We describe the surgical approach that we have used over the last years for anterior cruciate ligament (ACL) reconstruction, highlighting the importance of arthroscopic viewing through the anteromedial portal (AMP) and femoral tunnel drilling through an accessory anteromedial portal (AMP). The AMP allows direct view of the ACL femoral insertion site on the medial aspect of the lateral femoral c...

Rupture of the anterior cruciate ligament (ACL) is one of the most common injuries of the knee in the athletes and other group of patients who present to the knee clinics each year . Near to 250000 ACL ruptures occur in the Unites State each year. Almost 100000 ACL reconstructions are performed in the USA annually (1). This means that not all the patients with an ACL injury need operation. So, ...

Background: Many factors affect the outcomes of anterior cruciate ligament (ACL) reconstruction surgery. However, few studies have examined effects local bone conditions on ACL. This study investigated changes in mineral density (BMD) knee after rupture ACL with view using this information to guide treatment options.

AIM To quantitatively assess rotatory and anterior-posterior instability in vivo after anterior cruciate ligament (ACL) reconstruction using bone-patellar tendon-bone (BTB) autografts, and to clarify the influence of tunnel positions on the knee stability. METHODS Single-bundle ACL reconstruction with BTB autograft was performed on 50 patients with a mean age of 28 years using the trans-tibia...

BACKGROUND Accurate and precise tunnel placement is critical to the success of anterior cruciate ligament (ACL) reconstruction. A new development, computer-assisted surgery, aids in placement of the ACL bone tunnels during surgery. Our hypothesis was that computer-assisted ACL reconstruction would allow more accurate and precise tunnel placement compared with conventional surgery. METHODS In ...

Intrasubstance tears of the anterior cruciate ligament (ACL) were once considered a rare injury in skeletally immature athletes but are now observed with increasing frequency. Treatment strategies have evolved as recent studies have identified unique considerations specific to the skeletally immature patient. The current literature now supports the trend toward early operative treatment to rest...

background: acute pain is common after arthroscopic surgeries and it is one of the most important causes of patient dissatisfaction, admission time and increased morbidity . gabapentin with anti-hyperalgesic effects can play a critical role in pre-emptive analgesia methods. the aim of this study was to assess the efficacy of gabapentin in pain management after surgery and the rate of drug consu...

BACKGROUND Anatomic footprint restoration of anterior cruciate ligament (ACL) is recommended during reconstruction surgery. The purpose of this study was to compare and analyze the femoral and tibial tunnel positions of transtibial single bundle (SB) and transportal double bundle (DB) ACL reconstruction using three-dimensional computed tomography (3D-CT). METHODS In this study, 26 patients wh...

BACKGROUND Based on previous in vitro studies, it has been commonly believed that during anterior cruciate ligament (ACL) reconstruction with hamstring tendon, the grafted tendon is shifted anteriorly in the tunnel permanently after the graft is anchored to the tunnel wall. However, this has not been proven by in vivo studies. HYPOTHESIS At 1 year after anatomic double-bundle ACL reconstructi...

• Correspondence: O. Şahap Atik, M.D. Gazi Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 06500 Beşevler, Ankara, Turkey. Tel: +90 312 202 55 28 Fax: +90 312 212 90 08 e-mail: [email protected] Reconstruction of the anterior cruciate ligament is not a prerequisite for restoring muscle function.[1] However, restoring muscle function is a prerequisite for conservative or surgi...