Anterior cruciate ligament graft types

master's thesis

• Title (croatian): Vrste transplantata za rekonstrukciju prednjeg križnog ligamenta
• Author: Stav Elkabetz
• Mentor: Mislav Jelić (mentor)
• Committee member: Mislav Jelić (predsjednik povjerenstva)
• Committee member: Tomislav Smoljanović (član povjerenstva)
• Committee member: Tomislav Đapić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Orthopedics); Zagreb
• Defense date and country: 2021-07-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract

Anterior cruciate ligament (ACL) has an essential role in knee joint stabilization, as it prevents anterior tibial translation and medial tibial displacement. The ACL is the most frequent knee structure to be injured and the most common ligament injury due to sports activities. The ACL has little biological healing ability when injured, the treatment options can be physical therapy, and the standard treatment will be reconstruction surgery. The graft for ACL reconstruction needs similar properties as the native ACL, such as similar structural and mechanical qualities. There are several options of grafts for ACL; there are autografts which are grafts that are harvested from the patient's own tissues, allografts which are grafts that are harvested from a donor, and synthetical grafts which are made of artificial materials. There is as well variety of tissue origins from where the graft is taken; there are tendon grafts, bone-tendon-bone grafts, and bone-tendon grafts. This thesis paper aims to give a review on the different types of ACL reconstruction grafts, the surgical technique of each type of graft, and the advantages and disadvantages of each graft.

Abstract (croatian)

Prednji križni ligament (ACL) ima osobito važnu ulogu u stabilizaciji zgloba koljena budući da sprečava prednju translaciju koljenskog zgloba i medijalno iščašenje goljenice. Ozljede prednjeg križnog ligamenta najčešće su ozljede koljena, posebice uslijed bavljenja sportom. Prednji križni ligament ima vrlo ograničenu mogućnost zacjeljivanja stoga je moguće liječenje fizikalnom terapijom ili rekonstrukcijski operativni zahvat. Presadak za rekonstrukciju prednjeg križnog ligamenta zahtijeva slična svojstva kao prednji križni ligament, poput strukturnih i mehaničkih kvaliteta. Pri rekonstrukciji prednjeg križnog ligamenta postoji nekoliko mogućnosti presatka; postoje autotransplantati odnosno presatci koji se uzimaju iz tkiva pacijenta, zatim alotransplantati koji se uzimaju od davatelja te sintetički presatci izrađeni od umjetnih materijala. Nadalje, podrijetlo presatka može biti različito. Postoje tetivni presatci, koštano-tetivno-koštani presatci i koštano-tetivni presatci. Cilj je ovoga rada pružiti pregled različitih vrsta presadaka pri rekonstrukciji prednjeg križnog ligamenta, kiruršku tehniku svake pojedine vrste te njihove prednosti i nedostake.

• Keywords: anterior cruciate ligament; ACL; knee joint; graft; types; techniques
• Keywords (croatian): prednji križni ligament; ACL; zglob koljena; presadak; tipovi; tehnike
• Language: english
• URN:NBN: urn:nbn:hr:105:456874
• Study programme: Title: Medicine (in English language); Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Public note: Pohranitelj objekta unio ključne riječi.
• Created on: 2021-12-22 12:10:02