Techniques in ACL Surgery

ACL surgery involves the repair or reconstruction of the anterior cruciate ligament in the knee. The procedure is usually performed by arthroscopic surgery.

This book is a comprehensive guide to ACL surgery for practising orthopaedic surgeons. Comprising 34 chapters, the text covers the latest advances and explains all the different techniques. ?Pearls and pitfalls? of each technique are described in depth.

The book includes discussion on improving outcomes, rehabilitation, prevention of degenerative changes, elimination of laxity, and patient satisfaction.

The text is highly illustrated with clinical photographs, diagrams and tables, and each topic features ?tips and tricks? from expert surgeons.

Key points

• Comprehensive guide to anterior cruciate ligament (ACL) knee surgery for orthopaedic surgeons
• Explains latest advances and techniques with ?pearls and pitfalls?
• Includes discussion on improving outcomes and rehabilitation
• Highly illustrated with clinical photographs, diagrams and tables

1. Placing Correct Portals for Transportal ACL Reconstruction
2. Harvesting and Preparing an Ideal Bone Patella Tendon Bone Graft
3. Harvesting Hamstring Tendons
4. Cosmetic Harvesting of the Hamstring Tendons
5. Preparation of 5- and 6-Strand Hamstring Tendon Grafts for Single-Bundle Hamstring Anterior Cruciate Ligament Reconstruction
6. Quadriceps Tendon Autograft in ACL Reconstruction
7. Harvesting Peroneus Longus Tendon
8. Clinical Evaluation and Imaging for a Patient with ACL Injury
9. Arthroscopic Diagnosis and Injury Patterns of Anterior Cruciate Ligament
10. How to Perform Notchplasty during ACL Surgery?
11. Identifying the Femoral Footprint
12. Creating a Transportal Femoral Tunnel
13. Creating Transportal Femoral Tunnel Using Flexible Reamers
14. Creating an Outside-in Femoral Tunnel
15. Creating a Transtibial Femoral Tunnel
16. Identifying the Tibial Footprint
17. Creating a Tibial Tunnel
18. Suspensory Femoral Fixation Using a Fixed Loop Device
19. Adjustable-Loop Suspensory Fixation Device
20. Tibial Fixation
21. Graft Tensioning and Conditioning
22. All-inside ACL Reconstruction
23. Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients
24. Remnant Preservation Techniques in Anterior Cruciate Ligament Reconstruction
25. Anterior Cruciate Ligament Augmentation
26. Primary ACL Repair
27. Fixation of ACL Avulsion with Screws
28. Fixation of ACL Avulsion Using a Suture-bridge Technique
29. Lateral Extra-articular Tenodesis
30. Minimally Invasive Anterolateral Ligament Reconstruction
31. Double Bundle Anterior Cruciate Ligament Reconstruction
32. Anterior Cruciate Ligament Reconstruction Bone Tunnel Placement Using Intraoperative Fluoroscopy
33. Rehabilitation after Anterior Cruciate Ligament Reconstruction:
    Optimizing Outcomes by Restoring Dynamic Knee Stability
34. Improving Outcomes of ACL Reconstruction: Pharmacological Measures

Index

Sachin Tapasvi MS DNB FRCS MNAMS AFAOA
Consultant Arthroscopy and Arthroplasty Surgeon, The Orthopaedic Speciality Clinic, Pune, Maharashtra, India