Jón Karlsson

Stefano Zaffagnini

Volker Musahl

Ryosuke Kuroda

This book is designed to equip the reader with the knowledge and tools required for provision of individualized ACL treatment based on the best available evidence. All major aspects of the assessment of rotatory knee instability are addressed in depth. A historical overview of arthrometers, both invasive and non-invasive, is provided, and newly developed devices for the measurement of rotatory knee laxity are considered. Recent advances with respect to the pivot shift test are explained and evidence offered to support a standardized pivot shift test and non-invasive quantification of the pivot shift. Specific surgical techniques for rotatory laxity are described, with presentation of the experience from several world-renowned centers. In addition, functional rehabilitation and “return to play” are discussed. In keeping with the emphasis on an individualized approach, the book highlights individualization of surgical reconstruction techniques in accordance with the specific injury pattern and grade of rotatory knee laxity as well as the use of individualized rehabilitation techniques. Numerous high-quality images illustrate key points and clear take-home messages are provided.

An Evidence Based Approach

Rotatory Knee Instability

Norimasa Nakamura

Robert G. Marx

This book provides the reader with the best available evidence on the most pressing issues relating to reconstruction of the anterior cruciate ligament (ACL) with the goal of supporting surgical reconstruction of the ACL and improving outcomes for patients. Key topics for which evidence-based information is presented include selection of graft material and source, the use of different surgical techniques, graft rupture in relation to surgical technique, and progression to osteoarthritis. The book will aid the surgeon in making decisions with respect to fixation devices and tensioning, the bundles to be reconstructed, and whether to preserve remnants or partial bundle ruptures. An evidence-based stance is taken on evolving topics such as the anatomy of the tibial insertion site of the ACL and the role of the anterolateral capsule and posteromedial corner in high-grade rotatory instability. Furthermore, novel technical developments for measurement of knee laxity and soft tissue navigation are discussed. The reader will also find useful information on general issues concerning physical examination, arthroscopic setup, timing of reconstruction, anesthesia, and anticoagulation.

An Evidence-Based Medicine Approach

Controversies in the Technical Aspects of ACL Reconstruction

Umile Giuseppe Longo

Jason Koh

Farid Amirouche

This book presents a fundamental basic overview of orthopedic biomechanics in sports medicine, with a special focus on the current methodologies used in modeling human joints, ligaments, and muscle forces. The first part discusses the principles and materials, including the use of finite element analysis (FEA) to analyze the stress-strain response in the implant-bone interface and design. The second part focuses on joint-specific biomechanics, highlighting the biomechanics of the knee and shoulder joints, their modeling, surgical techniques, and the clinical assessment of joint performance under various kinematic conditions resulting from different repair techniques. Written by international experts working at the cutting edge of their fields, this book is an easy-to-read guide to the fundamentals of biomechanics. It also offers a source of reference for readers wanting to explore new research topics, and is a valuable tool for orthopedic surgeons, residents, and medical students with an interest in orthopedic biomechanics.​

Orthopaedic Biomechanics in Sports Medicine

David Dejour

Elizabeth A. Arendt

Petri Sillanpää

Florian Dirisamer

This excellently illustrated book adopts an evidence-based approach to evaluate the efficacy of different techniques for the imaging and treatment of patellofemoral pain, instability, and arthritis. The aim is to equip practitioners with an informative guide that will help them to manage disorders of the patellofemoral joint by casting light on the many issues on which a consensus has been lacking. The opening chapters supply essential background information and explain the role of various imaging modalities, including radiography, CT, MRI, and bone scan. The various conservative and surgical treatment approaches for each of the three presentations – pain, instability, and arthritis – are then described and assessed in depth, with precise guidance on indications and technique. Postoperative management and options in the event of failed surgery are also evaluated. Throughout, careful attention is paid to the literature in an attempt to establish the level of evidence for each imaging and treatment method. The new edition has been thoroughly updated, with inclusion of additional chapters, in order to present the latest knowledge on biomechanics, diagnosis, surgical techniques, and rehabilitation.

Clinical Presentation, Imaging, and Treatment

Patellofemoral Pain, Instability, and Arthritis

Stefano Zaffagnini

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