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Anterior Cruciate Ligament: Reconstruction and Basic Science, The

Joined: February 29, 2024
Articles: 69

Orthopedics

Anterior Cruciate Ligament Reconstruction Combined with High-Tibial Osteotomy, Autologous Chondrocyte Implantation, Microfracture, Osteochondral, and/or Meniscal Allograft Transplantation

Introduction Knees with chronic anterior cruciate ligament (ACL) tears often have degenerative changes. If these changes are severe, cartilage restorative procedures may be necessary in addition to ACL reconstruction (ACLR). The question in such cases is whether to perform the…

February 21, 2024

Orthopedics

Meniscal Repair with Anterior Cruciate Ligament Reconstruction

Introduction Meniscus tears are commonly encountered in the setting of anterior cruciate ligament (ACL) injury. For decades, the importance of the meniscus was not recognized. Previously the standard treatment for meniscus tears was excision. While we have improved on returning…

February 21, 2024

Orthopedics

Treatment of Meniscus Tears with Anterior Cruciate Ligament Reconstruction

Introduction The treatment of meniscus tears in conjunction with anterior cruciate ligament (ACL) reconstruction requires a thorough understanding of the different types of meniscus tears and their capacity for healing. The factors to consider are whether the tear is medial…

February 21, 2024

Orthopedics

Anterior Cruciate Ligament Injury Combined with Medial Collateral Ligament, Posterior Cruciate Ligament, and/or Lateral Collateral Ligament Injury

Introduction A knee dislocation injury is a rare but potentially devastating injury. The definition of knee dislocation includes the grossly unstable knee, with a minimum of two of the four major knee ligaments injured, regardless of a reduced joint line.…

February 21, 2024

Orthopedics

Sonographically Guided Anterior Cruciate Ligament Injection: Technique and Potential Use for the Treatment of Partial Anterior Cruciate Ligament Tear

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February 21, 2024

Orthopedics

Isolated Single-Bundle Reconstruction

Acknowledgments We acknowledge Fotios Paul Tjoumakaris, Anthony Buoncristiani, and James S. Starman, the authors of the previous edition, for their great contribution to this chapter. Introduction Restoration of the native anatomy and performing individualized anterior cruciate ligament (ACL) surgery are…

February 21, 2024

Orthopedics

Acute Anterior Cruciate Ligament Rupture: A Biological Approach through Primary Anterior Cruciate Ligament Repair, Augmentation with Bone Marrow Stimulation, and Growth Factor Injection

Introduction Anterior cruciate ligament (ACL) injuries are common in recreational and competitive sporting activities. According to an ongoing study in the United States, an estimated 200,000 ACL reconstructions (ACLRs) are performed annually, and the incidence of ACL injury is roughly…

February 21, 2024

Orthopedics

Partial Tear of the Anterior Cruciate Ligament: Management with One-Bundle Augmentation Technique

Introduction The anterior cruciate ligament (ACL) consists of two distinct bundles, termed anteromedial (AM) and posterolateral (PL), based on their tibial insertions. Biomechanical studies have shown that both bundles contribute synergistically to knee stability throughout the joint’s range of motion.…

February 21, 2024

Orthopedics

Operative Versus Nonoperative Treatment and Timing of Surgery in Skeletally Immature Patients with Anterior Cruciate Ligament Tear

Introduction As the percentage of the pediatric population engaged in organized athletic activity continues to climb, rates of sports-related injuries have increased commensurately. In particular, the rate of anterior cruciate ligament (ACL) reconstruction in skeletally immature patients has increased steadily…

February 21, 2024

Orthopedics

An Overview of the Diagnosis and Treatment of the Torn Anterior Cruciate Ligament in the Skeletally Immature Athlete

Introduction Intrasubstance tears of the anterior cruciate ligament (ACL) were once considered a rare injury in skeletally immature athletes; however, they are now observed with increasing frequency. A dramatic rise in youth competitive athletic activity, early sport specialization, year-round training…

February 21, 2024