Anterior cruciate ligament (ACL) reconstruction is common, with >100,000 procedures performed each year in the United States. Several factors are associated with failure, including poor surgical technique, graft incorporation failure, overly aggressive rehabilitation, and trauma. Tibial shaft fracture is also common and frequently requires operative intervention. Failure to reestablish the anat...

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 Tearing an anterior cruciate ligament (ACL) graft is a devastating occurrence after ACL reconstruction (ACLR). Identifying and understanding the independent predictors of ACLR graft failure is important for surgical planning, patient counseling, and efforts to decrease the risk of graft failure. HYPOTHESIS Patient and surgical variables will predict graft failure after ACLR. STUD...

This article describes an anterolateral reconstruction procedure that, when used in combination with an intra-articular anterior cruciate ligament (ACL) reconstruction, restores rotary and anterior knee stability. We believe that failing to recognize lateral instabilities and to perform an extra-articular reconstruction is an under-recognized cause of failure of ACL reconstruction. We also desc...

  Background: Articular cartilage injuries are a common clinical problem at the time of ACL reconstruction with an incidence rate of 16-46%. Good results of ACL reconstruction combined with the treatment of chondral lesions have been published in some studies. Method: After statistical analysis 30 patients were selected and divided in 2 groups. TheFfirst group consisted of 15 patients wite isol...

The debate around extra-articular augmentation (EA) of anterior cruciate ligament (ACL) reconstruction continues to provide a rich source research articles that we ultimately hope will improve patient outcomes. When combined with ACL reconstruction, anterolateral or lateral tenodesis procedures reduce graft failure and persistent rotatory laxity. An important metric outcome is return play (RTP)...

  Background: Ligament reconstruction is a common procedure in orthopedic surgery. Although several popular techniques are currently in use, new methods are proposed for secure fixation of the tendon graft into the bone tunnel. Purposes: We sought to introduce our new technique of Bashti bone plug for fixation of soft tissue graft in anterior cruciate ligament (ACL) reconstruction and to compar...

INTRODUCTION The most common cause of technical failure in anterior cruciate ligament (ACL) reconstruction is the bone tunnel misplacement(1). However it is technically challenging to place the bone tunnel in the anatomically correct position. The aim of this study was to prove the hypothesis that fluoro-based navigation system contribute to the accuracy and reproducibility of bone tunnel place...

Background: Nowadays combined high tibial osteotomy and ACL reconstruction is accepted as a safe and effectivesurgery for patients with symptomatic varus osteoarthritis and anterior knee instability; however, the source of varusdeformity is sometimes the femoral bone. No studies have reported concomitant ACL reconstruction and distal femoralosteotomy in ACL-deficient knees wit...

Background: Rupture of anterior cruciate ligament (ACL) would cause instability and disability and if left untreated. Reconstruction is performed by different techniques including patellar bone graft, as the strongest device. Application of brace after ACL reconstructions has revealed doubtful results. Methods: One hundred ACL ruptured patients randomized into two groups were reconstructed with...