BACKGROUND Anterior cruciate ligament (ACL) graft failure and contralateral ACL tears are more frequent in children and adolescents than adults. The reasons for higher subsequent injury rates in this population are incompletely understood. METHODS We analyzed a continuous cohort of patients who were <18 years of age. Subjects underwent isolated, primary ACL reconstruction with autograft betwe...

BACKGROUND As the number of anterior cruciate ligament (ACL) injuries and primary ACL reconstruction surgeries increase, the absolute number of re-ruptures or failures has also subsequently increased. In our study, we look at the causes of failure in the primary surgery and also report the clinical and functional outcomes in our series of patients undergoing revision surgery. MATERIALS AND ME...

REFERENCE/CITATION Frobell RB, Roos HP, Roos EM, Roemer FW, Ranstam J, Lohmander LS. Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial. BMJ. 2013;346:F232. CLINICAL QUESTION Does early anterior cruciate ligament (ACL) reconstruction with rehabilitation lead to better patient-reported outcomes and a lower incidence of osteoarthritis at 5 years postinjur...

• Correspondence: O. Şahap Atik, M.D. Gazi Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 06500 Beşevler, Ankara, Turkey. Tel: +90 312 202 55 28 Fax: +90 312 212 90 08 e-mail: satikmd@gmail.com Reconstruction of the anterior cruciate ligament is not a prerequisite for restoring muscle function.[1] However, restoring muscle function is a prerequisite for conservative or surgi...

Dear Editor,We have greatly enjoyed reading the case report entitled “‘Femoral Condyle Fracture during Revision of Anterior Cruciate Ligament Reconstruction: Case Report and a Review of Literature in the issue of Arch Bone Jt Surg. 2015;3(2) with great interest. We would like to commend the authors for their detailed and valuable work. Although various case reports have described postoperative ...

BACKGROUND The optimal management of a torn anterior cruciate ligament (ACL) of the knee is unknown. METHODS We conducted a randomized, controlled trial involving 121 young, active adults with acute ACL injury in which we compared two strategies: structured rehabilitation plus early ACL reconstruction and structured rehabilitation with the option of later ACL reconstruction if needed. The pri...

Positioning of the femoral tunnel during anterior cruciate ligament (ACL) reconstruction is most crucial factor for successful procedure. Owing to inter-individual variability in intra-articular anatomy, it can be challenging obtain precise placement and ensure consistent results. Currently, three-dimensional (3D) computed tomography (CT) scans considered best method determining whether tunnels...

OBJECTIVE This study aimed to support the potential protective role of anterior cruciate ligament (ACL) reconstruction against the development of osteoarthritis (OA). METHODS In this retrospective cohort study, the long-term results of ACL reconstruction in Taiwan were evaluated based on data from the National Health Insurance Research Database (NHIRD). In total, 8,769 eligible cases were inc...

Anterior cruciate ligament (ACL) injuries most commonly occur during sports that involve sudden stops and changes in direction, such as basketball, soccer, tennis, and volleyball. Depending on the severity of the ACL injury, treatment may include surgery to replace the torn ligament followed by rehabilitation exercises to help the patient regain strength and stability. However, controversy exis...