Product Description

As ACL injuries continue to increase, so does the need for a book that provides the optimal initial treatment of the ACL injury, while also recognizing the common pitfalls in the diagnosis and management of the patient.

ACL Surgery: How to Get it Right the First Time and What to Do if it Fails offers valuable technical pearls on how to perform ACL surgery with reliable and tested results, as well as an efficient way to review the surgical treatment of the torn ACL.

Dr. Bernard R. Bach, Jr. and Dr. Matthew T. Provencher present a user-friendly and clinically relevant book that covers both primary and revision ACL surgery. Covered inside is essential information on how to approach the patient with a failed primary and revision ACL surgery, examination and radiographic workup, and revision ACL construction. Over 55 contributors describe each procedural step in a logical and precise manner, while combining clinical and technical pearls.

Some Highlights Include:

• Numerous illustrations and pictures of how to perform ACL graft harvest
• Allograft preparation
• Single and double-bundle reconstruction constructs
• Important examination findings and identifying factors to look for
• Identifying injuries that should not be missed
• How to work up a failed ACL surgery—patient history, examination, and radiographic findings are highlighted
• Revision ACL reconstruction approach and tips to perform reliable revision surgery
• Identifying pathology in primary and revision ACL surgery to maximize success

ACL Surgery serves as a blueprint of how to provide an effective and reliable primary ACL reconstruction with an emphasis on addressing associated conditions.

Topics Discussed Include:

• Patient selection
• Indications and preoperative workup
• Principles of evaluating and treating the failed ACL reconstruction
• Meniscus transplantation
• Management of chondral injuries with the failed ACL
• ACL revision graft choices
• Revision ACL tunnel and bone management
• Management of a failed ACL surgery—including combined tibial osteotomy, meniscus transplantation, and cartilage restorative procedures

With its user-friendly format of tips, techniques, and pearls & pitfalls throughout the chapters, sports medicine orthopedists, general orthopedic surgeons, fellows, and attendings will often refer to ACL Surgery: How to Get it Right the First Time and What to Do if it Fails.

This clinically relevant book of primary and revisionary ACL surgery is sure to provide the most up-to-date surgical recommendations and techniques for your surgical textbook library.

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Contents

Dedication
Acknowledgments
About the Editors
Contributing Authors
Preface
Foreword by Bruce Reider, MD

SECTION I: INTRODUCTION-HISTORY, ANATOMY, AND BIOMECHANICS

ASSOCIATE EDITOR: CDR JOHN-PAUL H. RUE, MD, MC, USN

Chapter 1: The Natural History of the ACL-Deficient Knee: When Is ACL Reconstruction Indicated and What Does it Offer?

Patrick C. McCulloch, MD

Chapter 2: Anatomy Important for Successful ACL Reconstruction

MAJ Jeffrey R. Giuliani, MD, MC, USA; CAPT Kelly G. Kilcoyne, MD, MC, USA; and CDR John-Paul H. Rue, MD, MC, USN

Chapter 3: Functional Importance of the ACL: Biomechanical Considerations

Rebecca Bell, BS and Vincent M. Wang, PhD

Chapter 4: Basic Science Aspects of ACL: Graft Healing, Vascularity, Microscopic Anatomy

Lawrence V. Gulotta, MD and Scott A. Rodeo, MD

SECTION II: PREOPERATIVE EVALUATION-SUCCESS WITH CAREFUL PATIENT WORK-UP

ASSOCIATE EDITOR: CDR JOHN-PAUL H. RUE, MD, MC, USN

Chapter 5: ACL History and Physical Examination

Mark A. Slabaugh, MD and Bernard R. Bach, Jr, MD

Chapter 6: Radiographic Findings With an ACL Injury: What Not to Miss

Paul B. Lewis, MD, MS; Shane J. Nho, MD, MS; and Bernard R. Bach, Jr, MD

SECTION III: PRINCIPLES OF PRIMARY ACL RECONSTRUCTION-HOW TO GET IT RIGHT THE FIRST TIME

ASSOCIATE EDITOR: CDR JOHN-PAUL H. RUE, MD, MC, USN

Chapter 7: Graft Choices in ACL Reconstruction

Shane T. Seroyer, MD and Bernard R. Bach, Jr, MD

Chapter 8: Allograft Processing and Efficacy

Robert C. Grumet, MD and Bernard R. Bach, Jr, MD

Chapter 9: Arthroscopically Assisted ACL Reconstruction Using Bone-Tendon-Bone Autograft

Robert C. Grumet, MD and Bernard R. Bach, Jr, MD

Chapter 10: Soft Tissue Reconstruction: ACL Reconstruction Using Autogenous Hamstring Tendons

Timothy S. Mologne, MD

Chapter 11: Double-Bundle ACL Reconstruction

Matthew Nugent, MD; Christopher Kweon, MD; Kostas Economopoulos, MD; and Anikar Chhabra, MD, MS

Chapter 12: Primary ACL Reconstruction: Hybrid Fixation and All-Inside Techniques

Patrick A. Smith, MD and James H. Lubowitz, MD

Chapter 13: Two-Incision Endoscopic ACL Reconstruction

Dana P. Piasecki, MD and Bernard R. Bach, Jr, MD

Chapter 14: Surgical Strategies for Acute Combined Injury: Posterolateral Corner and ACL: How to Manage the Posterolateral Injury

CAPT Dana C. Covey, MD, MC, USN and CDR Daniel J. Solomon, MD, MC, USN

Chapter 15: Acute Medial Collateral Ligament Injuries: Management and Considerations With ACL Injury

CDR Michael J. Battaglia, MD, MC, USN and CDR Matthew T. Provencher, MD, MC, USN

Chapter 16: Perioperative Pain Management in ACL Reconstruction: Pearls and Pitfalls

Asokumar Buvanendran, MD and Shyamala Badrinath, MD

SECTION IV: THE FAILED ACL SURGERY-WHY DID IT FAIL AND WHAT CAN I DO ABOUT IT?

ASSOCIATE EDITOR: TIMOTHY S. MOLOGNE, MD

Chapter 17: Why Did This ACL Fail? Common Reasons for Failure

Michael Pensak, MD; Shane J. Nho, MD, MS; and Bernard R. Bach, Jr, MD

Chapter 18: Examination and Radiographic Findings of a Patient With a Failed ACL

Rick W. Wright, MD

Chapter 19: Arthrometric Evaluation of the Failed ACL-Normal ACL, Injured ACL, Reconstructed ACL, and the Failed ACL

Geoffrey S. Van Thiel, MD, MBA and Bernard R. Bach, Jr, MD

Chapter 20: Patient Selection, Indications, and Expectations for Revision ACL Surgery

Michael J. Salata, MD and Edward M. Wojtys, MD

SECTION V: THE UNSTABLE ACL AFTER PRIMARY RECONSTRUCTION

ASSOCIATE EDITOR: TIMOTHY S. MOLOGNE, MD

Chapter 21: Graft Selection in Revision ACL Reconstruction

Rachel M. Frank, BA, BS and Nikhil N. Verma, MD

Chapter 22: Management of Failed ACL With Less Than Optimal Tunnel Placement

Joseph B. Wilson, MD and Bernard R. Bach, Jr, MD

Chapter 23: Surgical Treatment of the Failed ACL With Optimal Tunnel Treatment

Mark A. Slabaugh, MD; Nicole A. Friel, BS; Brian J. Cole, MD, MBA; and Bernard R. Bach, Jr, MD

Chapter 24: Revision ACL Reconstruction: Results

Trevor Wilkes, MD and Matthew Busam, MD

SECTION VI: COMPLEX PROBLEMS IN THE SURGICAL MANAGEMENT OF THE FAILED ACL

ASSOCIATE EDITOR: TIMOTHY S. MOLOGNE, MD

Chapter 25: Management of Patients With Femoral and Tibial Tunnel Bone Loss

Kenneth R. Morse, MD and Christopher D. Harner, MD

Chapter 26: Management of Patients With Combined ACL and Posterolateral Corner Insufficiency

Matthew V. Smith, MD and Jon K. Sekiya, MD

Chapter 27: Management of Patients With Combined ACL and Medial Collateral Ligament Insufficiency

COL Thomas M. DeBerardino, MD and MAJ Scott M. Waterman, MD, MC, USA

Chapter 28: Management of the Varus-Aligned Knee With a Failed ACL: Role of Osteotomy

COL Thomas M. DeBerardino, MD and LTC John A. Bojescul, MD, MC

Chapter 29: Management of Combined Meniscal and ACL Insufficiency After Reconstruction: The Role of Meniscal Transplant

CDR Matthew T. Provencher, MD, MC, USN; CPT Joseph Lanzi, MD, USA; LT Matthew Rose, MC, USN; and CDR Daniel J. Solomon, MD, MC, USN

Chapter 30: Management of Chondral Injuries in an ACL-Deficient Knee

Bruce S. Miller, MD, MS

Chapter 31: Management of the ACL-Reconstructed Patient With an Intra-Articular Infection: Graft Retention Versus Revision

Ganesh V. Kamath, MD and Robert T. Burks, MD

Chapter 32: Stiffness After ACL Reconstruction

Shane T. Seroyer, MD and Charles A. Bush-Joseph, MD

SECTION VII: REHABILITATION AFTER THE FAILED ACL

ASSOCIATE EDITOR: TIMOTHY S. MOLOGNE, MD

Chapter 33: Recent Advances in the Rehabilitation of ACL Injuries

Kevin E. Wilk, PT, DPT; Leonard C. Macrina, MSPT, SCS, CSCS; Michael M. Reinold, PT, DPT, SCS, ATC, CSCS; and Todd R. Hooks, PT, SCS, MOMT, ATC, MTC, CSCS

Chapter 34: Return to Play After ACL Reconstruction

LT COL John M. Tokish, MD, USAF, MC and Erick J. Kozlowski, ATC

SECTION VIII: CASE STUDIES

ACL Revision Cases

CDR Matthew T. Provencher, MD, MC, USN; LCDR Edmund A. Ganal, MD, MC, USN; and LT Mark Coseo, MD, MC, USN

Index

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About the Editors

Bernard R. Bach, Jr, MD

Bernard R. Bach, Jr, MD, graduated from Harvard University (BA), the University of Cincinnati College of Medicine (MD), the Harvard Combined Orthopedic Residency Program, and the Hospital for Special Surgery Sports Medicine Fellowship. He became director of the Section of Sports Medicine at RUSH University Medical Center in 1986 and has risen to the Professor level. He is currently the director of the Division of Sports Medicine, has been the Director of the RUSH Sports Medicine Fellowship program since 1988, and is currently the Claude N. Lambert-Helen S. Thomson Professor of Orthopedic Surgery. Dr. Bach has helped develop a world-class sports medicine program that is currently comprised of 7 sports orthopedists and 4 primary care sports attendings; has trained 54 sports fellows; helps care for the Chicago White Sox and Chicago Bulls; has served as President of the Quigley and Herodicus Sports Medicine Societies and the American Orthopaedic Society for Sports Medicine; has served on the board of directors for the Orthopaedic Research and Education Foundation, Illinois Special Olympics, and the AOSSM; and has been inducted into the Illinois Athletic Trainers’ Hall of Fame and the National Athletic Trainers Physicians’ Hall of Fame. He has authored or coauthored more than 500 peer-reviewed manuscripts, book chapters, abstracts, monographs, books, and posters.

CDR Matthew T. Provencher, MD, MC, USN

CDR Matthew T. Provencher, MD, MC, USN, grew up in Barrington, NH and went on to attend the United States Naval Academy where he majored in electrical engineering and was named a Secretary of the Navy Distinguished Graduate. He was also a competitive rower and a member of the Navy Crew Team. Following graduation from Dartmouth Medical School, he completed a residency in orthopedic surgery at the Naval Medical Center San Diego. He completed a fellowship in sports surgery at RUSH University in Chicago, IL. Currently, he is the Director of the Orthopaedic Shoulder, Knee and Sports Service at the Naval Medical Center San Diego and is an active duty Navy Commander. He is an Associate Professor of Surgery at the Uniformed Services University of the Health Sciences and takes an active role in education of residents at the Naval Medical Center San Diego. He has served on numerous committees for the American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, Arthroscopy Association of North America, and International Society of Arthroscopy, Knee Surgery and Orthopedic Sports Medicine. He is also the 1st Vice President of the Society of Military Orthopaedic Surgeons and has authored more than 150 peer-reviewed manuscripts, book chapters, and monographs.

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