Objectives: Graft failure rates following anterior cruciate ligament (ACL) reconstruction have been reported up to 30%. According the literature, one anatomic variant linked graft reinjury is a high posterior tibial slope. As result, surgeons are exploring effectiveness of slope reducing osteotomy (HTO) reduce subsequent risk. While cadaveric models indicate that this procedure decreases forces...

a 25 year-old man presented with pain, swelling, and intermittent drainage from distal lateral aspect of his left knee three months after undergoing isolated acl reconstruction with arthroscopic hamstring autograft and endobottom technique. his surgeon at that time tried to eliminate the pathology through arthroscopic wash out in two attempts. however, the pain, edema, and discharge recurred af...

the anterior cruciate ligament (acl) is composed of two bundles, which work together to provide both antero-posterior and rotatory stability of the knee. understanding the anatomy and function of the acl plays a key role in management of patients with acl injury. anatomic acl reconstruction aims to restore the function of the native acl. femoral and tibial tunnels should be placed in their anat...

there is controversy in the literature regarding a number of topics related to anterior cruciate ligament (acl)reconstruction. the purpose of this article is to answer the following questions: 1) bone patellar tendon bone (bptb) reconstruction or hamstring reconstruction (hr); 2) double bundle or single bundle; 3) allograft or authograft; 4) early or late reconstruction; 5) rate of return to sp...

  The anterior cruciate ligament (ACL) is composed of two bundles, which work together to provide both antero-posterior and rotatory stability of the knee. Understanding the anatomy and function of the ACL plays a key role in management of patients with ACL injury. Anatomic ACL reconstruction aims to restore the function of the native ACL. Femoral and tibial tunnels should be placed in their an...

Approaches to management of combined anterior cruciate ligament (ACL) and high-grade medial collateral ligament (MCL) injuries remain controversial. Some studies suggest that with grade III MCL injuries, patients may benefit from concurrent MCL reconstruction to restore stability and prevent increased stress on the ACL graft. We present a technique for simultaneous ACL/MCL reconstructions using...

BACKGROUND Multiligamentous injuries of knee are a complex problem in orthopaedics. Combined ACL-PCL injuries are uncommon, usually associated with knee dislocations. Extremity vascular status is essential because of possible arterio-venous compromise. These complex injuries require a systematic evaluation and treatment. Single setting simultaneous arthroscopic ACL and PCL reconstruction or a s...

BACKGROUND The management of degenerative arthritis of the knee in the younger, active patient presents a challenge to the orthopaedic surgeon. Surgical treatment options include high tibial osteotomy (HTO), unicompartmental knee arthroplasty, and total knee arthroplasty. PURPOSE To examine the long-term survival of closing wedge HTO in a large series of patients up to 19 years after surgery....

BACKGROUND Although a previous study showed that anterior opening wedge high tibial osteotomy (HTO) for sagittal plane correction induced no increased strain in the anterior cruciate ligament (ACL), we hypothesized that other ligamentous restraints of the knee may be subjected to increased strain. METHODS We mounted 6 cadaveric knees at 15 degrees flexion in a testing apparatus that provided ...

There is controversy in the literature regarding a number of topics related to anterior cruciate ligament (ACL)reconstruction. The purpose of this article is to answer the following questions: 1) Bone patellar tendon bone (BPTB) reconstruction or hamstring reconstruction (HR); 2) Double bundle or single bundle; 3) Allograft or authograft; 4) Early or late reconstruction; 5) Rate of return to sp...