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ACL Injuries and Surgery: Current Evidence and Modern Development

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Sports Injuries

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Abstract

Anterior cruciate ligament injuries are among the most common orthopedic injuries affecting young and active patients. Several variations in surgical techniques exist to treat these injuries. Autografts have shown comparable results to nonirradiated allografts with respect to clinical stability, functional outcomes, and failure rates. Several randomized trials have been published comparing the double-bundle and single-bundle techniques. Pooled analysis of such studies shows the two techniques produce comparable functional outcomes, but suggest the double-bundle technique leads to superior clinical stability. There are several options for graft fixation, including interference screw, cross-pin, and cortical fixation. Despite a proliferation in fixation devices, there remains a lack of evidence to endorse any one technique exclusively. Postoperative protocols also remain varied, and current evidence has not supported the use of bracing or outpatient physiotherapy compared to home physiotherapy. The findings of future high-quality randomized trials have the potential to strengthen current reviews and inform clinical practice guidelines, to ensure that the practice of ACL reconstruction surgery remains “evidence based” and on par with emerging knowledge.

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Authors and Affiliations

  1. Division of Orthopaedic Surgery, McMaster University, 1280 Main St W, L8S 4L8, Hamilton, ON, Canada

    Raman Mundi, Harman Chaudhry & Mohit Bhandari

Authors
  1. Raman Mundi
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  2. Harman Chaudhry
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  3. Mohit Bhandari
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Corresponding author

Correspondence to Raman Mundi .

Editor information

Editors and Affiliations

  1. Dept. Orthopedics & Traumatology, Hacettepe University Fac. Medicine, Ankara, Turkey

    Mahmut Nedim Doral

  2. Gothenburg, Sweden

    Jon Karlsson

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© 2014 Springer-Verlag Berlin Heidelberg

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Mundi, R., Chaudhry, H., Bhandari, M. (2014). ACL Injuries and Surgery: Current Evidence and Modern Development. In: Doral, M., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36801-1_102-1

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  • DOI: https://doi.org/10.1007/978-3-642-36801-1_102-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Online ISBN: 978-3-642-36801-1

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