By Mitsuo Ochi, Konsei Shino, Kazunori Yasuda, Masahiro Kurosaka
This quantity provides specific details on surgically appropriate anatomy and histology of the anterior cruciate ligament (ACL), biomechanics, diagnostics, and ACL reconstruction. In gentle of the growing to be physique of proof demonstrating some great benefits of anatomic ACL reconstruction over conventional equipment, there also are discussions of unmarried anteromedial package reconstruction and anatomic ACL reconstruction with plentiful descriptions of experimental and medical reports. additionally, specific consciousness is given not just to thoughts corresponding to ACL augmentation, bone-patella tendon-bone reconstruction and computer-assisted navigation, however it additionally provides specialist research of revision of ACL reconstruction, issues, and the long run views of ACL reconstruction. Edited via authoritative orthopedic doctor from the japanese Orthopaedic Society of Knee, Arthroscopy and activities medication (JOSKAS), this ebook offers up to date details for orthopedic surgeons and actual therapists focusing on the ACL. The study facts will develop readers’ figuring out and allow them to optimize results for sufferers. As ACL rupture is a typical harm specially for high-level athletes, it is going to additionally allure activities running shoes and workforce physicians who're attracted to a up to date replace in this field.
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Additional resources for ACL Injury and Its Treatment
This knob could be considered a kind of enthesophyte, which is commonly seen in other tendon/ligament attachments . 3 Implications for Multiple-bundle Reconstruction The purpose of ACL reconstruction is to restore knee stability without loss of motion. ACL reconstruction has improved from the traditional single-bundle reconstruction, Rosenberg’s two femoral socket (“bi-socket”) procedure, to anatomical double-bundle reconstruction [26–28]. The anatomical double-bundle reconstruction is performed by placing the hamstring tendon grafts at the original insertions of both the “anteromedial” and “posterolateral” bundles.
These positional relations of the insertion sites produce the differences of each bundle function and provide a rationale for performing multi-bundle ACL reconstruction. 1 Introduction The heterogeneity of the anterior cruciate ligament (ACL) was first reported by Palmer , who suggested that the parts of the ACL had different roles during flexion-extension movement. In 1975, the anatomical study by Girgis et al.  described two bundles of the ACL and observed the tensioning pattern of each D.
Meanwhile, in our microscopic study, the ACL insertion was found to extend between the lateral intercondylar ridge and the posterior cartilage margin by H&E staining (Fig. 3A). 32 a Smigielski R, et al. (2014) Sasaki N, et al. (2012) Kopf S, et al. (2011) Hara K, et al. (2009) Iwahashi T, et al. (2010) Macroscopical Microscopical Macroscopical Macroscopical Arthroscopical 3D laser digitizer Macroscopical Microscopical 3D Volume-rendered CT Arthroscopical Ferretti M, et al. (2007) Mochizuki T, et al.