. Am J Sports Med
36: 2028-2036
[Abstract][Full Text]
Barrett, G., Stokes, D., White, M.
(2005). Anterior Cruciate Ligament Reconstruction in Patients Older Than 40 Years: Allograft Versus Autograft Patellar Tendon. Am J Sports Med
33: 1505-1512
[Abstract][Full Text]
Fithian, D. C., Paxton, E. W., Stone, M. L., Luetzow, W. F., Csintalan, R. P., Phelan, D., Daniel, D. M.
(2005). Prospective Trial of a Treatment Algorithm for the Management of the Anterior Cruciate Ligament-Injured Knee. Am J Sports Med
33: 335-346
[Abstract][Full Text]
Smith, F W, Rosenlund, E A, Aune, A K, MacLean, J A, Hillis, S W
(2004). Subjective functional assessments and the return to competitive sport after anterior cruciate ligament reconstruction. Br. J. Sports. Med.
38: 279-284
[Abstract][Full Text]
PLANCHER, K. D., STEADMAN, J. R., BRIGGS, K. K., HUTTON, K. S.
(1998). Reconstruction of the Anterior Cruciate Ligament in Patients Who Are at Least Forty Years Old. A Long-Term Follow-up and Outcome Study. JBJS
80: 184-97
[Abstract][Full Text]
Daniel, D. M., Stone, M. L., Dobson, B. E., Fithian, D. C., Rossman, D. J., Kaufman, K. R.
(1994). Fate of the ACL-injured Patient: A Prospective Outcome Study. Am J Sports Med
22: 632-644
[Abstract]
Dunn, M. G., Tria, A. J., Kato, Y. P., Bechler, J. R., Ochner, R. S., Zawadsky, J. P., Silver, F. H.
(1992). Anterior cruciate ligament reconstruction using a composite collagenous prosthesis: A biomechanical and histologic study in rabbits. Am J Sports Med
20: 507-515
[Abstract]