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…
OVERVIEW Chapter synopsis This chapter discusses the indications and contraindications for high tibial osteotomy (HTO) and highlights when a lateral closing wedge (LCW) may be preferable over a medial opening wedge (MOW). Our LCWHTO surgical technique is presented as well…
OVERVIEW Chapter synopsis Opening-wedge high tibial osteotomy (HTO) is a valuable technique to address coronal and sagittal malalignment of the lower limb with associated degenerative compartment changes of the knee as well as focal chondral defects. With use of appropriate…
OVERVIEW Chapter synopsis Knee cartilage injuries present a great challenge for both clinicians in recent decades and may often lead to substantial morbidity, significant time away from work and sport, and possibly permanent disability. This chapter will review the current…
Overview Chapter synopsis MACI (autologous cultured chondrocytes on porcine membrane) is indicated for symptomatic full-thickness chondral defects of the knee in patients 18–55 years of age. Although diagnostic imaging and clinical examination are important, arthroscopic assessment provides the final confirmation…
OVERVIEW Chapter synopsis This chapter summarizes the indications for, techniques to perform, and results of osteochondral allograft (OCA) transplantation for the treatment of symptomatic cartilage defects of the knee. Important points OCA is indicated for symptomatic, full-thickness chondral or osteochondral…
OVERVIEW Chapter synopsis Osteochondral autograft transplant surgery (OATS) remains an important technique for medium (1 to 3 cm 2 ) chondral and osteochondral defects. When appropriate indications are met, very good success rates can be expected. Meticulous technique for single-plug…