Controversies In The Technical Aspects Of Acl Reconstruction: An Evidence-based Medicine Approach
by Stefano Zaffagnini /
2017 / English / PDF
29.5 MB Download
This book provides the reader with the best available evidence on
the most pressing issues relating to reconstruction of the
anterior cruciate ligament (ACL) with the goal of supporting
surgical reconstruction of the ACL and improving outcomes for
patients. Key topics for which evidence-based information is
presented include selection of graft material and source, the use
of different surgical techniques, graft rupture in relation to
surgical technique, and progression to osteoarthritis. The book
will aid the surgeon in making decisions with respect to fixation
devices and tensioning, the bundles to be reconstructed, and
whether to preserve remnants or partial bundle ruptures. An
evidence-based stance is taken on evolving topics such as the
anatomy of the tibial insertion site of the ACL and the role of
the anterolateral capsule and posteromedial corner in high-grade
rotatory instability. Furthermore, novel technical developments
for measurement of knee laxity and soft tissue navigation are
discussed. The reader will also find useful information on
general issues concerning physical examination, arthroscopic
setup, timing of reconstruction, anesthesia, and anticoagulation.
This book provides the reader with the best available evidence on
the most pressing issues relating to reconstruction of the
anterior cruciate ligament (ACL) with the goal of supporting
surgical reconstruction of the ACL and improving outcomes for
patients. Key topics for which evidence-based information is
presented include selection of graft material and source, the use
of different surgical techniques, graft rupture in relation to
surgical technique, and progression to osteoarthritis. The book
will aid the surgeon in making decisions with respect to fixation
devices and tensioning, the bundles to be reconstructed, and
whether to preserve remnants or partial bundle ruptures. An
evidence-based stance is taken on evolving topics such as the
anatomy of the tibial insertion site of the ACL and the role of
the anterolateral capsule and posteromedial corner in high-grade
rotatory instability. Furthermore, novel technical developments
for measurement of knee laxity and soft tissue navigation are
discussed. The reader will also find useful information on
general issues concerning physical examination, arthroscopic
setup, timing of reconstruction, anesthesia, and anticoagulation.