The Anterior cruciate ligament : current and future concepts

Bibliographic Information

The Anterior cruciate ligament : current and future concepts

editor, Douglas W. Jackson ; associate editors, Steven P. Arnoczky [et al.]

Raven Press, c1993

Available at  / 8 libraries

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Note

Includes bibliographical references and index

Description and Table of Contents

Description

This volume first reviews the embryology, gross anatomy and microanatomy of the anterior cruciate ligament and examines the extracellular matrix. The next section provides a thorough account of the function of the ACL and describes various measurement and evaluation methods. The work highlights a detailed examination of injury, healing and repair, including recent findings on cytokines, growth factors and intra-articular factors. It also features a section on reconstruction and substitutes, describing various biological grafts, and goes on to discuss the indications for surgery, the mechanics of ACL reconstruction, the complications, the rehabilitation of the knee after ACL reconstruction, and the methods used to assess the outcome of treatment. Finally, there is some consideration of future directions in basic science, clinical applications and research.

Table of Contents

  • Part 1 Structure: anatomy of the ACL
  • sensory role of the ACL. Part 2 Function: ACL function in the normal knee
  • tensile properties of the ACL as function of age
  • mechanical and viscoelastic properties of ACL and ACL fascicles
  • knee motions and their relations to ACL function
  • estimation of ACL loads in situ - indirect non-contact methods
  • measurement of ACL loads - direct methods
  • the measurement of ACL strain in vivo
  • joint kinematics in muscle stabilized knees
  • ACL forces in activity
  • ligament restraints in ACL deficient knees
  • functional evaluation of normal and ACL deficient knee using gait analysis techniques. Part 3 Injury, healing repair, reconstruction: cell biology of ligament and ligament healing
  • adhesion macromolecules of the ligament - the molecular glues in wound healing
  • molecular signals in ligament healing
  • collagen ultrastructure in the normal ACL and ACL graft
  • collagen remodelling in ACL reconstruction (Goat model)
  • biomechanical properties of normal and healing ligaments. Part 4 ACL reconstruction and substitutes (biologic): the use of knee laxity testers for determination of anterior posterior stability of the knee - their pitfalls in practice
  • selecting patients for ACL surgery
  • mechanics of ACL reconstruction
  • acute repair of anterior cruciate ligament tears
  • autograft reconstruction of the ACL - placement, tensioning and preconditioning, patella tendon, semitendinosus ACL reconstruction
  • allograft reconstruction of the ACL - fresh frozen, freeze dried, fresh and cryopreserved
  • augmentation
  • prosthetic replacement for the ACL
  • complications - patellar entrapment following ACL injury, cyclops lesions, loss of motion following ACL reconstruction.

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