OVERVIEW Chapter synopsis Anterior cruciate ligament (ACL) repair is not new. It has mixed short- and long-term results reported. The potential benefit of proprioceptive preservation makes a successful repair very appealing in the treatment of ACL injuries. A number of…
OVERVIEW Chapter synopsis Important points An essential advantage of this all-inside GraftLink technique is the ability to retension the graft intraoperatively after final fixation. Specifically, this is done with the shortening strands of the ALD both on the femoral and…
OVERVIEW Chapter synopsis The goal of anatomic anterior cruciate ligament (ACL) reconstruction is functional restoration of the ACL to its native dimensions and insertion sites. Patient-specific factors, including age, activity level, and future goals are important considerations during preoperative planning.…
OVERVIEW Chapter synopsis Acute failure of an anterior cruciate ligament (ACL) reconstruction is most likely a result of a technical error, whereas failure at over 1 year is more commonly the result of a traumatic event. Regardless, a thorough evaluation…
OVERVIEW Chapter synopsis Anterior cruciate ligament (ACL) reconstruction remains one of the most frequently performed orthopedic procedures, and graft selection remains one of the most crucial preoperative treatment decisions. The use of allograft tissue has increased in the past decade…
OVERVIEW Chapter synopsis The quadriceps tendon provides a robust, safe, and easy-to-harvest graft for anterior cruciate ligament reconstruction. It may be used as an all-soft-tissue free tendon graft with predictable success and less pain than other autograft alternatives. Important points…
OVERVIEW Chapter synopsis This chapter details the arthroscopy-assisted technique of anterior cruciate ligament (ACL) reconstruction with a quadrupled hamstring autograft that is performed using independently drilled femoral and tibial tunnels. Specifics of graft harvesting, tunnel positioning, graft fixation, and rehabilitation…
OVERVIEW Chapter synopsis The bone–patellar tendon–bone autograft is the most commonly used graft during the last 20 years and the graft of choice of physicians treating National Collegiate Athletic Association (NCAA) Division 1A and professional athletes. This is because of…
OVERVIEW Chapter synopsis This chapter will provide a discussion of varus-producing distal femoral osteotomy (DFO) for the correction of genu valgum. We begin by reviewing key concepts pertaining to clinical assessment of knee alignment. We then discuss indications and contraindications…
OVERVIEW Chapter synopsis This chapter focuses on proximal tibial osteotomies to correct sagittal tibial slope to address not only cruciate ligament (ACL or PCL) pathologies but also meniscal and cartilage deficiencies. Cruciate reconstructions have been shown to fail in patients…