ACL Injury and Its Treatment

This volume presents detailed information on surgically relevant anatomy and histology of the anterior cruciate ligament (ACL), biomechanics, diagnostics, and ACL reconstruction. In light of the growing body of evidence demonstrating the advantages of ana

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ACL Injury and Its Treatment

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Mitsuo Ochi • Konsei Shino • Kazunori Yasuda • Masahiro Kurosaka Editors

ACL Injury and Its Treatment

Editors Mitsuo Ochi Hiroshima University Hiroshima Japan Kazunori Yasuda Graduate School of Medicine Hokkaido University Sapporo Japan

Konsei Shino Sports Orthopaedic Center Yukioka Hospital Osaka Japan Masahiro Kurosaka Graduate School of Medicine Kobe University Kobe Japan

ISBN 978-4-431-55856-9 ISBN 978-4-431-55858-3 DOI 10.1007/978-4-431-55858-3

(eBook)

Library of Congress Control Number: 2016941930 © Springer Japan 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer Japan KK

Foreword

Anterior cruciate ligament (ACL) rupture is one of the most frequent orthopaedic sports-related injuries. An ACL injury can be devastating, particularly for a young athlete where high-level participation in strenuous sports is usually not possible without surgical reconstruction of the ACL. Furthermore, the long-term development of knee osteoarthritis is common. It is therefore extremely important to continue to develop new approaches to reconstruct the ACL, striving to provide patients with the best potential for a successful outcome, aiming to maintain both long-term knee health and quality of life. Historically, ACL reconstruction was performed via an arthrotomy, with the goal to reproduce the native anatomy of the ACL. However, as with all modern surgery, minimally invasive surgical techniques were introduced in knee surgery, which subsequently led to the development of arthroscopically assisted ACL reconstruction. Arthroscopic ACL reconstruction was first performed using a two-incision and later a one-incision technique. Both techniques were fast and efficient, but unfortunately neither was consistent with respect to reproducing the native ACL anatomy. Surgeons attempting to learn the new, minimally