Extraaarticular Reconstruction In ACL Deficient Knee: 25 Years Later

摘要

Objectives:Extraarticular Reconstructions (ERs), isolated or in association with Intraarticular ACL Reconstructions (IRs) were popular in the eighties. However they were almost completely given up as a result of a consensus conference organized by AOSSM in 1989 in Snowmass (Co) where the experts concluded that ERs, even if biomechanically justified, were unable to provide any improvement in clinical results with greater morbidity, higher risk of complications and increased rate of degenerative osteoarthritis (DOA). However, as since then the surgical techniques and postoperative rehabilitation have radically changed, it could be helpful to reconsider ERs and their long term effect on knee stability and on DOA.