The goal of computer-assisted navigation (CAN) is to increase surgical accuracy and reduce the chance of malposition of implants. For total knee arthroplasty (TKA), malalignment is commonly defined as a variation of greater than 3 degrees from the targeted position. Proper implant alignment is believed to be an important factor for minimizing long-term wear, risk of osteolysis, and loosening of...

BACKGROUND Currently, a suitable and reliable noninvasive method to evaluate rotational stability in vivo in anterior cruciate ligament-deficient knees, particularly during sports movements, does not exist. We speculated that if there is a rotational instability, the patient would avoid reaching a high pivoting moment during pivoting activities as a defense mechanism, and that the ground reacti...

The authors compared the intraoperative navigated measurements of the location of the tibial and femoral tunnels during arthroscopic-assisted anterior cruciate ligament reconstruction to the postoperative measurements performed on standard plain radiographs in 56 patients. The position of the center of the tibial and femoral tunnels was measured intraoperatively with the OrthoPilot (B. Braun Ae...

Femoral tunnel intersection in combined anterior cruciate ligament and posterolateral corner reconstruction has been reported to be high. The purpose of this study was to examine the risk of intersection between an anatomic femoral anterior cruciate ligament tunnel created with a retrograde reaming device and femoral lateral collateral ligament reconstruction tunnels of varying trajectory in a ...

BACKGROUND It has been recently reported that human anterior cruciate ligament (ACL) ruptured tissue contains abundant vascular stem cells that contribute to tendon-bone healing in an immunodeficient rat model of ACL reconstruction. HYPOTHESIS Autologous ruptured ACL tissue has an effect on the maturation of bone-tendon integration in anterior cruciate ligament reconstruction. STUDY DESIGN ...

Our objectives were to establish the envelope of passive movement and to demonstrate the kinematic behaviour of the knee during standard clinical tests before and after reconstruction of the anterior cruciate ligament (ACL). An electromagnetic device was used to measure movement of the joint during surgery. Reconstruction of the ACL significantly reduced the overall envelope of tibial rotation ...

The goal of computer-assisted navigation (CAN) is to increase surgical accuracy and reduce the chance of malposition of implants. For total knee arthroplasty (TKA), malalignment is commonly defined as a variation of greater than 3° from the targeted position. Proper implant alignment is believed to be an important factor for minimizing long-term wear, risk of osteolysis, and loosening of the pr...

background: tibial avulsion fractures of the posterior cruciate ligament are not infrequent. however, controversies exist between the fixation of the fragments and their reconstruction in the cases with small bony fragments. this prospective study was undertaken to study the results after fixation of the fragments by the malleolar screw and the pull through suture techniques.   methods: from ju...

anterior cruciate ligament (acl) reconstruction surgery has significantly evolved in recent years. this has led to development of new technologies that facilitate the diagnosis of acl injury and the application of state of the art methods for treatment. in particular, individualized anatomical acl reconstruction aims to restore native acl function. treatment is tailored to each patient based on...

The aim of this surgical technical note is to provide a more secure option prevent possible graft loosening with all-inside anterior cruciate ligament (ACL) reconstruction. A triple strategy used. First, fixed loop cortical device used on the femoral side. Second, an internal brace augmentation for ACL employed during early postoperative period. Lastly, tying off sutures tibial adjustable after...