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Anatomic ACL

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
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
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.

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Anatomic ACL

Navigation in anterior cruciate ligament reconstruction: State of the art