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Intraoperative Considerations Crucial for a Successful Outcome

  • Frank R. Noyes
  • Sue Barber-WestinEmail author
Chapter

Abstract

This chapter discusses the indications and contraindications for anterior cruciate ligament (ACL) reconstruction, graft options, preoperative planning, anatomic graft placement issues, and treatment of additional injuries that may occur to the menisci and other knee ligaments. Operative techniques are summarized for bone-patellar tendon-bone, semitendinosus-gracilis, and quadriceps tendon-bone autografts. Graft location required for an anatomic reconstruction is detailed. The results of our clinical studies on the outcome of ACL reconstruction are summarized. Indications and surgical techniques for repair of meniscus tears are provided, as well as the results of our clinical studies of meniscus repairs for tears extending into the central avascular region.

Keywords

ACL reconstruction ACL technical issues Knee anatomy ACL grafts ACL studies 

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Authors and Affiliations

  1. 1.Cincinnati Sports Medicine and Orthopaedic CenterThe Noyes Knee InstituteCincinnatiUSA
  2. 2.Noyes Knee InstituteCincinnatiUSA

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