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

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        Anatomic anterior cruciate ligament reconstruction: Freddie Fu's paradigm

          Fox et al.

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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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  • Current Concepts Review
    Open Access

    Anatomic anterior cruciate ligament reconstruction: Freddie Fu's paradigm

    Journal of ISAKOS
    Vol. 8Issue 1p15–22Published online: August 18, 2022
    • Michael A. Fox
    • Ian D. Engler
    • Balint T. Zsidai
    • Jonathan D. Hughes
    • Volker Musahl
    Cited in Scopus: 0
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      Anterior cruciate ligament (ACL) reconstruction techniques have evolved over the past four decades. There is evidence that non-anatomic reconstruction techniques, such as traditional transtibial drilling, fail to recreate the native anatomy of the ACL, which can lead to increased rotatory knee instability, revision risk, and post-traumatic osteoarthritis. Anatomic ACL reconstruction has emerged as the gold standard, with the goal of restoring the patient's native anatomy and knee kinematics. This review will summarise the relevant anatomy, modern anatomic ACL reconstruction techniques, and literature supporting anatomic ACL reconstruction as the new paradigm.
      Anatomic anterior cruciate ligament reconstruction: Freddie Fu's paradigm
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