The novel epiligament theory: differences in healing failure between the medial collateral and anterior cruciate ligaments

Journal of Experimental Orthopaedics

Łukasz Olewnik¹  R. Shane Tubbs²  Boycho Landzhov³  Manasi Telang³  Kacper Ruzik⁴  Georgi P. Georgiev⁵  Robert F. LaPrade⁶  Svetoslav A. Slavchev⁷ 

[1] Department of Anatomical Dissection and Donation, Chair of Anatomy and Histology, Medical University of Lodz;Department of Anatomical Sciences, St. George’s University;Department of Anatomy, Histology and Embryology, Medical University of Sofia;Department of Normal and Clinical Anatomy, Interfaculty Chair of Anatomy and Histology, Medical University of Lodz;Department of Orthopedics and Traumatology, University Hospital Queen Giovanna-ISUL, Medical University of Sofia;Twin Cities Orthopedics;University Hospital of Orthopedics “Prof. B. Boychev”, Medical University of Sofia;

关键词: Epiligament;    Medial collateral ligament;    Anterior cruciate ligament;    Healing;    Novel theory;   

DOI  :  10.1186/s40634-021-00440-0

来源: DOAJ

【 摘 要 】

Abstract According to current literature, 90% of knee ligament injuries involve the medial collateral ligament or the anterior cruciate ligament. In contrast to the medial collateral ligament, which regenerates relatively well, the anterior cruciate ligament demonstrates compromised healing. In the past, there were numerous studies in animal models that examined the healing process of these ligaments, and different explanations were established. Although the healing of these ligaments has been largely investigated and different theories exist, unanswered questions persist. Therefore, the aim of this article is 1) to review the different historical aspects of healing of the medial collateral ligament and present the theories for healing failure of the anterior cruciate ligament; 2) to examine the novel epiligament theory explaining the medial collateral ligament healing process and failure of anterior cruciate ligament healing; and 3) to discuss why the enveloping tissue microstructure of the aforementioned ligaments needs to be examined in future studies. We believe that knowledge of the novel epiligament theory will lead to a better understanding of the normal healing process for implementing optimal treatments, as well as a more holistic explanation for anterior cruciate ligament healing failure.

【 授权许可】

Unknown