Combined ACL and Peripheral Instability: The Eastern Experience View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2014-03-27

AUTHORS

Ryosuke Kuroda , Takehiko Matsushita , Daisuke Araki , Yuichiro Nishizawa , Tomoyuki Matsumoto , Masahiro Kurosaka

ABSTRACT

We reviewed ACL instability and its treatment in the eastern experience. Chronic ACL-deficient knees had significantly larger anterior tibial subluxation, and it was difficult to reduce anterior tibial subluxation after ACL reconstruction in chronic ACL-dificient knees and large tibial subluxation cases. Regarding to the combined intra- and extra-articular reconstruction, it has been still unknown whether these surgical procedures could restore normal knee kinematics or not because the long-term results of the combined intra- and extra-articular reconstruction has not been superior to conventional ACL reconstruction procedure in the literature. From the previous clinical studies in Japan, anatomic reconstruction is crucial to restore normal knee kinematics. In addition, the biomechanical function and biological healings are enhanced by preservation of ACL remnant. Therefore, we believe that although this procedure is technically demanding, anatomic double-bundle ACL reconstruction with ACL remnant preservation has been better treatment option to restore normal knee kinematics. More... »

PAGES

113-120

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-88-470-5513-1_11

DOI

http://dx.doi.org/10.1007/978-88-470-5513-1_11

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1027568606


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