Abstract
Background: The rapid degeneration and resorption of the anterior cruciate ligament (ACL) after acute injury pose challenges in reconstruction due to its intra-articular location.
Aim of the Work: This study investigates the role of remnant preservation in ACL reconstruction surgery, focusing on its influence on graft revascularization, ligamentization, proprioception, and functional recovery.
Patients and Methods: A literature review of studies examining the impacts of remnant preservation on ACL reconstruction outcomes, including second-look arthroscopy findings, clinical results, and complications.
Results: Remnant preservation in ACL reconstruction accelerates revascularization and ligamentization, preserves proprioception, and reduces the rate of graft rupture. Techniques involving remnant preservation and re-tensioning show promising results in graft remodeling and synovial coverage. However, remnant preservation may lead to complications included graft impingement, extension loss and cyclops lesions.
Conclusion: Remnant preservation plays a crucial role in enhancing native anterior cruciate ligament collagen formation, facilitating better and early ligamentization of the graft. Therefore, the remnant-preserving technique must be recommended in ACL reconstruction surgery to optimize outcomes.
Article Type
Original Article
Keywords
ACL reconstruction; remnant preservation; ligamentization; graft remodeling; complications
Subject Area
Orthopedics
How to Cite This Article
Farag, Hassanein Muhammed; Hussein, Ibrahim Ahmed; and Zayed, Emad Muhammed
(2024)
"Remnant Preservation in Anterior Cruciate Ligament Reconstruction,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
12, Article 4.
DOI: https://doi.org/10.58675/2682-339X.2783
