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The American Journal of Sports Medicine 36:176-189 (2008)
© 2008 American Orthopaedic Society for Sports Medicine

Clinical Sports Medicine Update

Strategies to Improve Anterior Cruciate Ligament Healing and Graft Placement

Mark E. Steiner, MD{dagger},*, Martha M. Murray{ddagger} and Scott A. Rodeo, MD§

From the {dagger} New England Baptist Hospital, Boston, Massachusetts, {ddagger} Children’s Hospital Boston, Boston, Massachusetts, and the § Hospital for Special Surgery, New York, New York

* Address correspondence to Mark E. Steiner, MD, 7 Hewins Farm Road, Wellesley Hills, MA 02181-6838 (e-mail: mesteinermd{at}cs.com).

Recent improvements in anterior cruciate ligament (ACL) reconstruction have been notable for strategies to improve ACL healing and to improve graft placements. The controversial choice of 1-bundle or 2-bundle grafts requires an advanced knowledge of native ACL insertional anatomy and an appreciation for the kinematic effects of graft placements. Understanding the limitations of surgical techniques to place tunnels is important. Once grafts are placed, new biologic strategies to promote intra-articular and intraosseous healing are evolving. Although these biologic engineering strategies are currently experimental, they are projected for clinical application in the near future.

Key Words: ACL • ACL healing • ACL graft placement






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Copyright © 2008 by the American Orthopaedic Society for Sports Medicine.