BACKGROUND Anatomic anterolateral ligament (ALL) reconstruction has been proposed to assist anterior cruciate ligament (ACL) reconstruction in controlling anterolateral rotational laxity of the knee. However, the biomechanical effects have not been reported. PURPOSE (1) To investigate the effect of ALL transection on rotational knee kinematics and (2) to determine the effect on knee biomechan...

We conducted a retrospective, minimum 2-year follow-up study to evaluate the effectiveness of a single-incision endoscopic anterior cruciate ligament reconstruction technique using patellar tendon autograft without extraarticular augmentation and followed by accelerated rehabilitation. One hundred three patients were evaluated (mean followup, 36 months; range, 24 to 55). There were significant ...

Disruption of the knee extensor apparatus, after harvesting the central third of the patellar tendon for a bone-tendon-bone autograft, is a rare complication. We made 2215 reconstructions of the anterior cruciate ligament of the knee using bone-patellar tendon-bone technique, and 10 patients had fracture of the patella (0.45%), and fore patients had rupture of the patellar tendon (0.18%). The f...

BACKGROUND Fractures of the tibial intercondylar eminence are observed mostly in children and adolescents, often after minimal trauma. The purpose of this paper is to evaluate the use of K-wire fixation for the arthroscopic treatment of tibial eminence fractures in children. PATIENTS AND METHODS From January 2002 through January 2009 ten patients were treated arthroscopically because of the i...

This retrospective analysis of 182 consecutive patients who underwent anterior cruciate ligament (ACL) reconstruction aimed to assess the clinical examination under anaesthetic and the MRI diagnostic accuracy of arthroscopically-proven, complete ACL ruptures, depending on the morphology of the torn ligament. Patients were then assigned to Group 1 (ACL not reattached) or Group 2 (ACL re-attached...

Rotational kinematics of the knee is not fully restored after single-bundle anterior cruciate ligament (ACL) reconstruction. Cadaveric experiments using knee testing machines have suggested anatomical reconstruction replacing the anteromedial and posterolateral bundles could restore knee kinematics more effectively than single-bundle reconstruction. However, practical tools to objectively asses...

BACKGROUND Septic arthritis after arthroscopic anterior cruciate ligament reconstruction is a rare complication. In the literature, several different managements are proposed. HYPOTHESIS The graft can be retained during treatment of a septic arthritis after anterior cruciate ligament reconstruction. STUDY DESIGN Case series; Level of evidence, 4. METHODS A retrospective analysis of knee j...

AIMS To summarise evidence and key recommendations for general practitioner diagnosis and management of acute soft-tissue knee injuries, based on the New Zealand guideline. METHODS A multidisciplinary team developed the guideline by critically appraising and grading retrieved literature using the Graphic Appraisal Tools for Epidemiology, Clinical decision rules and the Scottish Intercollegiat...

INTRODUCTION: Recent studies have shown that fixation of a hamstring graft with a titanium button and polyester tape (EndoButton fixation) in anterior cruciate ligament (ACL) reconstruction can result in relative motion of the graft within the bone tunnel (graft-tunnel motion) under cyclic tensile loading (1). Therefore, an aggressive post-operative rehabilitation may lead to significant graft-...