Controversies in ACL Reconstruction, An Issue of Clinics in Sports Medicine

Name: Controversies in ACL Reconstruction, An Issue of Clinics in Sports Medicine
Brand: Elsevier
Price: 86.99 EUR
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Darren L. Johnson(Autor*in)

Elsevier (Verlag)

Erschienen am 23. November 2016

257 Seiten

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Front Cover
Controversies in ACLReconstruction
Copyright
Contributors
CONSULTING EDITOR
EDITOR
AUTHORS
Contents
Foreword: Anterior Cruciate Ligament
Preface: Management of the Anterior Cruciate Ligament Deficient Knee
Epidemiology and Diagnosis of Anterior Cruciate Ligament Injuries
Gross, Arthroscopic, and Radiographic Anatomies of the Anterior Cruciate Ligament: Foundations for Anterior Cruciate Ligame ...
Graft Selection in Anterior Cruciate Ligament Surgery: Who gets What and Why?
Management of the Anterior Cruciate Ligament-Injured Knee in the Skeletally Immature Athlete
Single-Bundle Anatomic Anterior Cruciate Ligament Reconstruction: Surgical Technique Pearls and Pitfalls
Indications for Two-Incision (Outside-In) Anterior Cruciate Ligament Reconstruction
Surgical Management and Treatment of the Anterior Cruciate Ligament/Medial Collateral Ligament Injured Knee
Surgical Management and Treatment of the Anterior Cruciate Ligament/Posterolateral Corner Injured Knee
Surgical Management and Treatment of the Anterior Cruciate Ligament-Deficient Knee with Malalignment
Surgical Indications and Technique for Anterior Cruciate Ligament Reconstruction Combined with Lateral Extra-articular Teno ...
Etiologic Factors That Lead to Failure After Primary Anterior Cruciate Ligament Surgery
Surgical Pearls in Revision Anterior Cruciate Ligament Surgery: When Must I Stage?
Rehabilitation Principles of the Anterior Cruciate Ligament Reconstructed Knee: Twelve Steps for Successful Progression and ...
CLINICS IN SPORTS MEDICINE
FORTHCOMING ISSUES
April 2017
July 2017
October 2017
RECENT ISSUES
October 2016
July 2016
April 2016
January 2016
Foreword: Anterior Cruciate Ligament
Management of the Anterior Cruciate Ligament Deficient Knee
Epidemiology and Diagnosis of Anterior Cruciate Ligament Injuries
Key points
INTRODUCTION
EPIDEMIOLOGY
MECHANISM OF INJURY
HISTORY AND PHYSICAL EXAMINATION
DIAGNOSTIC IMAGING AND ANCILLARY TESTS
SUMMARY
REFERENCES
Gross, Arthroscopic, and Radiographic Anatomies of the Anterior Cruciate Ligament
Key points
INTRODUCTION
HISTORY OF ANTERIOR CRUCIATE LIGAMENT ANATOMY
EMBRYONIC ANTERIOR CRUCIATE LIGAMENT ANATOMY
MICROSCOPIC ANATOMY AND HISTOLOGY OF THE ANTERIOR CRUCIATE LIGAMENT
MACROSCOPIC ANATOMY OF THE ANTERIOR CRUCIATE LIGAMENT
Anatomy of Anterior Cruciate Ligament Bundles
Anatomy of Anterior Cruciate Ligament Insertions
Anterior Cruciate Ligament Neurovascular Anatomy
Anterior Cruciate Ligament Functional Anatomy
Knee Bony Anatomy Related to the Anterior Cruciate Ligament
Anterior Cruciate Ligament Radiographic Anatomy
SUMMARY
REFERENCES
Graft Selection in Anterior Cruciate Ligament Surgery
Key points
INTRODUCTION
MEASURING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION OUTCOMES
GRAFT CHOICE OPTIONS
Autograft
Allograft
Synthetic Grafts
PATIENT CONSIDERATIONS
EVIDENCE-BASED GUIDELINES FOR GRAFT SELECTION IN PRIMARY ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
EVIDENCE-BASED GUIDELINES FOR GRAFT SELECTION IN REVISION ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
SUMMARY
REFERENCES
Management of the Anterior Cruciate Ligament-Injured Knee in the Skeletally Immature Athlete
Key points
INTRODUCTION
PATIENT EVALUATION
History and Physical Examination
Radiographic Evaluation and Assessment of Skeletal Maturity
NONSURGICAL AND DELAYED SURGICAL TREATMENT
RESEARCH ON PHYSEAL INJURY AND GROWTH DISTURBANCE
Basic Science Research
Clinical Research
SURGICAL TREATMENT
SUMMARY
REFERENCES
Single-Bundle Anatomic Anterior Cruciate Ligament Reconstruction
Key points
INTRODUCTION
SURGICAL TECHNIQUE
Preoperative Planning
Preparation and Patient Positioning
Surgical Technique
Step 1
Step 2
Step 3
Step 4
Step 5
Step 6
Step 7
Step 8
Step 9
PITFALLS
Tunnel Malposition
Poor Graft Fixation
POSTOPERATIVE CARE AND PHYSICAL THERAPY
Early Postoperative Phase (0-4 Weeks)
Strengthening Phase (1-6+ Months)
Return-to-Activity Phase
Outcomes
SUMMARY
REFERENCES
Indications for Two-Incision (Outside-In) Anterior Cruciate Ligament Reconstruction
Key points
INTRODUCTION: NATURE OF THE PROBLEM
INDICATIONS AND CONTRAINDICATIONS
Skeletally Immature Patients
Patients with Long Bone-Patella Tendon-Bone Autografts
Revision Reconstruction of the Anterior Cruciate Ligament
Inability to Hyperflex the Knee
SURGICAL TECHNIQUE
Preoperative Planning
Preparation and Patient Positioning
Surgical Approach
Surgical Technique/Procedure
Step 1
Step 2
Step 3
Step 4
Step 5
Step 6
Step 7
COMPLICATIONS AND THEIR MANAGEMENT
Heterotopic Ossification
Tunnel Malposition
Infection
Iliotibial Band Irritation
POSTOPERATIVE CARE
Immediate Postoperatively
One Month Postoperatively
Two Months Postoperatively
Three Months Postoperatively
Five to Six Months Postoperatively
Six to Nine Months Postoperatively
OUTCOMES
SUMMARY
REFERENCES
Surgical Management and Treatment of the Anterior Cruciate Ligament/Medial Collateral Ligament Injured Knee
Key points
INTRODUCTION
Nature of the Problem
Evaluation
Classification
Imaging
SURGICAL INDICATIONS/CONTRAINDICATIONS
SURGICAL TECHNIQUE/PROCEDURE
Preoperative Planning
Preparation and Patient Positioning
SURGICAL APPROACH
Surgical Procedure
Postoperative Care
Complications and Management
OUTCOMES
SUMMARY
DISCLOSURE STATEMENT
SUPPLEMENTARY DATA
REFERENCES
Surgical Management and Treatment of the Anterior Cruciate Ligament/Posterolateral Corner Injured Knee
Key points
INTRODUCTION
Standardized Diagnostic Approach
Indications and Contraindications
SURGICAL TECHNIQUE
Preoperative Planning
Preparation and Patient Positioning
Surgical approach and graft preparation
Surgical Procedure
Step 1: drill the transfibular tunnel
Step 2: drill the transtibial tunnel
Step 3: localize and drill the posterolateral corner femoral tunnels
Step 4: intra-articular phase
Step 5: fixation of posterolateral corner grafts
Step 6: tibial fixation of anterior cruciate ligament graft
COMPLICATIONS AND MANAGEMENT
POSTOPERATIVE CARE
OUTCOMES
SUMMARY
REFERENCES
Surgical Management and Treatment of the Anterior Cruciate Ligament-Deficient Knee with Malalignment
Key points
INTRODUCTION
INDICATIONS/CONTRAINDICATIONS
SURGICAL TECHNIQUE/PROCEDURE
Preoperative Planning
Prep and Patient Positioning
Surgical Approach
SURGICAL PROCEDURE
Coronal Plane Osteotomy (Opening Wedge)
Sagittal Plane Osteotomy (Anterior Closing Wedge)
ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
COMPLICATIONS AND MANAGEMENT
POSTOPERATIVE CARE
OUTCOMES
SUMMARY
REFERENCES
Surgical Indications and Technique for Anterior Cruciate Ligament Reconstruction Combined with Lateral Extra-articular Teno ...
Key points
INTRODUCTION
ANATOMY
BIOMECHANICS AND RATIONALE FOR THE LATERAL EXTRA-ARTICULAR TENODESIS
Biomechanics of Anterior Cruciate Ligament Reconstruction
Biomechanics of Lateral Extra-articular Tenodesis
Biomechanics of the Anterolateral Ligament
Biomechanics of the Iliotibial Band
CLINICAL RESULTS OF DIFFERENT SURGICAL TECHNIQUES
Clinical Results of Isolated Anterior Cruciate Ligament Reconstruction
Clinical Results of Isolated Lateral Extra-articular Tenodesis
Clinical Results of Combined Anterior Cruciate Ligament and Lateral Extra-articular Tenodesis Reconstruction
Clinical Outcomes of Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction
THE FOWLER KENNEDY APPROACH
Indications
Surgical Technique of Lateral Extra-articular Tenodesis
What about anatomic anterolateral ligament reconstruction?
Future Directions
SUMMARY
REFERENCES
Etiologic Factors That Lead to Failure After Primary Anterior Cruciate Ligament Surgery
Key points
INTRODUCTION
FAILURE OF PRIMARY ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
Stiffness or Arthrofibrosis
Early surgery
Prolonged immobilization
Impingement
Other sources
Infection
Instability
Misdiagnosed or undiagnosed secondary injuries
Bony malalignment
Errors in tunnel placement
Traumatic graft failure
Failure of fixation
Graft tensioning and isometry
Failure of graft incorporation
Pain
Anterior knee pain
Meniscal tears
Chondral injuries
Joint degeneration
Patient-Reported Outcomes, Patient Satisfaction, and Return to Sport
SUMMARY
REFERENCES
Surgical Pearls in Revision Anterior Cruciate Ligament Surgery
Key points
INTRODUCTION
ETIOLOGY OF ANTERIOR CRUCIATE LIGAMENT FAILURES
HISTORY AND PHYSICAL EXAMINATION
IMAGING
SINGLE VERSUS 2-STAGE REVISION: TECHNICAL CONSIDERATIONS
Graft Selection
Management of Tunnel Osteolysis
Anterior Cruciate Ligament Tunnel Overlap
Graft Fixation
OTHER CONSIDERATIONS
CLINICAL OUTCOMES
SUMMARY
REFERENCES
Rehabilitation Principles of the Anterior Cruciate Ligament Reconstructed Knee
Key points
INTRODUCTION
ANTERIOR CRUCIATE LIGAMENT REHABILITATION: TWELVE CRITICAL STEPS FOR SUCCESS
Step 1: Preparation of Both the Patient and Their Knee for Surgery
Step 2: Restore Full Passive Knee Extension
Step 3: Reduce Postoperative Inflammation
Step 4: Gradual Restoration of Full Knee Flexion
Step 5: Restore Complete Patellar Mobility
Step 6: Individualize and Adjust the Rehabilitation Program Based on the Status of the Knee
Graft type
Medial collateral ligament injury
Lateral collateral ligament injury
Articular cartilage lesions
Meniscal pathology
Female athlete
Step 7: Reestablish Quadriceps Activation
Step 8: Restoration of Dynamic Functional Stability of the Knee Complex
Step 9: Knee Control Must Be Provided from Both Above and Below
Step 10: Protect the Knee Both Now and Later
Step 11: Objective Return to Running
Step 12: Objective Progression Beyond Running and Back to Sport
SUMMARY
REFERENCES
Index

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