TAILIEUCHUNG - CLINICS IN SPORTS MEDICINE

The need for reconstruction of the torn anterior cruciate ligament (ACL) in the active patient is not controversial. There are, however, many other aspects of ACL reconstruction that are widely debated. Examples of the topics under discussion include type of graft, single or double bundle, type of fixation, and graft healing. This issue of Clinics in Sports Medicine reviews some of the most common topics of discussion for surgeons performing ACL reconstruction. Specifically, this issue reviews the variety of grafts most commonly used. The type of graft used in ACL reconstruction is generally based on surgeon preference and comfort. Some surgeons prefer only allograft or autograft, whereas others select a. | HSFVtEM LA KH1 CLINICS IN SPORTS MEDICINE yi ELSEVIER SAUNDERS Clin Sports Med 26 2007 xiii CLINICS IN SPORTS MEDICINE Foreword Mark D. Miller MD Consulting Editor ACL reconstruction has been such a popular topic that many journals have made an effort not to publish new papers on this subject over the past several years. Nevertheless this subject has thrust itself back into the limelight and has been the subject of much recent controversy and debate. How can an operative procedure that has been one of our most successful surgeries over the years possibly be modified and improved upon The answer appears to be that we must be more critical with ourselves regarding what is considered to be a success. The pivotal issue appears to be eliminating the pivot shift rotational instability for the lifetime of the knee. This issue of Clinics in Sports Medicine focuses on new research into anterior cruciate ligament ACL grafts fixation and other important aspects of ACL reconstruction. Drs. Sekiya and Cohen like myself are both graduates of the University of Pittsburgh Sports Medicine Fellowship program the home of the double-bundle ACL. I must note that they showed amazing constraint in not including an article on that subject. Perhaps that could serve as a stand-alone topic for a future issue of Clinics in Sports Medicine. I hope you enjoy this outstanding issue. Mark D. Miller MD Department of Orthopedic Surgery Division of Sports Medicine University of Virginia Health System . Box 800753 Charlottesville VA 22903-0753 USA E-mail address MDM3P@ 0278-5919 07 - see front matter doi 2007 Elsevier Inc. All rights reserved. ELSEVIER SAUNDERS Clin Sports Med 26 2007 xv-xvi CLINICS IN SPORTS MEDICINE Preface Jon K. Sekiya MD Steven B. Cohen MD Guest Editors The need for reconstruction of the torn anterior cruciate ligament ACL in the active patient is not controversial. There are however .

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