PubMed · 8441716
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J W Ott, W G Clancy. 1993. Functional knee braces.. https://doi.org/10.3928/0147-7447-19930201-11
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Significant advances in arthroscopic techniques have led to wide-spread performance of arthroscopically assisted ACL reconstruction. Properly performed reconstruction has proved to be successful clinically. The surgeon who undertakes ACL reconstruction must be familiar with techniques for both autograft hamstring augmentation and bone-patellar tendon-bone ACL reconstruction for the ACL-deficient knee. The arthroscopic techniques discussed in this article will allow successful treatment of most acute and chronic ACL injuries. Arthroscopic ACL reconstruction is a highly demanding procedure, with the possible risk of significant knee disability if the ACL graft is placed improperly. Proper patient selection, surgical technique, and postoperative rehabilitation remain the foundations for successful ACL reconstruction.
This is a report on arthroscopic treatment of an abnormal femoral origin of the anterior cruciate ligament (ACL) in combination with a discoid lateral meniscus in a 3-year-old child. The discoid lateral meniscus was treated by resection of the inner part with punches and by use of the holmium:YAG laser. The abnormal femoral origin of the ACL which was found inserting over the whole length of the intercondylar notch in anterior-posterior direction was detached at the anterior part with the laser. At examination after 1 year, the child was completely pain-free without any instability of the knee. A magnetic resonance image showed a normal ACL and a normal lateral meniscus in the operated knee.
MR imaging is an accurate, noninvasive, and cost-effective method for the evaluation of acute knee ligament injuries and in the examination of the postoperative knee. Understanding the normal anatomy and the pertinent clinical aspects of knee injuries is a prerequisite for accurate interpretation of MR imaging studies. The increasing popularity of ACL reconstruction following disruption of this ligament requires knowledge of the various surgical techniques and their MR imaging appearance as well as the appearance of possible complications.