Inlay pecularity in ACL

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Aug 6th, 2022
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How to inlay pecularity in ACL

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welcome back to acl academy this is dr khan today we are going to touch on acl graph choices so what over youamp;#39;re going to use for your new acl uh before i get into that if you guys have found value in the page please subscribe to the channel like this video and share with a friend spread the word so when weamp;#39;re talking about acl um reconstruction uh we are talking about replacing the native acl ligament so when itamp;#39;s torn that area does not have great blood supply usually a repair historically a repair is not possible and it needs to be replaced there are some new technologies coming out that weamp;#39;re starting to utilize for repair procedures having said that the evidence is just not there yet uh so currently weamp;#39;re still seeing a lot more reconstructions which is replacing the native uh acl versus repairs which is basically taking the tear and repairing it okay so when weamp;#39;re talking about reconstruction well we have to use something to replace

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You have one ACL in each knee. It forms an X shape inside your knee with your posterior cruciate ligament (PCL). The ACL is closer to the front of your knee. The PCL is closer to the back of your knee.
There are four commonly used grafts for ACL reconstruction. Patellar tendon autograft. The surgeon removes the middle third of your patellar tendon and pieces of bone (bone plugs) from your shin and kneecap. Hamstring tendon autograft. Quadriceps tendon autograft. Allograft.
The ACL measures 31-38 mm in length and 10-12 mm in width, with the anteromedial bundle (6-7 mm) slightly thicker than the posterolateral bundle (5-6 mm) 5.
Pain on the outside and back of the knee. Knee swelling within the first few hours of the injury. Limited knee movement because of swelling and/or pain. Loss of full range of motion.
Instead of seeing normal contour of the dark ACL substance, we start to see more a balled-up appearance. In this view we can also see the injury to the posterior horn of the medial meniscus.
Injured ligaments on MRI may appear disrupted, thickened, heterogeneous, or attenuated in signal intensity, and may be abnormal in contour. Fluid-sensitive sequences are often helpful in detecting injury.
The normal ACL should have a taut, low to intermediate signal intensity with continuous fibres in all planes and sequences. It courses parallel or steeper than the intercondylar line. The PL bundle usually has higher signal intensity than the AM bundle.
The PCL tibial inlay technique allows direct approach to the tibial insertion of the PCL [8,9,10]. Both methods seem to produce equivalent results [1, 2, 11]. Since 2002, we have used the PCL inlay open technique, positioning the patient prone to undertake a posteromedial expose the tibial insertion of the PCL (Fig.

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