Pearls for Anterior Cruciate Ligament Reconstruction

Anterior cruciate ligament (ACL) reconstruction has evolved significantly in the past 30 years and I have practiced sports medicine throughout the majority of this evolution. Learning many lessons along the way from both my peers and own mistakes, my practice and technique has slowly transformed into what it is today. In the following chapter, I discuss many of the pearls and tricks that I have learned during my career - from patient selection to intraoperative technique to postoperative management and rehabilitation - that allow me to maintain a high success rate and reproducible results with ACL reconstruction.

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[2]  Freddie H. Fu,et al.  Isolation and characterization of human anterior cruciate ligament-derived vascular stem cells. , 2012, Stem cells and development.

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[4]  M. Denti,et al.  Autologous platelet-rich plasma gel to reduce donor-site morbidity after patellar tendon graft harvesting for anterior cruciate ligament reconstruction: a randomized, controlled clinical study , 2011, Knee Surgery, Sports Traumatology, Arthroscopy.

[5]  J. Bellemans,et al.  The “Ligamentization” Process in Anterior Cruciate Ligament Reconstruction , 2011, The American journal of sports medicine.

[6]  L. Engebretsen,et al.  Increased Risk of Revision With Hamstring Tendon Grafts Compared With Patellar Tendon Grafts After Anterior Cruciate Ligament Reconstruction , 2014, The American journal of sports medicine.

[7]  M. Kurosaka,et al.  Light and electron microscopic study of remodeling and maturation process in autogenous graft for anterior cruciate ligament reconstruction. , 1993, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[8]  M. Demange,et al.  Patellar Tendon Healing With Platelet-Rich Plasma , 2012, The American journal of sports medicine.

[9]  V. Hasselblad,et al.  Transtibial Versus Independent Drilling Techniques for Anterior Cruciate Ligament Reconstruction , 2013, The American journal of sports medicine.

[10]  T. Cook,et al.  Revascularization and ligamentization of autogenous anterior cruciate ligament grafts in humans. , 1998, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[11]  R. Cugat,et al.  Healing of donor site in bone-tendon-bone ACL reconstruction accelerated with plasma rich in growth factors: a randomized clinical trial , 2015, Knee Surgery, Sports Traumatology, Arthroscopy.

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[13]  B. Cole,et al.  The incidence of acute patellar tendon harvest complications for anterior cruciate ligament reconstruction. , 2008, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[14]  P. Neyret,et al.  Posteromedial meniscal tears may be missed during anterior cruciate ligament reconstruction. , 2015, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[15]  M. Murray,et al.  Peripheral blood mononuclear cells enhance the anabolic effects of platelet‐rich plasma on anterior cruciate ligament fibroblasts , 2013, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[16]  T. Thillemann,et al.  Comparison of Hamstring Tendon and Patellar Tendon Grafts in Anterior Cruciate Ligament Reconstruction in a Nationwide Population-Based Cohort Study , 2014, The American journal of sports medicine.

[17]  B. Fleming,et al.  Biology of anterior cruciate ligament injury and repair: Kappa delta ann doner vaughn award paper 2013 , 2013, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[18]  O. Al-saeed,et al.  Association of femoral intercondylar notch morphology, width index and the risk of anterior cruciate ligament injury , 2013, Knee Surgery, Sports Traumatology, Arthroscopy.

[19]  E. McCarty,et al.  Bone–Patellar Tendon–Bone Autograft Versus Allograft in Outcomes of Anterior Cruciate Ligament Reconstruction , 2013, The American journal of sports medicine.

[20]  Timothy E Hewett,et al.  Autograft Versus Nonirradiated Allograft Tissue for Anterior Cruciate Ligament Reconstruction , 2014, The American journal of sports medicine.