Skip to main content
SpringerLink
Log in

Isometry of Anterior Cruciate Ligament Reconstruction

  • Conference paper
Reconstruction of the Knee Joint

  • 111 Accesses

Summary

The functional reconstruction of the anterior cruciate ligament (ACL) requires the following:

  1. 1.

    Minimal length change, preferably less than 5 mm.

  2. 2.

    Prevention of length change conducive to anterolateral rotatory instability (ALRI), namely 5.7 mm between the knee flexion of 0° and 30°.

  3. 3.

    The over-the-top (OTT) pattern with its superior stability in extension.

  4. 4.

    Proximal placement of the patellar tendon in the femoral tunnel to produce an OTT graft tracking pattern.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Girgis FG, Marshall JL (1975) The cruciate ligament of the knee joints. Anatomical, functional and experimental analysis. Clin Orthop 106:216–231

    Article  PubMed  Google Scholar 

  2. Amis AA, Dawkins G (1991) Functional anatomy of the anterior cruciate ligament. Fibre bundle actions related to ligament replacements and injuries. J Bone Joint Surg 73B:260–267

    Google Scholar 

  3. Melhorn JM, Henning CE (1987) The relationship of the femoral attachment site to the isometric traction of the anterior cruciate ligament graft. Am J Sports Med 15:539–542

    Article  PubMed  CAS  Google Scholar 

  4. Hoogland T, Hillen B (1984) Intra-articular reconstruction of the anterior cruciate ligament. An experimental study of length changes in different ligament reconstructions. Clin Orthop 185:197–202

    PubMed  Google Scholar 

  5. Hefzy MS, Grood ES (1989) Factors affecting the region of most isometric femoral attachments. Part II. The anterior cruciate ligament. Am J Sports Med 17:208–216

    Article  PubMed  CAS  Google Scholar 

  6. Sapega AA, Moyer RA (1990) Testing for isometry during reconstruction of the anterior cruciate. Anatomical and biomechanical considerations. J Bone Joint Surg 72A:259–267

    Google Scholar 

  7. Penner DA, Daniel DM (1988) An in vitro study of anterior cruciate ligament graft placement and isometry. Am J Sports Med 16:238–243

    Article  PubMed  CAS  Google Scholar 

  8. Odensten M, Gillquist J (1985) Functional anatomy of the anterior cruciate ligament and a rationale for reconstruction. J Bone Joint Surg 67A:257–262

    Google Scholar 

  9. Arms SW, Pope MH (1984) The biomechanics of anterior cruciate ligament rehabilitation and reconstruction. Am J Sports Med 18:8–18

    Article  Google Scholar 

  10. Sidles JA, Larson RV (1988) Ligament length relationships in the moving knee. J Orthop Res 6:596–610

    Article  Google Scholar 

  11. Bylski-Austrow DI, Grood ES (1990) Anterior cruciate ligament replacements. A mechanical study of femoral attachment location, flexion angle at tensioning, and initial tension. J Orthop Res 8:522–531

    Article  PubMed  CAS  Google Scholar 

  12. Schutzer SF, Christen S (1989) Further observations on the isometricity of the anterior cruciate ligament. An anatomical study using a 6-mm diameter replacement. Clin Orthop 242:247–255

    PubMed  Google Scholar 

  13. Fujikawa K (1987) Anchoring spots, running route of the substitute and knee angle at substitute fixation in ACL reconstruction of the knee. Clin Orthop Surg Jpn 22:1065–1072

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Aichi Medical University, 21 Karimata Yazako, Nagakutecho, Aichi-gun, Aichi, 480-11, Japan

    H. Honjo

Authors
  1. H. Honjo
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Aichi Medical University, 21 Yazako Karimata, Nagakute-cho, Aichi-gun, Aichi, 480-11, Japan

    Shigeo Niwa M.D., Ph.D. (Professor and Director) (Professor and Director)

  2. Department of Joint Disease, Nippon Medical School, 3-5-5 Iidabashi, Chiyoda-ku, Tokyo, 102, Japan

    Shinichi Yoshino M.D., Ph.D. (Professor) (Professor)

  3. Department of Orthopaedic Surgery, Kobe University School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650, Japan

    Masahiro Kurosaka M.D., Ph.D. (Associate Professor) (Associate Professor)

  4. Department of Orthopaedic Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka, 565, Japan

    Konsei Shino M.D., Ph.D. (Associate Professor) (Associate Professor)

  5. The Centre for Rheumatic Diseases, Matsuyama Red Cross Hospital, 1 Bunkyo-cho, Matsuyama, 790, Japan

    Sumiki Yamamoto M.D., Ph.D. (Director, Orthopaedic Surgeon) (Director, Orthopaedic Surgeon)

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag Tokyo

About this paper

Cite this paper

Honjo, H. (1997). Isometry of Anterior Cruciate Ligament Reconstruction. In: Niwa, S., Yoshino, S., Kurosaka, M., Shino, K., Yamamoto, S. (eds) Reconstruction of the Knee Joint. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68464-0_7

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-68464-0_7

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68466-4

  • Online ISBN: 978-4-431-68464-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation