Clinical Applications of ACL and Other Anatomy in ACLR PDF
Preview Clinical Applications of ACL and Other Anatomy in ACLR
ORTHOPEDICS TODAY HAWAII 2014 Clinical Applications of ACL and Other Anatomy in ACLR Dr. Freddie H. Fu Distinguished Service Professor David Silver Professor and Chairman Department of Orthopaedic Surgery University of Pittsburgh Head Team Physician University of Pittsburgh Athletic Department Disclosures Freddie H. Fu, MD, DSc (Hon), DPs (Hon) No disclosures University of Pittsburgh Department of Orthopaedic Surgery Royalties and Stock Options: None Consulting Income: None Research and Educational Support: Smith & Nephew Other Support: Department of Orthopaedic Surgery of the University of Pittsburgh receives funding from Arthrocare, Synthes, Stryker, Johnson & Johnson, DePuy, DonJoy, Breg, Omeros, Biomet, Mitek Anatomy is the Basis of Orthopaedic Surgery “Whenever you are having anatomy sessions, pay particular attention, because orthopaedics is all anatomy, plus a little bit of common sense.” J. Hughston Fracture Fixation Anatomic ACL Reconstruction Anatomy PL AM PL Individualized Surgery AM AM Promoting Long-Term PL Knee Health Improving Outcome Measures Anatomical Principle Double-Bundle Concept Double-Bundle Concept Matched Anatomic Single Bundle ACL-R 90º Tunnel mismatch 50% to 50% Non-anatomic 90º 90° AM PL AM PL PL AM 90º van Eck, Fu et al. 2010 Definition: Anatomic ACL Reconstruction is the functional restoration of the ACL to its native dimensions, collagen orientation, and insertion sites. Goal: Graft should restore 60-80% of native insertion sites Notch Size Variation 22 mm 16 mm 10 mm 24 mm 20 mm 11 mm 14 mm 22 mm Tunnels Should Be Drilled Independently Individualized Anatomic ACL Reconstruction
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