Inlay PII in ACL

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How to inlay PII in ACL

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itamp;#39;s dr. Centeno and Iamp;#39;d like to talk to you this morning about inside knee pain and a curious case one of my patients who had damage caused by ACL reconstruction so because we can now routinely fix most damaged ACL via precise injections with patientamp;#39;s own stem cells you know Iamp;#39;ve sent very very few patients for ACL reconstruction that have ACL tears and Iamp;#39;ve also become more aware of the damage done by ACL surgeries so there are many different areas the knee routinely damaged by ACL surgery Iamp;#39;m just going to go over a few here so number one is the surgeon has to remove the fat pad in the knee or the fat pads or several in order to get a clear view of the ACL now regrettably those fat pads have stem cells Iamp;#39;ve also seen a lot of damage to a ligament that holds the inside and outside meniscus together and damage to the PES anserine tendon caused by the graft tunnel which is where weamp;#39;re going to focus today so this is the P

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What is the femoral insertion of the ACL?

Direct ACL insertion is located anteriorly, on the medial surface of the lateral femoral condyle. It is connected to a bone depression parallel and immediately posterior to the intercondylar lateral ridge and to the medial surface of the lateral femoral condyle.

What is the role of the ACL vs PCL?

They work together to keep the shinbone attached to the thighbone. The ACL connects the front of the shinbone to the back of the thighbone so the shin does not slide in front of the thigh. The PCL connects the back of the shinbone to the front of the thighbone so the shin does not slide behind the thigh.

What movement is the PCL responsible for?

The PCL helps keep your leg bones in place and allows your knee to move back and forth.

What is the femoral footprint of the ACL?

The ACL footprint is positioned at the space formed by the residents ridge, the cartilage margin of the lateral femoral condyle, and Blumensaats line. The center of this footprint could serve as a reference point for femoral tunnel formation during anatomical single-bundle ACLR.

What action does PCL prevent?

This ligament prevents the tibia from moving too much and going behind the femur. A PCL injury (which may also be called hyperextended knee) is a partial or complete tearing or stretching of any part of the posterior cruciate ligament. The PCL is usually injured by overextending the knee (hyperextension).

What is the function of the PCL in the knee?

The posterior cruciate ligament, located in the back of the knee, is one of several ligaments that connect the femur to the tibia. The posterior cruciate ligament keeps the shinbone from moving backward too far. It is stronger than the anterior cruciate ligament and is injured far less often.

What is the anteromedial bundle of the ACL?

The anterior cruciate ligament (ACL) consists of two major fiber bundles, namely the anteromedial and posterolateral bundle. When the knee is extended, the posterolateral bundle (PL) is tight and the anteromedial (AM) bundle is moderately lax.

What is the role of the PCL in the knee?

The PCL functions as one of the main stabilizers of the knee joint and serves primarily to resist excessive posterior translation of the tibia relative to the femur. The PCL also acts as a secondary stabilizer of the knee preventing excessive rotation specifically between 90 and 120 of knee flexion.

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