there is controversy in the literature regarding a number of topics related to anterior cruciate ligament (acl)reconstruction. the purpose of this article is to answer the following questions: 1) bone patellar tendon bone (bptb) reconstruction or hamstring reconstruction (hr); 2) double bundle or single bundle; 3) allograft or authograft; 4) early or late reconstruction; 5) rate of return to sp...

BACKGROUND Twisting and braiding of four-strand hamstring tendon grafts used for anterior cruciate ligament reconstruction has been proposed, but not proven, as a method of improving tensile properties. HYPOTHESIS Twisting and braiding four-strand human hamstring tendon grafts will have no significant effect on initial graft strength or stiffness. STUDY DESIGN Paired in vitro biomechanical ...

The purpose of this study was to describe the anatomy and characterize the biomechanics of the posterolateral aspect of the canine knee. Ten adult canine knees were each used for anatomy and biomechanical testing. Distances and motion limits were measured using a 6 degree-of-freedom electromagnetic tracking system. Canine knee dissection reproducibly identified structures present in the human p...

There is controversy in the literature regarding a number of topics related to anterior cruciate ligament (ACL)reconstruction. The purpose of this article is to answer the following questions: 1) Bone patellar tendon bone (BPTB) reconstruction or hamstring reconstruction (HR); 2) Double bundle or single bundle; 3) Allograft or authograft; 4) Early or late reconstruction; 5) Rate of return to sp...

Surgical reattachment of tendon and bone such as in rotator cuff repair, patellar-patella tendon repair and anterior cruciate ligament (ACL) reconstruction often fails due to the failure of regeneration of the specialized tissue ("enthesis") which connects tendon to bone. Tendon-to-bone healing taking place between inhomogenous tissues is a slow process compared to healing within homogenous tis...

Approaches to management of combined anterior cruciate ligament (ACL) and high-grade medial collateral ligament (MCL) injuries remain controversial. Some studies suggest that with grade III MCL injuries, patients may benefit from concurrent MCL reconstruction to restore stability and prevent increased stress on the ACL graft. We present a technique for simultaneous ACL/MCL reconstructions using...

The quadriceps tendon autograft can be used for primary and revision anterior cruciate ligament (ACL) reconstruction. Despite several successful clinical reports, graft fixation issues remain, and the ideal technique for fixation continues to be controversial. We present a technique of ACL reconstruction with quadriceps tendon autograft (QTA) using a patellar bone block. The tendon end is fixed...

Injury of the acromioclavicular (AC) joint can occur as the result of direct or indirect trauma. The treatment of these injuries has remained controversial. The first reported surgical procedure for internal fixation of AC dislocation was performed by Cooper in 1861 using silver wire to secure the AC joint. Since then, a wide variety of techniques have been used. In 1972, Weaver and Dunn descri...

It was nearly a centenary ago that severe ankle sprain was recognized as an injury of the ankle ligament(s). With the recent technological advances and tools in imaging and surgical procedures, the management of ankle sprains - including subtalar injuries - has drastically improved. The repair or reconstruction of ankle ligaments is getting more anatomical and less invasive than previously. Mor...

<p><strong>Background</strong>: The purpose of this study is to assess the functional outcome cases with advanced thumb carpometacarpal (CMC) arthritis treated trapeziectomy and ligament reconstruction tendon interposition (LRTI) in terms visual analogue scale (VAS), disabilities arm, shoulder hand (DASH) score, Kapandji range motion (ROM) radial volar abduction thumb, grip po...