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Press-Fit Fixation of the Knee Ligaments

  • Book
  • © 2022

Overview

Authors:
  1. Gernot Felmet

    1. Orthop. Praxis & ARTICO Sportklinik, Villingen-Schwenningen, Germany

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  • Describes all aspects of implant-free knee ligament reconstruction using the “all-press-fit” technique
  • Fully describes rehabilitation and prevention programs
  • Includes an algorithm for ACL/PCL revision to offer guidance on single-stage surgery

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Table of contents (11 chapters)

  1. Front Matter

    Pages i-xxii
    Download chapter PDF

  2. Anatomy and Biomechanics

    • Gernot Felmet
    Pages 1-18

  3. Overuse: Trauma and Mechanism—Knee Morphology Risk Factors

    • Gernot Felmet
    Pages 19-23

  4. Diagnostics and Treatment

    • Gernot Felmet
    Pages 25-48

  5. History of ACL Reconstruction

    • Gernot Felmet
    Pages 49-55

  6. History and Techniques of Material-Free and Press-Fit ACL Reconstruction

    • Gernot Felmet
    Pages 57-88

  7. ACL All Press-Fit: A Surgical Guide Step by Step

    • Gernot Felmet
    Pages 89-118

  8. Healing Response of the ACL with Bone Incision

    • Gernot Felmet
    Pages 119-131

  9. ACL Revision After Re-Rupture

    • Gernot Felmet
    Pages 133-149

  10. Repair of Cartilage Defects with Mosaicplasty: Osteochondral Autograft Transfer

    • Gernot Felmet
    Pages 151-160

  11. Management of Quality and Complications

    • Gernot Felmet
    Pages 161-166

  12. Rehabilitation After ACL Reconstruction, Return to Sport and Prevention

    • Gernot Felmet
    Pages 167-194
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Keywords

About this book

This book describes all aspects of a purely biological approach to knee ligament reconstruction that entirely avoids the use of foreign materials in a manner analogous to the use of dowels in carpentry. The technique, referred to as “all-press-fit reconstruction”, was developed by the author in 1995 for anterior cruciate ligament (ACL) reconstruction and has since been further developed so that it is now applicable to all knee ligaments and also osteochondral autologous transplantation surgery. It has the advantages of maintenance of individual biological resources (no bone loss), rapid rehabilitation, and excellent clinical outcomes in terms of stability and anchoring.


This book explores subtle clinical and technical diagnostics and provides step-by-step descriptions of the various surgical techniques used by the author. Readers will also learn about the history of ACL reconstruction and the results achieved to date, sources of graft for ACL replacement,the surgical instrumentation required for press-fit fixation, the healing response, and procedures for revision of re-rupture. In addition, rehabilitation and prevention programs are fully described for every level of athletic activity. 


Authors and Affiliations

  • Orthop. Praxis & ARTICO Sportklinik, Villingen-Schwenningen, Germany

    Gernot Felmet

About the author

Gernot Felmet, MD, is a renowned Consultant Orthopedic and Trauma Surgeon who works at the Artico Sports Clinic in Villingen-Schwenningen, Germany, which he himself founded. From 2014 to 2016, Dr. Felmet served as President of EFOST (European Federation of National Associations of Orthopaedic and Sports Traumatology), having previously been Vice-President of the organization. In 2014 he was responsible for the foundation of the Biological Ligament and Joint Academy (BLJA) in collaboration with EFOST. During his career, Dr. Felmet has introduced a variety of techniques and devices. In 1995 he first proposed “all-press-fit” foreign material-free ACL reconstruction and BTT (bottom to top) fixation and self-adapted graft tensioning. Subsequently, he became the first to use a diamond cutter in material-free ACL reconstruction and a hollow reamer in a robotic system (CASPAR, OrthoMaquet). In 2004 he developed a single-stage material-free ACL revision procedure and more recently he introduced use of the crown and micro-crown cutter and the “vastus medialis test” for quadriceps, “ischiocrural test” for hamstring quality and the digital Rolimeter “Articometer” measurement for transversal instability.

Bibliographic Information

  • Book Title: Press-Fit Fixation of the Knee Ligaments

  • Authors: Gernot Felmet

  • DOI: https://doi.org/10.1007/978-3-031-11906-4

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer Nature Switzerland AG 2022

  • Hardcover ISBN: 978-3-031-11905-7Published: 02 January 2023

  • Softcover ISBN: 978-3-031-11908-8Published: 03 January 2024

  • eBook ISBN: 978-3-031-11906-4Published: 01 January 2023

  • Edition Number: 1

  • Number of Pages: XXII, 194

  • Number of Illustrations: 13 b/w illustrations, 177 illustrations in colour

  • Topics: Surgical Orthopedics, Sports Medicine, Rehabilitation

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