PURPOSE The purpose of this study was to evaluate the initial biomechanical properties of a fan-folded, single-loop construct of fan-folded fascia lata allograft in comparison to other graft tissues currently being used for anterior cruciate ligament (ACL) reconstruction. METHODS Eighteen fascia lata specimens were harvested from 11 donors and fan folded through a proprietary process. Bone-pa...

We used single-photon emission computed tomography (SPECT) to determine the long-term risk of degenerative change after reconstruction of the anterior cruciate ligament (ACL). Our study population was a prospective series of 31 patients with a mean age at injury of 27.8 years (18 to 47) and a mean follow-up of ten years (9 to 13) after bone-patellar tendon-bone reconstruction of the ACL. The co...

The present review classifies and describes the multifactorial causes of anterior cruciate ligament (ACL) surgery failure, concentrating on preventing and resolving such situations. The article particularly focuses on those causes that require ACL revision due to recurrent instability, without neglecting those that affect function or produce persistent pain. Although primary ACL reconstruction ...

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...

D espite more than 40 years of clinical focus on the anterior cruciate ligament (ACL)–injured knee, a complete understanding of the injury mechanism, the optimal treatment plan (including reconstruction), and the best protocol for rehabilitation continue to stimulate much debate. Prevention efforts focused on ACL injuries have been laudable, but unfortunately, far too many young athletes still ...

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...

Background: Jumping and landing are common activities in soccer, i.e., associated with Anterior Cruciate Ligament (ACL) injuries in the players, especially when experiencing fatigue. The current study aimed to compare the kinematics of the lower limb joints in jump-landing maneuver among soccer players with and without a history of anterior cruciate ligament reconstruction. Methods: Among acti...

BACKGROUND Quadriceps tendon-patellar bone (QTPB) autograft is an excellent graft option with good clinical outcome. Use of QTPB autografts have increased because they minimize donor-site morbidity including anterior knee pain, while providing adequate mechanical strength. Although, there were many clinical results about allografts that used in anterior cruciate ligament (ACL) reconstruction, i...

The anterior cruciate ligament (ACL) is a major ligament that helps maintain the stability of the knee joint. Injury to the ACL can be treated by replacing the torn ligament. This study determined the optimal flexor tendon length in the bone tunnel in ACL reconstruction.Autologous ACL reconstruction was performed using a flexor tendon in 54 male beagles, with the graft length in the bone tunnel...

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 reconstruction (BPTB-R) or hamstrimg reconstruction (H-R); 2) Double bundle or single bundle; 3) Allograft or authograft; 4) Early or late reconstruction; 5) Rate of return t...