Introduction Bone-patella tendon-bone (BPTB) grafts are widely used for anterior cruciate ligament (ACL) reconstruction. Experimental data have demonstrated that these grafts are almost 3 times stiffer than the ACL. (1,2) While many in-vivo and in-vitro data demonstrated that the ACL reconstruction is efficient in restoring anterior stability using anterior drawer tests, recent in-vivo measurem...

PURPOSE The purpose of this pilot study was to evaluate the preliminary results of an anatomic double-bundle anterior cruciate ligament (ACL) reconstruction procedure with ligament remnant tissue preservation. METHODS By use of the transtibial technique, 2 doubled semitendinosus tendons were grafted into 4 tunnels created at the center of each bundle attachment, penetrating the ACL remnant ti...

Despite the marked advances in treatment and highly predictable success of anterior cruciate ligament (ACL) reconstruction, an approximate 10% to 15% failure rate is noted in the literature. The mechanism of failure is often difficult to ascertain and is often multifactorial. A strong patient-physician relationship must be established to proceed with revision ACL reconstruction. After the decis...

Patients with acute anterior cruciate ligament (ACL) rupture frequently present with a lack of full extension. Current literature is unclear whether arthroscopic debridement is necessary before reconstruction to achieve full extension postoperatively. This study examined the postoperative extension achieved in 153 knees that underwent ACL reconstruction within 12 weeks of index injury. All pati...

Instrumented arthrometry is an important treatment adjunct for anterior cruciate ligament (ACL)-deficient patients before and after patellar tendon reconstruction, which provides objectivity to other subjective outcome measures and allows for accurate comparison between studies. Increasing numbers of clinical reports are using arthrometry to objectively report anterior displacements. Arthrometr...

AIM To systematically review the currently available literature concerning the application of biologic agents such as platelet-rich plasma (PRP) and stem cells to promote anterior cruciate ligament (ACL) healing. METHODS A systematic review of the literature was performed on the use of biologic agents (i.e., PRP or stem cells) to favor ACL healing during reconstruction or repair. The followin...

1 Background: The restoration of knee rotational stability after anatomical double 2 bundle anterior cruciate ligament (ACL) reconstruction has been demonstrated in 3 cadaveric model and passive stress test on human, but not yet in dynamic functional 4 biomechanical test performed by human subjects. 5 Purpose: The purpose of the current study was to prospectively investigate the range 6 of tibi...

INTRODUCTION Treatment of ACL injuries in skeletally immature patients is complicated by the fact that adult reconstruction techniques violate the growth plate, potentially leading to leg length discrepancies and angular deformities in skeletally immature patients. ACL injuries are commonly treated conservatively until growth plate closure; however, cartilage damage, meniscal injuries, and earl...

The present report describes the first known, case of a pseudoaneurysm of the perforating branch of the deep femoral artery following anterior cruciate ligament (ACL) reconstruction. A 19-year-old man underwent ACL reconstruction using the outside-in femoral tunnel-creation method. Seven days after the surgery, he complained of abnormal thigh pain and had swelling with local heat on the distal ...