Background: Tibial eminence fractures account for up to 5% of knee injuries with an effusion in the pediatric population. Displaced require reduction and operative fixation via arthroscopic or open techniques. Indications: Arthroscopic suture screw are 2 most commonly described techniques tibial fracture treatment. We describe our preferred technique given versatility this decreased risks hardw...

Surgical management of the anterior cruciate ligamentdeficient knee has evolved from primary repair to extracapsular augmentation to anterior cruciate ligament reconstruction using biologic tissue grafts. The technique of anterior cruciate ligament reconstruction has improved over the last few decades with the aid of knowledge gained from basic science and clinical research. The biology and bio...

PURPOSE The purpose of this study was to compare the clinical outcomes of arthroscopic anatomical double bundle (DB) anterior cruciate ligament (ACL) reconstruction with either selective anteromedial (AM) or posterolateral (PL) bundle reconstruction while preserving a relatively healthy ACL bundle. MATERIALS AND METHODS The authors evaluated 98 patients with a mean follow-up of 30.8±4.0 month...

During knee arthroscopy, easy orientation is important, and possible landmarks include the lateral intercondylar ridge (LIR) bifurcate (LBR). The objective was to show feasibility of LIR LBR as femoral attachment anterior cruciate ligament (ACL) among subjects with different levels training. Thirty-six formalin-phenol-fixed lower extremities were acquired for this prospective macroscopic anatom...

Femoral avulsion fracture of the anterior cruciate ligament (ACL) in children and adolescents is rare, and its arthroscopic treatment is even more so. A femoral avulsion fracture of the ACL of a 14-year-old girl was arthroscopically reduced and fixed by a Kirschner wire (K-wire) via an inside-out technique. A 1.4-mm K-wire was drilled inside-out into the osseous defect of the lateral femoral co...

The purpose of this study was to estimate cruciate ligament forces in Alpine skiing during a movement that has been associated with anterior cruciate ligament (ACL) tears. Resultant knee joint forces and moments were obtained from two skiers during a World Cup Downhill race using an inverse dynamics approach and a 2-D bilaterally symmetric system model. It was found that ACL forces were typical...

Anterior cruciate ligament (ACL) reconstruction is one of the most common procedures in sports medicine. Several areas of controversy exist in ACL tear management which have engaged surgeons and researchers in debates towards identifying an ideal approach for these patients.This instructional review discusses the principles of ACL reconstruction in an attempt to provide guidelines and initiate ...

Despite the marked advances in treatment and highly predictable success of anterior cruciate ligament (ACL) reconstruction, an approximate 10% to 15% failure rate is noted in the literature. The mechanism of failure is often difficult to ascertain and is often multifactorial. A strong patient-physician relationship must be established to proceed with revision ACL reconstruction. After the decis...

Background: Arthroscopic anterior cruciate ligament reconstruction can be performed both with titanium and bioabsorbable interference screws. The purpose of this study was to com­pare functional outcomes after using these different implants. Methods: This a retrospective study. Patients who underwent ACL ham­string autograft at Bheri hospital over the designed period were observed. Each group (...

Clinical, arthrographic, and arthroscopic findings in 53 patients with acutely torn anterior cruciate ligaments (ACLs) were documented. Arthroscopy and instability tests under anesthesia were performed on all patients within 2 weeks after the initial injury. Twenty-three patients complained of extension blocks, and localized tenderness on the medial side was revealed in 26 patients at the initi...