Inlay formula in ACL

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Aug 6th, 2022
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How to inlay formula in ACL

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Indeed, the graft needs to be around 70 mm long, with 20 mm on the femoral and tibial sides and 27 to 42 mm in the joint space. An adjustable Pullup cortical suspension device on each side allows the surgeon to adjust the graft length in the tunnels and to manage graft tension.
Violation of the posterior femoral cortex, commonly referred to as posterior wall blowout, can be a devastating intraoperative complication in anterior cruciate ligament (ACL) reconstruction and lead to loss of graft fixation or early graft failure.
Anterior cruciate ligament (ACL) reconstruction using a single 4-strand semitendinosus graft is a popular technique; unfortunately, the size (diameter) of the graft varies between 7 and 9 mm in many cases.
The ACL Blumensaat line angle is normally 15. It is calculated by drawing a line parallel to the roof of the intercondylar notch of the femur (Blumensaat line) and one parallel to the distal portion of the anterior cruciate ligament. The angle is calculated at the intersection of these two lines.
The anterior cruciate ligament (ACL) is one of the two cruciate ligaments which stabilizes the knee joint by preventing excessive forward movements of the tibia or limiting rotational knee movements.
Patellar Tendon It attaches from the knee cap to the shin bone. It is the graft with the longest track record and is consider by many to be the gold-standard for ACL reconstruction. In most circumstances this is the graft recommended for professional athletes and in any young active individual.
Graft diameter can be predicted in a numerically continuous manner as [2*(AB + CD)], where A and B are the semitendinosus cross-sectional length and breath, respectively, and C and D are the gracilis cross-sectional length and breath, respectively.
If they are larger than 12 to 14 mm in diameter, or are in a position where an anatomic positioning of the ACL reconstruction graft would break into the previously malpositioned tunnel, then a two-staged surgery would be recommended.

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