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    • Cover Image - Journal of ISAKOS, Volume 8, Issue 2
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Anatomic ACL

 

Guest Editor

Anterior cruciate ligament reconstruction (ACL-R) is probably the most performed arthroscopic knee surgical procedure. The technique of ACL-R continues to evolve, and the search for the Holy Trial continues. We have not yet decided the ideal “Gold Standard” graft source for ACL-R. Newer fixation devices have made the use of shorter grafts possible. The quest for the ideal femoral and tibial tunnel position yet seems an ongoing enigma. Several evolving technologies have been investigated to address this issue. Over the past decade, the role of secondary stabilizing structures in an ACL injured has been investigated in detail. The indications for the use of additional procedures for treating these secondary injuries are now becoming clearer. We are gradually inching closer to improved outcomes and ACL-R survival rates.

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  • State of the Art Review
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    Combined anterolateral complex and anterior cruciate ligament injury: Anatomy, biomechanics, and management—State-of-the-art

    Journal of ISAKOS
    Vol. 8Issue 1p37–46Published online: November 8, 2022
    • Brian M. Devitt
    • Thomas Neri
    • Brett A. Fritsch
    Cited in Scopus: 1
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      Anterior cruciate ligament (ACL) rupture typically occurs because of sudden axial loading of the knee in conjunction with a coupled valgus and rotational moment about the tibia. However, the ACL is not the only structure damaged during this mechanism of injury, and studies have shown that the anterolateral complex (ALC) of the knee is also commonly involved. Biomechanical studies have established that the ALC plays an important role as a secondary stabiliser to control anterolateral rotatory laxity (ALRL).
      Combined anterolateral complex and anterior cruciate ligament injury: Anatomy, biomechanics, and management—State-of-the-art
    • State of the Art Review
      Open Access

      Navigation in anterior cruciate ligament reconstruction: State of the art

      Journal of ISAKOS
      Vol. 8Issue 1p47–53Published online: September 27, 2022
      • Francisco Figueroa
      • David Figueroa
      • Rodrigo Guiloff
      • Sven Putnis
      • Brett Fritsch
      • Minerva Itriago
      Cited in Scopus: 0
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        Computer navigation (CN) for anterior cruciate ligament (ACL) surgery has been used mainly for two purposes: to enhance the accuracy of tunnel position and to evaluate the kinematics of the ACL reconstruction (ACLR) and the stability achieved by different surgical techniques. Many studies have shown that navigation may improve the accuracy of anatomical tunnel orientation and position during ACL reconstructive surgery compared with normal arthroscopic tunnel placement, especially regarding the femoral side.
        Navigation in anterior cruciate ligament reconstruction: State of the art
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