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The Journal of Bone and Joint Surgery (American) 80:1380-1393 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Factors Contributing to Function of the Knee Joint after Injury or Reconstruction of the Anterior Cruciate Ligament*{dagger}

SCOTT F. DYE, M.D.{ddagger}, SAN FRANCISCO, CALIFORNIA, EDWARD M. WOJTYS, M.D.§, ANN ARBOR, MICHIGAN, FREDDIE H. FU, M.D.#, PITTSBURGH, PENNSYLVANIA, DONALD C. FITHIAN, M.D.**, SAN DIEGO, CALIFORNIA and JAN GILLQUIST, M.D.{dagger}{dagger}, LINKÖPING, SWEDEN

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

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   Introduction
 
Restoration of musculoskeletal function is a fundamental goal of orthopaedic treatment. Until now, clinical orthopaedic concepts of injury, repair, and restoration of function of musculoskeletal systems have been described and understood primarily in structural and biomechanical terms. This perception probably evolved because the structural characteristics are the most readily visualized factors, both in the clinical setting (for example, pathological laxity due to a ruptured ligament or a fracture) and through the preponderance of structural and pathoanatomical data offered by most current imaging modalities. Structural characteristics are also the factors most directly altered by operative intervention, such as stability following repair or reconstruction of a ligament or fixation of a fracture. It is a common belief that the restoration of measurable structural and biomechanical parameters to an injured joint, such as the knee, indicates the restoration of function to that system. We do not share this view. In the past few . . . [Full Text of this Article]


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