The Anterior Cruciate Ligament: Reconstruction and Basic Science E-Book

Front Cover
Master the very latest clinical and technical information on the full range of anterior cruciate ligament reconstruction techniques. Both inside the remarkably user-friendly printed version of this Expert Consult title and on its fully searchable web site, you'll find detailed coverage of hamstring, allograft and bone-tendon-bone (BTB) ACL reconstruction (including single versus double bundle techniques), and hamstring graft harvesting; plus fixation devices, rehabilitation, revision ACLR surgery, and much more!
  • A "dream team" of ACL surgeons provides the advanced guidance you need to overcome the toughest challenges in this area.
  • A comparison of the full range of graft options for ACL reconstruction makes it easier to choose the best approach for each patient.
  • State-of-the-art information on the latest principles and technical considerations helps you avoid complications.
  • ‘How to' principles of post-op rehabilitation and revision ACL surgery optimize patient outcome.
  • Access to the full contents of the book online enables you to consult it from any computer and perform rapid searches.
  • Also available in an upgradeable premium online version including fully searchable text PLUS timely updates.
 

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Contents

Mechanisms of Noncontact Anterior Cruciate Ligament Injuries
12
Risk and Gender Factors for Noncontact Anterior Cruciate Ligament Injury
18
The Incidence of Anterior Cruciate Ligament Injury as a Function of Gender Sport and InjuryReduction Programs
28
Analysis of Anterior Cruciate Ligament InjuryPrevention Programs for the Female Athlete
42
Nonoperative Management of Anterior Cruciate Ligament Deficient Patients
60
Arthrosis Following Anterior Cruciate Ligament Tear and Reconstruction
69
Anterior Cruciate Ligament Reconstruction
77
Why Synthetic Grafts Failed
88
DoubleSpike Plate Cortical Fixation Device Enabling Graft Fixation Under Optional Tension
324
Interference ScrewBased
328
Intratunnel Tibial Fixation of SoftTissue Anterior Cruciate Ligament Grafts Graft Sleeve and Tapered Screw
330
Hamstring Anterior Cruciate Ligament Reconstruction with IntraFix Tibial Fastener
341
BonePatellar tendonbone fixation femur or tibia
354
Anterior Cruciate Ligament Reconstruction Using a MiniArthrotomy Technique with Either an Ipsilateral or a Contralaterl Autogenous Patellar Tend...
364
BonePatellar TendonBone Anterior Cruciate Ligament Reconstruction Using the Endobutton Continuous Loop BoneTendonBone Fixation System
373
Graft Mechanical Properties
381

Autograft Harvest Techniques
91
Posterior MiniIncision Hamstring Harvest Approach for Anterior Cruciate Ligament Reconstruction
95
Technique for Harvesting a MidThird Patella Tendon Graft for Anterior Cruciate Ligament Reconstruction
101
The Central Quadriceps Free Tendon for Anterior Cruciate Ligament Reconstruction
106
Hamstring Graft Configurations
110
2ST2Gr 4ST and 3ST2Gr Techniques Deciding Which Hamstring Configuration to Use
115
Principles of Tunnel Formation
121
The Anteromedial Portal for Anterior Cruciate Ligament Reconstruction
129
The Retrodrill Technique for Anterior Cruciate Ligament Reconstruction
134
Femoral Tunnel Placement to Restore Normal Knee Laxity After Anterior Cruciate Ligament Reconstruction
140
Anatomical Anterior Cruciate Ligament Reconstruction with DoubleBundle DoubleStranded Hamstring Autografts A FourTunnel Technique
155
Anatomical DoubleBundle Anterior Cruciate Ligament Reconstruction with a Semitendinosus Hamstring Tendon Graft
161
Anatomical DoubleBundle Reconstruction of the Anterior Cruciate Ligament
168
ComputerAssisted Navigation for Anterior Cruciate Ligament Reconstruction
186
HighStiffness SlippageResistant Cortical Fixation Has Many Advantages over Intratunnel Fixation
204
Tibial Fixation for Anterior Cruciate Ligament Hamstring Grafts 10 Techniques that Improve Fixation
211
Fixation devices and methods of softtissue graft femoral fixation
218
Cortical Screw Post Femoral Fixation Using Whipstitches Fabric Loop or Endobutton The Universal Salvage
227
EZLoc Femoral Fixation of a Soft Tissue Graft
233
CrossPin
242
PinnACL CrossPin System for Femoral Graft Fixation
253
TransFix Anterior Cruciate Ligament Femoral Fixation
261
Stryker Biosteon CrossPin Femoral Fixation for SoftTissue Anterior Cruciate Ligament Reconstruction
267
Anterior Cruciate Ligament Reconstruction Utilizing the Rigidfix for FemoralSided Fixation
277
Interference ScrewBased
284
Double Anteromedial and Posterolateral FemoralTunnel Formation
299
SoftTissue Graft Tibial Fixation
305
WhipstitchPost Tibial Fixation for Anterior Cruciate Ligament Reconstruction
310
WasherLoc and Bone Dowel Tibial Fixation of a SoftTissue Graft
316
Improving Biodegradable Interference Screw Properties by Combining Polymers
386
Graft Tensioning
392
Tensioning Anterior Cruciate Ligament Grafts
399
Ligamentization and grafttunnel healing
407
GraftTunnel Healing
417
Revision Anterior Cruciate Ligament Reconstruction
427
Revision Anterior Cruiate Ligament Reconstruction
443
Anterior Cruciate Ligament Reconstruction for skeletally immature patients or partial tears
457
Anterior Cruciate Ligament Reconstruction of Partial Tears Reconstructing One Bundle
470
Treatment of Meniscus Tears with Anterior Cruciate Ligament Reconstruction
486
Anterior Cruciate Ligament Reconstruction Combined with HighTibial Osteotomy Autologous Chondrocyte Implantation
493
Clinical
509
The StabilityConservative Anterior Cruciate Ligament Reconstruction Rehabilitation Protocol
521
Hamstring Regeneration Following Harvest for Anterior Cruciate Ligament Reconstruction A Review of the Current Literature
528
Proprioception and Anterior Cruciate Ligament Reconstruction
535
Complications
551
Stiffness Prevention and Treatment
565
Osteoporosis After Anterior Cruciate Ligament Reconstruction?
572
Tunnel Widening After Anterior Cruciate Ligament Reconstruction
576
Fixation Biomechanics
580
Hardware Complications After Anterior Cruciate Ligament Reconstruction
585
Vascular Complications After Anterior Cruciate Ligament Reconstruction
592
Fracture Complications After Anterior Cruciate Ligament Reconstruction
598
Anterior Knee Problems After Anterior Cruciate Ligament Reconstruction
607
Gait Analysis and Tissue Engineering
615
Growth Factors and Other New Methods for GraftHealing Enhancement
625
Index
633
Instructions for online access
651
Copyright

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About the author (2007)

Stephen M. Howell, MD is a board-certified orthopedic surgeon practicing in Sacramento and Lodi. He joined Adventist Health Lodi Memorial with more than three decades of experience as a clinician, researcher, and innovator in total knee replacement (TKR), anterior cruciate ligament (ACL) reconstruction, and meniscal surgery. Dr. Howell’s clinical practice focuses on the treatment of degenerative processes and sports-related injuries to the knee. He performs more than 500 TKRs and 100 ACL reconstructions per year. Dr. Howell also created the kinematic alignment method, which caused a paradigm shift in TKR. His published experience demonstrates that patients report less pain, a quicker recovery, better pain relief, better function, better flexion, and a more natural feeling knee when treated with this method. Dr. Howell is also an Adjunct Professor of Biomedical Engineering at the University of California, Davis. He has published more than 140 scientific articles in peer-reviewed journals.

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