Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics84110.21823/2311-2905-2017-23-4-134-145ReviewsОбзорыReviewsMODERN TRENDS IN SURGICAL TREATMENT OF PATIENTS WITH ACL RUPTURES (LITERATURE REVIEW)СОВРЕМЕННЫЕ ТЕНДЕНЦИИ В ХИРУРГИЧЕСКОМ ЛЕЧЕНИИ ПАЦИЕНТОВ С РАЗРЫВАМИ ПЕРЕДНЕЙ КРЕСТООБРАЗНОЙ СВЯЗКИ (ОБЗОР ЛИТЕРАТУРЫ)RikunO. V.РикунО. В.
Russian Federation

Oleg V. Rikun — Cand. Sci. (Med.), Associated Professor of the Department of Military Traumatology and Orthopedics.

6, ul. Akademika lebedeva, St. Petersburg, 194044

Рикун Олег Владимирович — кандидат медицинских наук, доцент кафедры военной травматологии и ортопедии.

Ул. Академика Лебедева, д. 6, Санкт-Петербург, 194044

KhominetsV. V.ХоминецВ. В.
Russian Federation

Vladimir V. Khominets — Dr. Sci. (Med.), Head of the Department and Clinic of Military Traumatology and Orthopedics.

6, ul. Akademika lebedeva, St. Petersburg, 194044

Хоминец Владимир Васильевич — доктор медицинских наук, начальник кафедры (начальник клиники) военной травматологии и ортопедии.

Ул. Академика Лебедева, д. 6, Санкт-Петербург, 194044

FedotovA. O.ФедотовА. О.
Russian Federation

Alexey O. Fedotov — Adjunct, Department and Clinic of Military Traumatology and Orthopedics.

6, ul. Akademika lebedeva, St. Petersburg, 194044

Федотов Алексей Олегович — адъюнкт при кафедре военной травматологии и ортопедии.

Ул. Академика Лебедева, д. 6, Санкт-Петербург, 194044

alexfedot83@gmail.comKirov Military Medical AcademyФГБВОУ ВО «Военно-медицинская академия им. С.М. Кирова» Минобороны РФ251220172341341452712201727122017https://journal.rniito.org/jour/article/view/841

The authors conducted an analysis of national and foreign scientific publications dedicated to the problems in treatment of patients with ruptures of the anterior cruciate ligament of the knee joint. The results of the analysis demonstrated that such lesions still remain the key knee pathology resulting from sports injuries that significantly affect knee function and require timely reconstructive surgical correction. Based on the study the key areas of improvement in treatment for mentioned category of patients have been identified. This is the biomechanically justified single bundle anatomical ACL reconstruction which is currently widely applied in the clinical practice by using of an isometrically located autograft. Such technique represents a radically new stage in the development of treatment methods for young and middle-aged patients with high functional demands.

Представлен анализ зарубежных и отечественных научных публикаций последних лет, посвященных проблеме лечения пострадавших с разрывами передней крестообразной связки коленного сустава. Этот вид повреждения по-прежнему остается ведущей патологией коленного сустава, возникающей в результате спортивных травм, значимо влияющих на его функцию и требующих своевременной реконструктивно-восстановительной хирургической коррекции. Качественно новым этапом развития лечения данной категории пациентов является биомеханически обоснованная однопучковая анатомическая реконструкция передней крестообразной связки с применением изометрично расположенного аутотрансплантата.

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