ACL Surgery: How to Get it Right the First Time and what to Do If it Fails

Bernard R. Bach

SLACK Incorporated, 2010 - Medical - 390 pages

As ACL injuries continue to increase, so does the need for a book that provides the optimal initial treatment of the ACL injury, while also recognizing the common pitfalls in the diagnosis and management of the patient.

ACL Surgery: How to Get it Right the First Time and What to Do if it Fails offers valuable technical pearls on how to perform ACL surgery with reliable and tested results, as well as an efficient way to review the surgical treatment of the torn ACL.

Dr. Bernard R. Bach, Jr. and Dr. Matthew T. Provencher present a user-friendly and clinically relevant book that covers both primary and revision ACL surgery. Covered inside is essential information on how to approach the patient with a failed primary and revision ACL surgery, examination and radiographic workup, and revision ACL construction. Over 55 contributors describe each procedural step in a logical and precise manner, while combining clinical and technical pearls.

Some Highlights Include:
* Numerous illustrations and pictures of how to perform ACL graft harvest
* Allograft preparation
* Single and double-bundle reconstruction constructs
* Important examination findings and identifying factors to look for
* Identifying injuries that should not be missed
* How to work up a failed ACL surgery--patient history, examination, and radiographic findings are highlighted
* Revision ACL reconstruction approach and tips to perform reliable revision surgery
* Identifying pathology in primary and revision ACL surgery to maximize success

ACL Surgery serves as a blueprint of how to provide an effective and reliable primary ACL reconstruction with an emphasis on addressing associated conditions.

Topics Discussed Include:
* Patient selection
* Indications and preoperative workup
* Principles of evaluating and treating the failed ACL reconstruction
* Meniscus transplantation
* Management of chondral injuries with the failed ACL
* ACL revision graft choices
* Revision ACL tunnel and bone management
* Management of a failed ACL surgery--including combined tibial osteotomy, meniscus transplantation, and cartilage restorative procedures

With its user-friendly format of tips, techniques, and pearls & pitfalls throughout the chapters, sports medicine orthopedists, general orthopedic surgeons, fellows, and attendings will often refer to ACL Surgery: How to Get it Right the First Time and What to Do if it Fails.

This clinically relevant book of primary and revisionary ACL surgery is sure to provide the most up-to-date surgical recommendations and techniques for your surgical textbook library.

Contents

• When Is ACL Reconstruction Indicated: 3
• Anatomy Important for Successful ACL Reconstruction: 9
• Biomechanical Considerations: 19
• Graft Healing Vascularity Microscopic Anatomy: 29
• PREOPERATIVE EVALUATIONSUCCESS WITH CAREFUL PATIENT WORKUP: 37
• What Not to Miss: 53
• PRINCIPLES OF PRIMARY ACL RECONSTRUCTIONHOW TO GET IT RIGHT THE FIRST TIME: 69
• Allograft Processing and Efficacy: 79
• Arthroscopically Assisted ACL Reconstruction Using BoneTendonBone Autograft: 87
• ACL Reconstruction Using Autogenous Hamstring Tendons: 99
• DoubleBundle ACL Reconstruction: 117
• Hybrid Fixation and AllInside Techniques: 131
• TwoIncision Endoscopic ACL Reconstruction: 141
• Posterolateral Corner and ACL: 151
• Management and Considerations: 159
• Pearls and Pitfalls: 165
• THE FAILED ACL SURGERYWHY DID IT FAIL AND WHAT CAN I DO ABOUT: 173
• Examination and Radiographic Findings of a Patient With a Failed ACL: 185
• Arthrometric Evaluation of the Failed ACLNormal ACL Injured ACL Reconstructed ACL: 191
• Patient Selection Indications and Expectations for Revision ACL Surgery: 203
• THE UNSTABLE ACL AFTER PRIMARY RECONSTRUCTION: 215
• Management of Failed ACL With Less Than Optimal Tunnel Placement: 231
• Surgical Treatment of the Failed ACL With Optimal Tunnel Treatment: 239
• Results: 251
• COMPLEX PROBLEMS IN THE SURGICAL MANAGEMENT OF THE FAILED: 257
• Management of Patients With Combined ACL and Posterolateral Corner Insufficiency: 269
• Management of Patients With Combined ACL and Medial Collateral Ligament Insufficiency: 281
• Role of Osteotomy: 287
• Management of Chondral Injuries in an ACLDeficient Knee: 311
• Stiffness After ACL Reconstruction: 329
• REHABILITATION AFTER THE FAILED: 339
• Return to Play After ACL Reconstruction: 357
• CASE STUDIES: 367
• Index: 385

Bibliographic information

• Title: ACL Surgery: How to Get it Right the First Time and what to Do If it Fails
• Editor: Bernard R. Bach
• Edition: illustrated
• Publisher: SLACK Incorporated, 2010
• ISBN: 1556428952, 9781556428951
• Length: 390 pages
• Subjects: Medical / General; Medical / Orthopedics; Medical / Sports Medicine; Medical / Surgery / General; Medical / Surgery / Orthopedic