OVERVIEW Chapter synopsis This chapter describes in detail the indications, surgical planning, and step-by-step procedure for combined anterior cruciate ligament (ACL) reconstruction and open wedge high tibial osteotomy (HTO). Important points All patients undergo preoperative planning, clinical examination, and patient-specific…
OVERVIEW Chapter synopsis Combined anterior cruciate ligament (ACL) and meniscal deficiency alters knee function and predisposes the patient to accelerated degenerative osteoarthritis. Combined ACL reconstruction (ACLR) with meniscal allograft transplantation (MAT) has been advocated to treat this combined deficiency. During…
OVERVIEW Chapter synopsis Residual anterolateral rotatory laxity after anterior cruciate ligament (ACL) reconstruction (ACLR) has been shown to correlate with inferior outcomes. With further understanding of the importance of the anterolateral complex (ALC) in rotatory control of an ACL deficient…
OVERVIEW Chapter synopsis Anterolateral ligament reconstruction (ALLR) in the setting of anterior cruciate ligament reconstruction (ACLR) is a subject of debate. Recent studies showed good outcomes and low graft failure rates when ALLR was used in combination with ACLR. This…
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…