background: a rare and devastating complication following anterior cruciate ligament (acl) revision reconstruction is femoral fracture.    case presentation: a 35-year old male soccer player with a history of acl tear from the previous year ago, who underwent arthroscopic acl reconstruction and functioned well until another similar injury caused acl re-rupture. revision of acl reconstruction wa...

• Intraarticular lengths of semitendinous autografts change intraoperatively during double-bundle anterior cruciate ligament reconstruction. Anterior reconstructions with semitendinosus and suspensory femoral fixation devices induce intraarticular length changes the grafts. A posterolateral bundle is larger than that anteromedial intraoperative knee flexion. The (AMB) (PLB) motion in (ACL) Howe...

PURPOSE Proper femoral tunnel position is important for anatomical reconstruction of the anterior cruciate ligament (ACL). The purpose of this study was to evaluate the positions of femoral and tibial tunnels created using an accessory anteromedial portal technique in single bundle ACL reconstruction. MATERIALS AND METHODS The femoral tunnel was targeted at the mid-portion of the ACL bundles....

CONTEXT Several factors have been associated with the development of osteoarthritis after anterior cruciate ligament (ACL) reconstruction, yet little attention has been given to the association between range of motion (ROM) and osteoarthritis after ACL reconstruction. Several studies have shown a link between ROM loss and a higher incidence of osteoarthritis. EVIDENCE ACQUISITION A search was...

OBJECTIVE : To evaluate and compare proprioception, body balance and knee functionality of individuals with or without unilateral anterior cruciate ligament (ACL) reconstruction. METHODS : Forty individuals were divided in two groups: Experimental group, 20 individuals with ACL reconstruction at six months postoperative, and control group, 20 individuals with no history of lower limb patholog...

BACKGROUND Prior studies suggest the cost of allograft anterior cruciate ligament (ACL) reconstruction is less than that for autograft reconstruction. Charges in these studies were influenced by patients requiring inpatient hospitalization. QUESTION/PURPOSE: We therefore determined if allograft ACL reconstruction would still be less costly if all procedures were performed in a completely outpat...

PURPOSE The purpose of this study was to evaluate the accuracy of a 3.5-mm-diameter anterior cruciate ligament (ACL) tibial retrograde socket drilling pin versus a standard, 2.4-mm drill-tipped guide pin. A secondary purpose was to evaluate surgeon precision in identifying the true (anatomic) center of the ACL tibial footprint using arthroscopic visualization. METHODS Six matched pairs of cad...

BACKGROUND In the anatomic double-bundle ACL reconstruction, 2 femoral tunnel positions are particularly critical to obtain better clinical results. Recently, a few studies have reported quantitative identification methods for posterolateral (PL) bundle reconstruction. Concerning anteromedial (AM) bundle reconstruction, however, no quantitative clinically available methods to insert a guide wir...

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...

BACKGROUND Recent biomechanical studies have demonstrated that an extra-articular lateral knee structure, most recently referred to as the anterolateral ligament (ALL), contributes to overall rotational stability of the knee. However, the effect of anatomic ALL reconstruction (ALLR) in the setting of anterior cruciate ligament (ACL) reconstruction (ACLR) has not been biomechanically investigate...