ACL (Subscribe)  

The kNEEguru website presents a new course by Dr Frank Noyes on the reasons for ACL graft failure and the pitfalls of reconstruction surgery. Aimed at the consumer, but at a good level for family practitioners, the rehabilitation team, nurses and medical students.  [Free]

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Multiple techniques are available for reconstruction of the anterior cruciate ligament (ACL). Controversy certainly exists as to which autograft is best and which methods of placement and fixation should be used. Instances exist in which autograft is not available due to multiple reconstructions or in combined ligament injuries. In addition, after...

Discussion:
- anatomy of ACL
- biomechanics of ACL:
- mechanism: ACL Tear:
- natural history of the ACL-deficient knee
- partial ACL injury
- pediatric ACL injuries:
Wheeless' Textbook of Orthopaedics

The anterior cruciate ligament (ACL) originates from the tibial plateau just medial and anterior to the tibial eminence. The ACL tracts from the tibia superiorly, laterally, and posteriorly to its insertion on the posterior aspect of the medial wall of the lateral femoral condyle. The ACL is composed of 2...

The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments of the knee. Injuries occur predominately in a young and sports-active population. Many patients are left with significant disability following injury to the ACL. Understanding and preventing associated meniscal pathology is the key to management of this...

ACL Reconstruction: Current Concepts Review. McMaster Orthopaedic Grand Rounds Presentation 2001

Anterior cruciate ligament (ACL) rupture is a common, and initially often overlooked injury of the knee. Whether the true incidence of the injury is on the increase, or simply its professional recognition, is hard to say, but reconstruction for functional instability has developed rapidly over the last two decades. Not...

Modern ACL reconstruction using Hamstrings. Diagrams and Video animation. Arthroscopic. Day case.
Anterior Cruciate Ligament Reconstruction.

- need to determine whether the fibrosis has primarily affected flexion or extension;
- need to determine either from radiographs or from MRI, whether incorrect tunnel placement, is the cause of the decrease motion...

Dr. Daniel B. O'Neill of Nassau Bay, Texas demonstrates his technique for Arthroscopically assisted reconstruction of the ACL deficient knee using a patellar bone-patellar ligament-tibial tubercle bone autograft. In-depth discussion on surgical indications, contraindications, graft selection, fixation options and postoperative protocol is presented. During surgery, Dr. O'Neill provides several "pearls"... Expert

- this is a variant of the anterior drawer test, in which the examination is carried out w/ the knee in 15 deg of flexion, and external rotation (relaxes the IT band);
Wheeless' Textbook of Orthopaedics

In the United States, approximately 50,000 knee surgeries are performed each year for repairing anterior cruciate ligament (ACL) injuries (1). Tissue allografts frequently are used for ACL reconstruction, and septic arthritis is a rare complication of such procedures. This report describes four patients who acquired postsurgical septic arthritis probably associated...

Iowa Orthop J. 2003; 23: 29–35. A Amendola, MD,† M Menon, BA,* M Clatworthy, MD,* and PJ Fowler, MD
As demonstrated by this study, placement and orientation may vary to accommodate technique and fixation. Clinical outcomes measured were similar in both groups. (full text)