Osteotomies in the ACL-Deficient Knee
Fig. 46.1 Long-leg standing radiography of a 21-year-old female with a previous failed ACL reconstruction and medial meniscectomy at the right knee. It is possible to note the varus alignment…
Dynamic Laxity Evaluation
Fig. 40.1 This graph shows the number of in vitro, in vivo, and total studies that are performed on quantitative pivot shift analysis (Reprinted from Lopomo et al. [59] with…
Transtibial Technique
Fig. 22.1 Dynamic observation of the mid-substance and fanlike extension fibers during flexion-extension motion of the knee. At 15–30° of flexion (b, c), the mid-substance fibers were found to slightly…
Anatomy of the ACL Insertions: Arthroscopic Identification of the Attachments
Fig. 17.1 Lateral view of a hemi-sectioned right knee illustrating relevant femoral bony landmarks. The lateral intercondylar ridge (LIR) represents the most anterior femoral attachment for both bundles (18 mm…
Synthetic Ligaments for ACL Reconstruction
Fig. 31.1 ACL reconstruction with LARS device. (a) The ACL stump is intact. (b) The reconstruction is complete, with the LARS device is inside the stump. Some fibers of the…
Anatomy of ACL Insertion: Ribbon
Fig. 15.1 (a) Cadaveric specimen of human left knee joint. (1) Anterior cruciate ligament (ACL). Notice: flat and wide, “ribbonlike” appearance of ACL. (2) Posterior cruciate ligament (PCL). (3) Anterior…
The Role of Navigation Systems in ACL Reconstruction
Author Publication year Number of patients Average age (range) Male/female Navigation system Average follow-up (months) Navigation group Conventional group Plaweski et al. 2006 30 30 30 (16–50) 40:20 Image-free (surgetics)…
Is Notchplasty Necessary for Anatomic ACL Reconstruction?
Fig. 25.1 Illustration and arthroscopic image showing a right knee notchplasty (Reprinted from Koga et al. [1], ©2014, by permission of SAGE Publications) 25.2 Indications for Notchplasty and Notchplasty Technique…
Xenograft Ligaments
Fig. 32.1 Bioprosthetic glutaraldehyde-treated vascular grafts Soft Tissue Augmentation Devices Recent developments in orthopedic soft tissue reconstruction have involved the development of xenograft tissue augmentation devices. These materials are subjected…
Anatomy of ACL Insertion: Bundles
Fig. 16.1 Dynamic observation of the midsubstance and fanlike extension fibers during flexion-extension motion of the knee. At full extension (a), the midsubstance fibers had a paralel pattern. At 15–30°…
