Slide 2:
ACL Reconstruction In India The anterior cruciate ligament (ACL) is the major stabilizing ligament of the
knee. The ACL is located in the center of the knee joint and runs from the
femur (thigh bone) to the tibia (shin bone), through the center of the knee.
In this position, it functions to prevent a buckling type of instability of the
knee.
ACL reconstruction is surgery to replace the ligament in the center of your
knee with a new ligament. The anterior cruciate ligament (ACL) keeps your
shin bone (tibia) in place. A tear of this ligament can cause your knee to give
way during physical activity.
The two groups
Reconstruction of the ACL is the surgical treatment of choice once direct
primary repair of the ligament has been shown to result in persistent laxity
and instability of the knee. The aim of reconstruction is to restore stability
of the knee without restricting its other functions, especially motion.
Slide 3:
Reconstruction techniques can be broadly split into two groups:
1. Extraarticular reconstruction
2. Intraarticular reconstruction
Extraarticular reconstruction
Extraarticular reconstruction uses the structures on the lateral side of the
knee to mimic the actions of the ACL. For example, by surgically tightening
the iliotibial tract, excessive lateral excursion of the tibia is prevented.
Intraarticular reconstruction
Intraarticular reconstruction tries to reproduce the anatomic ACL. The donor
tendon graft spans the intercondylar notch from the origin to insertion of the
ACL.
Slide 4:
Autograft
Autograft is the most widely performed orthopedic ACL reconstruction.
The technique involves moving the patient’s own tissue. Surgeon preference
is the primary factor in selection of the tissue.
Allograft
An allograft is tissue that is harvested from a cadaver.
Advantages are obvious:
1. No donor site morbidity
2. Less operative time.
Slide 5:
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