The Anterior Cruciate Ligament: Reconstruction and Basic Science1

667 Pages·2007·34.68 MB·English

by  Chadwick Prodromos MD

About this Book
Why this Book Is Needed inthistext,alongwiththemanyvideos,provide
a more in-depth alternative. Through partner-
The anterior cruciate ligament (ACL) is one of
shipwiththeleadingsportsmedicinecompanies,
the most written about topics in Orthopaedics,
new devices will be introduced on the website
such that it has become very difficult for most
Orthopaedists to stay current through regular alongwithexpertorthopaedicevaluations—“peer
reviewedmarketing.”
casual reading of the literature. Yet until now
there has not been a comprehensive ACL text.
The Technique of ACL Reconstruction
This book fills that gap. We have attempted
to present the essence of the world’s accumu- ThebesttechniquesforeachcomponentofACL
reconstruction: harvest, fixation, tunnels, notch-
lated clinically relevant ACL-related knowledge
plasty, and so forth, are collected and presented.
in 81 concise chapters.
Thisinformationleadsdirectlytogoodoutcomes.
About the Associate Editors and
Choices
Contributors
Aftertechnique,ACLsurgeryisallaboutchoices:
Theassociateeditorslistedonthecoverandthe
othercontributorsarea“dreamteam”ofleading interference versus cortical fixation, bone–patella
tendon–bone versus hamstring, auto versus allo-
ACL surgeons and scientists from around the
graft, accelerated versusprotectedrehab,anterior
world who were chosen based on their accom-
versus posterior hamstring harvest, metal versus
plishments and research on the specific topic of
bio versus osteoconductive, single versus double
their chapter. Other distinguished surgeons are
bundle, and so on. Information on both sides of
being continually added as special contributors
ofnew“hottopics”fortheACLwebsite. each argument is presented to allow the surgeon
tomakeeachchoiceawell-informedone.
Fixation Devices and Troubleshooting
Related Topics
EachoftheleadingACLreconstructionfixation
deviceshasitsownchapterwrittenbyitscreator The expert treatment of related pathology—
oroneofitsmostskilledusers.Eachsuchchapter cartilage and ligamentous—is essential for the
presents scientific rationale, technique, results, ACLsurgeon,andispresentedhere.Therearealso
and,mostimportantly,atroubleshootingsection. 10 chapters on different types of complications,
Every surgeon encounters technical problems much of it probably unfamiliar to many. There is
during cases, but we know of no other source original research on the incidence of ACL tears,
for the practicing surgeon to find the best way economics, and stability results. New horizons,
to get out of them. Most device information including four double bundle techniques, naviga-
comestosurgeonsfromcompanyrepresentatives tion,andtissueengineeringarealsopresented,along
whodoprovideausefulservice;butthechapters withbiomechanicalinformationandmuchmore.
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About this Book
The DVD e-mailed queries are directed to a central question center,
distributed to the appropriate surgeon, and then answered
Dozens of surgical technique videos of the component
confidentially to the surgeon who posed the question.
techniques that make up ACL reconstruction, and a few
The idea is to assist surgeons everywhere to better treat
additionaltopics,comprisetheincludedDVD.Somevideos
their patients by getting help from the best when they
were created especially for this DVD, others represent
need it.
classics from the AAOS and elsewhere. All are the best
weknowofonthegiventopicandformtheonlysuchlarge
Staying Current: The ACL Database
collection of ACL videos.
The book’s short gestation period has ensured that each
The Website
chapter is up-to-date at publication. However, through the
Thededicatedwebsiteincludesaneeditionofthebook.Atthis book’s website, significant new ACL-related knowledge is
writing there are 10 additional chapters not included in the beingaddedeachquartertokeepitthatway.Thisishowit
print versionon new“hot topics,” suchasquadriceps tendon works:BeginninginJanuary2007,everymonththe50orso
ACL reconstruction results, and more will be added as new new ACL-related article references published in the world’s
advancesorcontroversiesemerge.Therearealsoproductintro- peer reviewed literature have been appended to the biblio-
ductionsinpartnershipwithindustry,usefullinks,courseoffer- graphyforthemostrelevantchapter(s)orsectionsofthetext
ings,andmuchmore.Thewebsitealsoincludesthe“Askthe towhichtheyrelate.Presentationsandevenpostersfromthe
Experts”and“ACLDatabase”featuresdescribedbelow. majorsportsmedicinemeetingsaresimilarlycategorizedeach
month. Thus, the ACL database presents a continually
Ask the Experts updated compendium of essentially all the world’s new
The contributors to this book have all agreed to field ACL-related knowledge as it is being created, organized by
questions from Orthopaedic Surgeons with website pass- topic.ThisisanidealresearchtoolforanyACL-relatedtopic
words on their particular topics, or others. These aboutwhichyouneedtoknow.
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Acknowledgments
Thespecialcontributorslistedonthecoverofthe from being passionate about their ideas and
book havebeeninvolvedinthisprojectfromthe their work and is reflected in the high quality of
beginning and have supported its development thechapters.Iwouldalsoliketoespeciallythank
with their time and energy simply because they one of those contributors, Bert Zarins, for all he
believed in the worthwhile nature of the project. taughtmeaboutbothsportsmedicineandlifeas
Therearenonebrighterormorededicated.Iam myfellowshipmentormanyyearsago.
gratefultothemandtoalltheotheresteemedcon- Kim Murphy and all of the people at
tributingauthors:the“dreamteam”ofACLscien- Elsevierhavebeenagreat pleasure todealwith.
tists and surgeons described on the preceding She showed enthusiasm and creativity for the
page. I was confident that they would produce project from the beginning and continues to
the outstanding works of scholarship that they do so. They have also worked diligently to help
have,butIwascontinuallysurprisedathoweasy avoid delays so that the book will be up to date
to work with these illustrious scientists and sur- at its publication.
geons all were and how they respected the time Finally,thestaffatourclinicandmyfam-
deadlines and constraints of space and organiza- ily have all been wonderful about the time
tionalstructureoftheproject.Thisclearlycomes diverted from them to this book.
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