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This review article describes management of the patient with a torn anterior cruciate ligament (ACL). The most important finding for determining the condition of the ACL is the Lachman test, which is more reliably verified with instrumented laxity testing than with magnetic resonance imaging and...
Anterior cruciate ligament (ACL) tears are one of the most common serious sports injuries. This injury can result in an unstable knee, causing meniscal tears and articular cartilage degeneration. In this article, we outline our basic approach to a patient with an ACL injury, including...
Reconstruction has become a common, safe, and very effective treatment for the ruptured anterior cruciate ligament. During the past 3 decades there have been numerous advancements in the treatment of this very common injury. Although there is still debate over the best treatment, here we present...
To achieve the best possible result for anterior cruciate ligament reconstruction, there are several fundamental elements that need to be addressed. The first is graft placement. Although many published reports state that the graft was placed anatomically, their operative description and their...
As noted in previous articles, there are several variables that can be modified to successfully reconstruct an anterior cruciate ligament. My approach is to include the patient in the choice of the graft and management of associated pathology. Although I am relatively flexible, I provide my...
The anterior cruciate ligament (ACL) is composed of 2 bundles: the anteromedial bundle and the posterolateral bundle. Although conventional transtibial ACL reconstruction recreates only the anteromedial bundle, recent data have shown that this may not restore normal knee kinematics. There has...
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