Thoughts on Anterior Cruciate Ligament Surgery over the Past 40 Years: Back to the Future

Journal of Clinical Orthopaedics | Vol 5 | Issue 1 |  Jan-Jun 2019 | page:15-20 | Chad Lasceski, Chris Nacca, Sarav S. Shah, John C. Richmond


Author: Chad Lasceski [1], Chris Nacca [1], Sarav S. Shah [1], John C. Richmond [2]

[1] Department of Orthopedics 4th Floor 125 Parker Hill Avenue, Boston, MA 02120
[2] Department of Orthopedics Surgery 4th Floor 125 Parker Hill Avenue, Boston, MA 02120

Address of Correspondence
Dr. John C. Richmond,
Department of Orthopedics Surgery 4th Floor 125 Parker Hill Avenue, Boston, MA 02120
E-mail: jrichmon@nebh.org


Abstract

Surgical treatment of anterior cruciate injury (ACL) has evolved over the last 40 years. Both patient as well as surgeon considerations must be made to optimize the successful treatment of an ACL injured patient. The focus of this paper is to discuss several of the many important issues that continue as topics of discussion in the literature and on the podium. These include graft selection and preparation, the role of anterior cruciate ligament repair, extra-articular tenodesis, and posterior tibial slope (PTS). We will present the current data as it pertains to these topics and include the senior author’s preferences derived from 40 years of personal experience.
Keywords: ACL reconstruction, ACL repair, extra-articular tenodesis, ACL graft choice, posterior tibial slope.


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How to Cite this article: Lasceski C, Nacca C, Shah SS, Richmond JC. Thoughts on Anterior Cruciate Ligament Surgery over the Past 40 Years: Back to the Future . Journal of Clinical Orthopaedics Jan-Jun 2020;5(1): 15-20.

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