By Rainer Siebold, David Dejour, Stefano Zaffagnini
This functional and educational guidebook, written by means of overseas specialists in anterior cruciate ligament (ACL) reconstruction, covers all demanding elements of ACL rupture within the acute and protracted environment. It covers the newest, fabulous anatomical findings, therapy of partial ACL tears, numerous concepts for unmarried- and double-bundle ACL reconstruction, and complicated ACL revision surgical procedure. vital surgical steps are truly defined with assistance from instructive, top of the range images. vital information, tips, and pitfalls are highlighted and intra- and postoperative problems, rehabilitation, and prevention of re-rupture are mentioned. All authors are favorite and skilled ACL surgeons.
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Additional resources for Anterior Cruciate Ligament Reconstruction: A Practical Surgical Guide
2 mm Siebold et al. 7 mm Iriuchishima et al. 5 mm2 3 Tibial C-Shaped Insertion of the Anterior Cruciate Ligament Without Posterolateral Bundle a 23 b * LM * 1 MM AH PH 2 1 c * 1 AH PH 2 Fig. 3 (a–c) ACL cut just above the tibial insertion showing its “C”-shaped ACL insertion. The lateral meniscus formed a “raindrop-like” ring with the ACL insertion. 5 (1) anterior, (2) lateral. AH anterior horn of the lateral meniscus, MM anterior horn of the medial meniscus, PH posterior horn of the lateral meniscus, * for ACL Direct and Indirect Tibial ACL Insertion Macroscopically the tibial insertion could be divided into a “direct” and “indirect” part.
An anatomical “C”-shaped ACL reconstruction using hamstrings is described in Chap. 29. 35 Part II Biomechanics 6 Biomechanics of the Knee with Intact Anterior Cruciate Ligament Milos Dordevic and Michael T. 1 Introduction ................................................ 39 Biomechanics of the Knee with Intact ACL.............................................................. 1 Properties of the ACL ................................... 2 Function of ACL........................................... 3 Ultimate Load to Failure of ACL .................
Interestingly, during this experiment, the tibia rotated internally until the ACL ruptured. Then, the tibia started to rotate externally [38, 42, 43]. The mean peak torque value at internal torsion test was 33 Nm with tibia internally rotated by 58° and in 20° of valgus . As far as the ACL bundles are concerned, the AM bundle is oriented more vertically in the intercondylar notch in the coronal plane, and it is thought to have little ability to restrain tibial internal–external rotation as it is located close to the vertical axis of rotation.