Controversies in ACL Reconstruction, An Issue of Clinics in Sports Medicine

This issue will discuss controversies that can arise in ACL reconstruction, such as the diagnosis, anatomy, graft selection, and management of the ACL injured knee in the skeletally immature athlete.

\n Format: Hardback
\n \n Publication date: 17 March 2021
\n Publisher: Elsevier - Health Sciences Division
\n

ACL reconstruction remains one of the most prevalent orthopedic procedures performed today. This issue will delve into the controversies that can arise regarding this procedure. Several articles will be included to provide comprehensive insights into various aspects of ACL reconstruction.

Diagnosis of ACL Injury:

Epidemiology: Understanding the prevalence and incidence of ACL injuries across different populations and sports is crucial for diagnosing and managing these injuries effectively.

Mechanism of Injury Patterns: Understanding the mechanisms of injury patterns associated with ACL injuries, such as contact injuries, non-contact injuries, and rotational injuries, can help clinicians identify risk factors and tailor treatment strategies accordingly.

History: Taking a thorough history of the patient's previous injuries, athletic activities, and symptoms can provide valuable information for diagnosing ACL injuries.

Physical Examination (PE): Conducting a comprehensive physical examination, including assessment of joint range of motion, strength, and stability, can aid in the diagnosis of ACL injuries.

Ancillary Test Findings: Utilization of x-ray and MRI scans can provide valuable information about the extent of ACL damage and help guide treatment decisions.

Anatomy of the ACL:

Gross Anatomy: Understanding the anatomy of the ACL, including its structure, insertion sites, and blood supply, is essential for proper surgical planning and execution.

Arthroscopic Anatomy: Arthroscopic examination of the knee joint allows for a detailed view of the ACL and its surrounding structures, aiding in surgical decision-making and graft selection.

Radiographic Anatomy: Radiographic imaging, such as plain radiographs and CT scans, can provide a three-dimensional view of the knee and aid in surgical planning and graft selection.

Graft Selection in ACL Surgery:

Who Gets What and Why: Determining the appropriate graft type and size for ACL reconstruction is crucial for achieving optimal outcomes. Factors such as patient age, activity level, and graft availability play a significant role in graft selection.

Management of the ACL Injured Knee in the Skeletally Immature Athlete: ACL injuries in skeletally immature athletes present unique challenges due to the ongoing growth and development of the knee. Proper management strategies are essential to prevent long-term complications and optimize recovery.

Indications for Two-Incision (Outside-In) ACL Surgery: There are certain circumstances where two-incision (outside-in) ACL surgery may be indicated, such as in cases of complex ACL injuries or when the patient has a pre-existing condition that may complicate traditional ACL surgery.

These articles will provide a comprehensive overview of ACL reconstruction, including its diagnosis, anatomy, graft selection, management, and controversies. By exploring these topics, healthcare professionals can better understand the complexities of ACL reconstruction and provide optimal care to their patients.

\n Weight: 560g\n
Dimension: 161 x 236 x 20 (mm)\n
ISBN-13: 9780323482714\n \n