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.

ACL prevention programs

Arthroscopic set up for ACL reconstruction
Early vs. delayed ACL reconstruction
Physical examination for ACL injury
Timing for pediatric ACL reconstruction
Technical considerations for pediatric ACL reconstruction
Anesthesia and nerve blocks for ACL reconstruction
Anticoagulation after ACL reconstruction
Technical considerations for patella tendon harvest
Technical considerations for quadriceps tendon harvest
Technical considerations for hamstring tendon harvest
Meniscus repair with ACL reconstruction
Anatomy of ACL insertion (Cadaveric & Histological study)
Functional analysis of ACL insertion site
How many bundles to be reconstructed? Single vs Double
Femoral tunnel creation for anatomic ACL reconstruction
Press fit graft fixation and bone grafting
Is Notch plasty necessary for anatomic ACL reconstruction?- Pros and cons of different graft fixation device
ACL graft tensioning
ACL reconstruction for partial tear
Remnant preservation in ACL reconstruction
Allograft for ACL reconstruction
Artificial ligament and Xeno-derived material for ACL reconstruction
Extra articular plasty with ACL reconstruction -Long term results of associated procedure
Treatment of MCL injury in combined ACL/MCL injury
Treatment of ACL injury in the multi-ligament injured knee
Anterolateral ligament repair/reconstruction combined to ACL reconstruction, rationale and technique
Instrumental laxity evaluation (static)
Instrumental laxity evaluation (dynamic)
Evidence for use of navigation in ACL reconstruction
Considerations for treatment of concomitant cartilage and ACL injury
ACL reconstruction and progression of OA
Re-rupture after ACL reconstruction
Conservative treatment for ACL injury - When non op care is indicated
Biplanar osteotomies in the ACL deficient knee
Rehabilitation after ACL reconstruction.