BACKGROUND Anterior cruciate ligament (ACL) reconstruction is a well-established surgical procedure for the correction of ACL ruptures. However, the incidence of instability following ACL reconstruction is substantial. Recent studies have led to greater insight into the anatomy and the radiographic characteristics of the native anterolateral ligament (ALL), along with its possible role in resid...

BACKGROUND There is significant interest in the restoration of the double-bundle anatomy of the native ACL when performing ACL reconstruction. Possible techniques include those utilizing two separate grafts with independent tunnels and those that attempt to mimic this anatomy with a single graft and fewer tunnels. Many of the latter techniques require specific instrumentation and are technicall...

Background: Anatomical single bundle arthroscopic Anterior cruciate ligament (ACL) reconstruction has been the standard treatment for ACL injured patients. It is a minimally invasive procedure that allows the surgeon to understand the internal derangements of the knee joint. ACL is the commonly injured ligament in young adults. The purpose of Arthroscopic ACL reconstruction is to restore the no...

INTRODUCTION Anterior cruciate ligament (ACL) injuries are common among Malaysian military patients but has not been studied closely. The purpose of this study was to assess the type of activities leading to the ACL injury and the outcome of reconstructive ACL surgery at one year follow up. METHODS From the registry record, military patients who had undergone ACL reconstruction in two Malaysi...

OBJECTIVE To compare, in young active adults with an acute anterior cruciate ligament (ACL) tear, the mid-term (five year) patient reported and radiographic outcomes between those treated with rehabilitation plus early ACL reconstruction and those treated with rehabilitation and optional delayed ACL reconstruction. DESIGN Extended follow-up of prospective randomised controlled trial. SETTIN...

BACKGROUND About 12% of patients who have undergone primary anterior cruciate ligament (ACL) reconstruction sustain a contralateral ACL injury within 5 years. PURPOSE To investigate patient-reported knee function, quality of life, and activity level in patients with bilateral ACL injuries. STUDY DESIGN Cohort study; Level of evidence, 3. METHODS A search of hospital records identified 147...

BACKGROUND The current body of literature surrounding anterior cruciate ligament (ACL) survival and the variables contributing to further ACL injuries after primary ACL reconstruction in children and adolescents is limited, with no long-term evidence examining the incidence and contributing factors of further ACL injuries in this younger patient population. PURPOSE To determine the long-term ...

BACKGROUND Recommendations for bone tunnel placement during anterior cruciate ligament (ACL) reconstruction have become more precise. However, these recommendations differ neither with the choice of graft nor with the method of fixation used. The influence of the method of femoral fixation used on the biomechanical function of a soft tissue ACL graft remains unknown. HYPOTHESIS Our null hypot...

BACKGROUND Conventional transphyseal anterior cruciate ligament (ACL) reconstruction techniques in skeletally immature patients have been questioned because of potential physeal injuries. Consequently, multiple alternative reconstruction options have been described to restore stability while sparing the physes in the skeletally immature patient. HYPOTHESIS All pediatric reconstruction techniq...

A rthroscopically assisted reconstruction of the anterior cruciate ligament (ACL) is a common and effective method for treatment of anterior knee instability following ACL injury. Annually, an estimated 250,000 ACL injuries are diagnosed and approximately 100,000 ACL reconstructions are performed in the United States. Chondrolysis is an extremely rare but devastating complication following ACL ...