Combined Anterior Cruciate Ligament Reconstruction and Lateral Extra-Articular Tenodesis
Abstract Anterolateral rotational instability may persist after anterior cruciate ligament (ACL) reconstruction for a variety of reasons including damage to lateral or posterolateral structures, injury to the meniscus, disruption of anterolateral soft tissue structures, or increased tibial slope. In [...]
Influence of Medial Meniscus Bucket-Handle Repair in Setting of Anterior Cruciate Ligament Reconstruction on Tibiofemoral Contact Mechanics: A Biomechanical Study
Purpose: To compare the impact of an inside-out repair versus meniscectomy of a medial meniscus bucket-handle tear in restoring native contact areas and pressures across the tibial plateaus in the setting of an anterior cruciate ligament (ACL) reconstruction (ACLR). [...]
Steeper Tibial Slopes, Like Steeper Ski Slopes, Might Lead to More ACL Stress and Tears
Commentary & Perspective Steeper Tibial Slopes, Like Steeper Ski Slopes, Might Lead to More ACL Stress and Tears Commentary on an article by Dean Wang, MD, et al.: “Tibiofemoral Kinematics During Compressive Loading of the ACL-Intact and ACL-Sectioned Knee. [...]
Anterior Closing Wedge Proximal Tibial Osteotomy for Slope Correction in Failed ACL Reconstructions
Abstract Increased sagittal plane posterior tibial slope has been identified as a risk factor for primary anterior cruciate ligament reconstruction (ACLR) failure. Although ACLR failure is multifactorial, correction of sagittal plane posterior tibial slope should be evaluated in patients [...]
Re-revision Anterior Cruciate Ligament Reconstruction: An Evaluation From the Norwegian Knee Ligament Registry
Purpose To identify the rate of re-revision anterior cruciate ligament reconstruction(ACLR) to estimate the influence of patient-related factors on the risk of re-revision ACLR. The secondary aim of the study was to report the intra-articular findings and patient-related factors at [...]
Current Trends Among US Surgeons in the Identification, Treatment, and Time of Repair for Medial Meniscal Ramp Lesions at the Time of ACL Surgery
2019 The Orthopaedic Journal of Sports Medicine Meniscal ramp lesions are becoming increasingly recognized. Ramp lesions have been described as tears at the posterior meniscocapsular junction and/or tears of the posterior meniscotibial ligament, and they have a reported incidence [...]
A History of Anterior Cruciate Ligament Reconstruction at the National Football League Combine Results in Inferior Early National Football League Career Participation
2018 Arthroscopy Journal Anterior cruciate ligament (ACL) tears have been reported to have an annual incidence of 0.17 per 1,000 players in college football and 0.7 per 1,000 players in the National Football League (NFL). Previous data have shown that [...]
Influence of Meniscal and Chondral Lesions on Patient-Reported Outcomes After Primary Anterior Cruciate Ligament Reconstruction at 2-Year Follow-up
Background: Meniscal and chondral lesions are commonly associated with anterior cruciate ligament (ACL) tears, and these lesions may play a role in patient outcomes after ACL reconstruction. Purpose: To determine the effects of the presence and location of meniscal and [...]
Primary Versus Revision Anterior Cruciate Ligament Reconstruction: Patient Demographics, Radiographic Findings, and Associated Lesions
Purpose: The purpose of this study was to evaluate the differences in intra-articular pathology, demographic characteristics, and radiographic characteristics of the knee associated with primary anterior cruciate ligament reconstruction (ACLR) versus revision ACLR at the time of initial presentation with [...]
Biologic Approaches for the Treatment of Partial Tears of the Anterior Cruciate Ligament
The anterior cruciate ligament (ACL) is one of the most studied structures of the human musculoskeletal system, being the subject of many anatomic and biomechanical studies. While treatment options for complete ruptures of the ACL are well studied, partial ACL tears [...]
Overlap Between Anterior Cruciate Ligament and Anterolateral Meniscal Root Insertions
AJSM 2016 Over the past decade, there has been an increasing emphasis on anatomic anterior cruciate ligament (ACL) reconstruction to best restore knee kinematics after an ACL tear. Although studies have shown that the position, size and shape of the [...]
Posterior Wall Blowout During Anterior Cruciate Ligament Reconstruction: Suspensory Cortical Fixation With a Screw and Washer Post
2016 Arthroscopy Posterior wall blowout can be a devastating intraoperative complication in anterior cruciate ligament reconstruction. This loss of osseous containment can cause difficulty with graft fixation and can potentially lead to early graft failure if unrecognized and left untreated. [...]
Posterior Wall Blowout in Anterior Cruciate Ligament Reconstruction
OJSM 2016 Violation of the posterior femoral cortex, commonly referred to as posterior wall blowout, can be a devastating intraoperative complication in anterior cruciate ligament (ACL) reconstruction and lead to loss of graft fixation or early graft failure. If cortical [...]
Outcomes and Risk Factors of Rerevision Anterior Cruciate Ligament Reconstruction: A Systematic Review
ARTHROSCOPY 2016 Purpose: The purpose of this study was to systematically review the literature on rerevision anterior cruciate ligament (ACL) reconstruction, focusing on patient outcomes. The secondary aims of this study were to (1) identify risk factors that contribute to [...]
High-Load Preconditioning of Soft Tissue Grafts: An In Vitro Biomechanical Bovine Tendon Model
2016 KSSTA No consensus exists regarding the optimal preconditioning protocol that will minimize postoperative elongation while creating a graft that is biomechanically equivalent to the native anterior cruciate ligament (ACL). It was hypothesized that a preconditioning protocol of specific mode [...]
Lack of consensus regarding pretensioning and preconditioning protocols for soft tissue graft reconstruction of the anterior cruciate ligament
KSSTA 2015 Pretensioning and preconditioning of soft tissue grafts are often performed to obviate graft stress relaxation and elongation due to viscoelastic graft properties following anterior cruciate ligament (ACL) reconstruction. It was hypothesized that a consensus could be identified in the [...]
Dimensional assessment of continuous loop cortical suspension devices and clinical implications for intraoperative button flipping and intratunnel graft length
JOURNAL OF ORTHOPAEDIC RESEARCH 2015 Continuous loop cortical suspension devices have been demonstrated to be more consistent and biomechanically superior compared to adjustable loop devices; however, continuous loop devices present unique challenges compared to adjustable loop devices, especially in short [...]
Return to Play Following Anterior Cruciate Ligament Reconstruction
AAOS 2015 In athletes, significant advances in anterior cruciate ligament reconstruction techniques and rehabilitation have led to improved surgical outcomes and increased expectations for return to play. Although an expeditious return to sport has become an achievable and often realistic [...]
Functional bracing of ACL injuries: current state and future directions
KSSTA 2013 Functional braces are commonly prescribed to treat anterior cruciate ligament (ACL) injury. The results of the existing literature on functional brace use are mixed. The purpose of this study was to evaluate the history and current state of functional [...]
Femoral Cortical Suspension Devices for Soft Tissue Anterior Cruciate Ligament Reconstruction
AJSM 2013 Optimization of anterior cruciate ligament (ACL) fixation is desired to improve graft healing. New soft tissue cortical suspension devices for femoral tunnel fixation should be biomechanically evaluated. This study hypothesized that all femoral fixation devices would prevent a [...]
Biomechanical Comparison of Interference Screws and Combination Screw and Sheath Devices for Soft Tissue Anterior Cruciate Ligament Reconstruction on the Tibial Side
AJSM 2013 The tibial fixation site has been reported to be the weakest point in anterior cruciate ligament (ACL) reconstructions. Numerous interference screws and combination screw and sheath devices are available for soft tissue fixation, and a biomechanical comparison of [...]