anterior cruciate ligament (acl) reconstruction surgery has significantly evolved in recent years. this has led to development of new technologies that facilitate the diagnosis of acl injury and the application of state of the art methods for treatment. in particular, individualized anatomical acl reconstruction aims to restore native acl function. treatment is tailored to each patient based on...

PURPOSE The aim of this systematic review was to evaluate studies published on anatomic double-bundle anterior cruciate ligament (ACL) reconstruction. METHODS A systematic electronic search was performed by use of the Medline and Embase databases. Studies that were published from January 1995 to April 2009 were included. The selection criteria were studies that reported on a surgical techniqu...

With the increase in number of anterior cruciate ligament (ACL) reconstructions being performed, and with patients’ desire to return to high-level sports activities, the prevalence of ACL revision has been rising despite recent improvements in ACL reconstruction technique. ACL reconstruction failures can be classified into 3 general categories: recurrent instability, postoperative complications...

BACKGROUND Abnormal joint motion has been linked to joint arthrosis after anterior cruciate ligament (ACL) reconstruction. However, the relationships between the graft properties (ie, structural and anatomic) and extent of posttraumatic osteoarthritis are not well defined. HYPOTHESES (1) The structural (tensile) and anatomic (area and alignment) properties of the reconstructed graft or repair...

Treatment of partial anterior cruciate ligament (ACL) tears requires ACL remnant preservation. The goal of this study was to compare the outcome of anatomic reconstruction of the torn bundle with nonanatomic augmentation using the over-the-top femoral route. Fifty-two athletes (mean age, 23.3 years) with partial ACL lesions underwent anatomic reconstruction (n=26) or nonanatomic augmentation (n...

Background : Anatomic ACL surgery, including double bundle ACL reconstruction, has been investigated widely. The purpose of this study was to gain insight in the currently used surgical management of anterior cruciate ligament injuries amongst Belgian orthopaedic surgeons. Methods : A survey consisting of epidemiological questions, ACL surgery related questions and questions concerning rehabili...

BACKGROUND Tunnel enlargement and coalition following double-bundle anterior cruciate ligament (ACL) reconstruction with hamstring tendon autografts has not yet been sufficiently studied. HYPOTHESIS The incidence and the degree of femoral tunnel enlargement will be significantly greater than those for tibial tunnel enlargement after anatomic double-bundle ACL reconstruction using hamstring te...

Background/objective The purpose of this study was to elucidate the biomechanical differences between anterior cruciate ligament (ACL) grafts reconstructed by isometric and anatomic reconstruction techniques, based on their length changes. Methods One hundred and thirty-three knees with primary ACL reconstruction using the bone-patellar tendon-bone (BTB) graft were retrospectively identified....