Augmented Grafts: Synthetic/Allograft/Autograft
Abstract Still a lot of controversies and unsolved problems are in the focus for reaching an optimal treatment of the ruptured Anterior Cruciate Ligament. Historically there has been a long…
Anatomical Double-Bundle Anterior Cruciate Ligament Reconstruction Procedure Using the Semitendinosus Tendon
Introduction The anterior cruciate ligament (ACL) is composed of the anteromedial bundle (AMB) and the posterolateral bundle (PLB), each with a different function. The author reported the first practical double-bundle…
Three-Portal Technique for Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction
Abstract Performing an anatomic single-bundle anterior cruciate ligament (ACL) using a three-portal surgical technique reconstruction ensures that an adequate length femoral tunnel and optimal visualization of the ACL femoral and…
Anterior Cruciate Ligament Reconstruction with Quadriceps Tendon Autograft
Abstract A graft from the central quadriceps tendon for ACL reconstruction is easily obtained, causes minimal morbidity and has a track record of excellent results. Graft sizes of 10-12 mm…
Anterior Cruciate Ligament Reconstruction Using Hamstrings in Press-Fit Technique without Hardware
Introduction A variety of fixation devices are used for anterior cruciate ligament (ACL) reconstruction with hamstring tendon grafts. These devices increase costs and can present artifacts in magnetic resonance imaging…
Pearls for Anterior Cruciate Ligament Reconstruction
Abstract Anterior cruciate ligament (ACL) reconstruction has evolved significantly in the past 30 years and I have practiced sports medicine throughout the majority of this evolution. Learning many lessons along…
Hamstring Regeneration Following Harvest for Anterior Cruciate Ligament Reconstruction: A Review of the Current Literature
Abstract The semitendinosus (ST) and gracillis (Gr) tendons are commonly used as a replacement graft during the anterior cruciate ligament (ACL) reconstruction. There are many advantages of using the hamstrings…
Regeneration of the Donor Site After Bone–Patellar Tendon–Bone Graft Harvest for Anterior Cruciate Ligament Reconstruction, and Possible Enhanced Regeneration Using Platelet Rich Plasma
Abstract The use of the patellar graft presents post-operative problems such as anterior knee pain, which limits its use and leads to preference being taken for alternative grafts. The main…
Radiation Sterilization Techniques for Allograft Preparation for Anterior Cruciate Ligament Reconstruction
Abstract This chapter will provide an overview of the various types of irradiation techniques for sterilization of soft-tissue allografts used for ACL reconstruction. The basic mechanisms of pathogen inactivation are…
Chemical Sterilization Techniques for Allograft Preparation for Anterior Cruciate Ligament Reconstruction
Introduction There are an estimated 300,000 anterior cruciate ligament (ACL) repairs each year in the United States. The aim of surgery is to restore the functional stability to the ACL-deficient…
