Curbside Consultation of the ACL
49 Clinical Questions
Herausgeber: Bach, Bernard; Verma, Nikhil
Curbside Consultation of the ACL
49 Clinical Questions
Herausgeber: Bach, Bernard; Verma, Nikhil
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Provides answers to various questions commonly posed during a ""curbside consultation"" between surgical colleagues. This book offers advice, preferences, and opinions on clinical questions commonly associated with ACL management.
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Provides answers to various questions commonly posed during a ""curbside consultation"" between surgical colleagues. This book offers advice, preferences, and opinions on clinical questions commonly associated with ACL management.
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Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Produktdetails
- Produktdetails
- Verlag: Taylor & Francis Ltd (Sales)
- Seitenzahl: 214
- Erscheinungstermin: 15. Februar 2008
- Englisch
- Abmessung: 254mm x 178mm x 12mm
- Gewicht: 381g
- ISBN-13: 9781556428258
- ISBN-10: 1556428251
- Artikelnr.: 24722736
- Herstellerkennzeichnung
- Libri GmbH
- Europaallee 1
- 36244 Bad Hersfeld
- 06621 890
- Verlag: Taylor & Francis Ltd (Sales)
- Seitenzahl: 214
- Erscheinungstermin: 15. Februar 2008
- Englisch
- Abmessung: 254mm x 178mm x 12mm
- Gewicht: 381g
- ISBN-13: 9781556428258
- ISBN-10: 1556428251
- Artikelnr.: 24722736
- Herstellerkennzeichnung
- Libri GmbH
- Europaallee 1
- 36244 Bad Hersfeld
- 06621 890
Bernard R. Bach, Jr., MD, graduated form Harvard College in 1975, the University of Cincinnati College of Medicine in 1979, and obtained general surgery and orthopaedic training at the New England Deaconess Hospital (1979 to 1981) and Combined Harvard Orthopedic Residency program (1981 to 1985) respectively. He completed a Sports Medicine and Shoulder Fellowship at the Hospital for Special Surgery in 1986. At RUSH University Medical Center in Chicago, Bach is currently the Claude N. Lambert-Helen S. Thomson Professor of Orthopaedic Surgery, the director of the Division of Sports Medicine, and has been the RUSH Sports Medicine Fellowship director since 1988. Dr. Bach has published over 400 peer-reviewed manuscripts, abstracts, books, chapters, guest edited monographs, and internet publications. He has served as president of the Harvard Quigley Sports Medicine Society (2003), the Herodicus Society (2005 to 2006), and the American Orthopedic Society for Sports Medicine (2007 to 2008). He is a member of the Illinois Athletic Trainers' Hall of Fame and has served on the board of directors for the Illinois Special Olympics, the Orthopedic Research and Education Foundation, and the American Orthopedic Society for Sports Medicine. Dr. Bach assists with the care of professional athletes as one of the team physicians for the Chicago White Sox and Chicago Bulls. Nikhil N. Verma, MD, graduated form the University of Michigan in 1994, the University of Pennsylvania School of Medicine in 1998, and completed his surgical internship and orthopedic residency at Rush University Medical Center (1998 to 2003). He completed a Sports Medicine and Shoulder Fellowship at the Hospital for Special Surgery in 2004 before returning to join the staff of the Department of Orthopedics, Section of Sports Medicine, at Rush University Medical Center as an assistant professor. Dr. Verma currently serves as a member of the American Orthopaedic Society for Sports Medicine self-assessment committee and is a member of the editorial board for the Arthroscopy journal. He has coauthored multiple technique and review articles, book chapters, and peer-reviewed manuscripts in the field of sports medicine. Additionally, he has served as a faculty member for both national and international courses in arthroscopic surgery of the shoulder, elbow, and knee. He serves as head orthopedic team physician for the Chicago Bandits and Chicago Force as well as multiple high school teams in the Chicago metro area. Dr. Verma assists with the care of professional athletes as one of the team physicians for the Chicago White Sox and Chicago Bulls.
CONTENTS Dedication Acknowledgments About the Editors Contributing Authors Preface Foreword William A. Grana
MD
MPH Section I Preoperative Questions Question 1 What Are the Indications for Surgical or Nonsurgical Treatment? Bernard R. Bach
Jr.
MD
and Matthew Busam
MD Question 2 What Are the Radiographic
Magnetic Resonance
and KT-1000 Characteristics of an ACL-Injured Knee? Matthew Busam
MD
and Bernard R. Bach
Jr.
MD Question 3 How Do You Manage a Combined ACL/MCL Injury? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 4 How Do You Manage a Combined ACL/LCL Injury? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 5 What Determines Which Graft You Recommend for ACL Surgery? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 6 When Would You Use Patellar Tendon Autograft as Your Main Graft Selection? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 7 When Would You Use Hamstring Autograft as Your Main Graft Source? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 8 When Do You Use Allograft Tissues for Primary ACL Surgery? Warren R. Dunn
MD
MPH Question 9 After an Acute ACL Injury in a Competitive Athlete
How Do You Manage the Patient in Preparation for Surgery? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 10 What Options Are Available in the Patient Who Has a Tibial Eminence Fracture Avulsion (Skeletally Mature
Middle-Aged Patient) Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 11 Do You Prefer Endoscopic or 2-Incision Technique and Why? James L. Carey
MD
and Kurt P. Spindler
MD Question 12 How Do You Examine the Knee for Posterolateral Corner Injury Combined With ACL Injury? Luke S. Oh
MD
and Thomas L. Wickiewicz
MD Section II Intraoperative Questions Question 13 What Do You Do if You Drop the Graft on the Floor? Matthew Busam
MD
and Bernard R. Bach
Jr.
MD Question 14 How Do You Manage a Posterior Wall Blowout Created Inadvertently at the Time of Surgery? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 15 How Do You Manage the Hamstring Autograft That Is Prematurely Amputated During Graft Harvest? Robert H. Brophy
MD
and Riley J. Williams
III
MD Question 16 How Would You Manage the Situation of Graft Amputation During Interference Screw Placement With a Patellar Tendon Graft? Brian Kerr
MD
and Eric C. McCarty
MD Question 17 What Tricks Do You Have to Avoid Creation of a Vertical Tunnel When Drilling a Transtibial Tunnel? Luke S. Oh
MD
and Thomas L. Wickiewicz
MD Question 18 What Options Do You Have and How Do You Manage a Construct Mismatch With the Endoscopic Technique? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 19 What Is Your Preferred Fixation Method for Soft-Tissue Grafts on Both Tibial and Femoral Sides? Seth C. Gamradt
MD
and Riley J. Williams
III
MD Question 20 How Do You Determine Tibial Tunnel Position to Optimize Graft Length and Femoral Tunnel Position When Performing an Endoscopic Technique? Answorth A. Allen
MD Section III Postoperative Questions Question 21 How Do You Manage the ACL Patient Following Reconstruction? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 22 Do You Rehab Your Patellar Tendon Autograft and Allograft Patients Differently? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 23 Do You Manage the Patient Differently if a Concurrent Meniscal Repair Was Performed? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 24 How Do You Manage the Patient Who Is Having a Difficult Time Gaining Extension After Reconstruction? Eric C. McCarty
MD
and Brian Kerr
MD Question 25 How Do You Manage the Patient Who Develops a Postoperative Infection Following ACL Reconstruction? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 26 How Do You Manage the Patient Who Has Postoperative Patellar Pain? James D. Ferrari
MD Question 27 How Do You Determine the Timing of Reoperation in a Patient Who Has Motion Problems Following an ACL Reconstruction? James D. Ferrari
MD Question 28 What Criteria Do You Use to Return an Athlete to Sport? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 29 What Are Your Expected Results After ACL Reconstruction? Jerome J. DaSilva
MD
and Nikhil N. Verma
MD Question 30 Is There Any Significant Difference When Comparing the Results of Various Grafts in Your Practice? R. Edward Glenn
Jr.
MD Question 31 What Is the Role of Bracing After ACL Reconstruction
Both in the Postoperative Setting and With Return to Competition? James L. Carey
MD
and Kurt P. Spindler
MD Section IV Failed ACL Reconstruction Questions Question 32 What Are the Causes of ACL Reconstruction Failure? Kyle R. Flik
MD Question 33 What Are the Indications for Revision ACL Surgery? Shane J. Nho
MD
MS; Michael Pensak
BS; and John D. MacGillivray
MD Question 34 How Do You Manage the Expanded Femoral or Tibial Tunnel in a Failed ACL Patient? Luke S. Oh
MD
and Thomas L. Wickiewicz
MD Question 35 What Grafts Do You Use for Revision ACL Reconstruction? Scott A. Rodeo
MD Question 36 When Do You Use the Contralateral Patellar Tendon for Revision ACL Reconstruction? Nicholas T. Dutcheshen
MD
and Thomas J. Gill
MD Question 37 Is Your Rehabilitation Protocol Different in First Time Versus Revision ACL Patients? Shane J. Nho
MD
MS; Michael Pensak
BS; and John D. MacGillivray
MD Question 38 Does Hardware Have to Routinely Be Removed at the Time of Revision ACL Surgery? R. Edward Glenn
Jr.
MD Question 39 How Do You Manage the Patient Who Has Early Degenerative Joint Disease and Has Complaints of Pain and Instability? Annunziato Amendola
MD Question 40 If You Have a Patient Who Is a Candidate for a High Tibial Osteotomy and ACL Reconstruction
Should You Perform a 1-Stage or 2-Stage Procedure? Annunziato Amendola
MD Question 41 What Technical Pearls Do You Have When Performing a Single-Stage ACL Reconstruction and High Tibial Osteotomy? Annunziato Amendola
MD Question 42 How Do You Manage the Postoperative Patellar Fracture Following ACL Reconstruction With Patellar Tendon Autograft? Matthew Busam
MD
and Bernard R. Bach
Jr.
MD Question 43 How Do You Evaluate Tunnel Position in the Revision Setting? L. Pearce McCarty
III
MD
and Aimee S. Klapach
MD Section V Pediatric/Adolescent Questions Question 44 How Do You Manage the Adolescent With Open Growth Plates Who Has Sustained an ACL Injury? 173 Stephen F. Brockmeier
MD
and Riley J. Williams
III
MD Question 45 What Surgical Options Are Available in the Adolescent With Considerable Growth Remaining? Aimee S. Klapach
MD
and L. Pearce McCarty
III
MD Question 46 My Daughter Is a High School Basketball Athlete. What Are the Risks of Tearing Her ACL? If She Has That Knee Fixed
What Are the Risks for the Opposite Knee? Are There ACL Injury Prevention Programs Available? Nicholas T. Dutcheshen
MD
and Thomas J. Gill
MD Section VI Miscellaneous Questions Question 47 What Is Your Preferred Nonoperative Treatment Protocol for Acute ACL Injuries in Patients Who Do Not Wish to Undergo Surgery? Kyle R. Flik
MD Question 48 What Are the Long-Term Implications of the Patient With Recurrent Instability in the Setting of Untreated ACL Injuries? Scott A. Rodeo
MD Question 49 What Implications Does ACL Reconstruction Have on the Future Development of Degenerative Arthritis? Kurt P. Spindler
MD
and James L. Carey
MD Index
MD
MPH Section I Preoperative Questions Question 1 What Are the Indications for Surgical or Nonsurgical Treatment? Bernard R. Bach
Jr.
MD
and Matthew Busam
MD Question 2 What Are the Radiographic
Magnetic Resonance
and KT-1000 Characteristics of an ACL-Injured Knee? Matthew Busam
MD
and Bernard R. Bach
Jr.
MD Question 3 How Do You Manage a Combined ACL/MCL Injury? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 4 How Do You Manage a Combined ACL/LCL Injury? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 5 What Determines Which Graft You Recommend for ACL Surgery? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 6 When Would You Use Patellar Tendon Autograft as Your Main Graft Selection? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 7 When Would You Use Hamstring Autograft as Your Main Graft Source? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 8 When Do You Use Allograft Tissues for Primary ACL Surgery? Warren R. Dunn
MD
MPH Question 9 After an Acute ACL Injury in a Competitive Athlete
How Do You Manage the Patient in Preparation for Surgery? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 10 What Options Are Available in the Patient Who Has a Tibial Eminence Fracture Avulsion (Skeletally Mature
Middle-Aged Patient) Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 11 Do You Prefer Endoscopic or 2-Incision Technique and Why? James L. Carey
MD
and Kurt P. Spindler
MD Question 12 How Do You Examine the Knee for Posterolateral Corner Injury Combined With ACL Injury? Luke S. Oh
MD
and Thomas L. Wickiewicz
MD Section II Intraoperative Questions Question 13 What Do You Do if You Drop the Graft on the Floor? Matthew Busam
MD
and Bernard R. Bach
Jr.
MD Question 14 How Do You Manage a Posterior Wall Blowout Created Inadvertently at the Time of Surgery? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 15 How Do You Manage the Hamstring Autograft That Is Prematurely Amputated During Graft Harvest? Robert H. Brophy
MD
and Riley J. Williams
III
MD Question 16 How Would You Manage the Situation of Graft Amputation During Interference Screw Placement With a Patellar Tendon Graft? Brian Kerr
MD
and Eric C. McCarty
MD Question 17 What Tricks Do You Have to Avoid Creation of a Vertical Tunnel When Drilling a Transtibial Tunnel? Luke S. Oh
MD
and Thomas L. Wickiewicz
MD Question 18 What Options Do You Have and How Do You Manage a Construct Mismatch With the Endoscopic Technique? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 19 What Is Your Preferred Fixation Method for Soft-Tissue Grafts on Both Tibial and Femoral Sides? Seth C. Gamradt
MD
and Riley J. Williams
III
MD Question 20 How Do You Determine Tibial Tunnel Position to Optimize Graft Length and Femoral Tunnel Position When Performing an Endoscopic Technique? Answorth A. Allen
MD Section III Postoperative Questions Question 21 How Do You Manage the ACL Patient Following Reconstruction? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 22 Do You Rehab Your Patellar Tendon Autograft and Allograft Patients Differently? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 23 Do You Manage the Patient Differently if a Concurrent Meniscal Repair Was Performed? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 24 How Do You Manage the Patient Who Is Having a Difficult Time Gaining Extension After Reconstruction? Eric C. McCarty
MD
and Brian Kerr
MD Question 25 How Do You Manage the Patient Who Develops a Postoperative Infection Following ACL Reconstruction? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 26 How Do You Manage the Patient Who Has Postoperative Patellar Pain? James D. Ferrari
MD Question 27 How Do You Determine the Timing of Reoperation in a Patient Who Has Motion Problems Following an ACL Reconstruction? James D. Ferrari
MD Question 28 What Criteria Do You Use to Return an Athlete to Sport? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 29 What Are Your Expected Results After ACL Reconstruction? Jerome J. DaSilva
MD
and Nikhil N. Verma
MD Question 30 Is There Any Significant Difference When Comparing the Results of Various Grafts in Your Practice? R. Edward Glenn
Jr.
MD Question 31 What Is the Role of Bracing After ACL Reconstruction
Both in the Postoperative Setting and With Return to Competition? James L. Carey
MD
and Kurt P. Spindler
MD Section IV Failed ACL Reconstruction Questions Question 32 What Are the Causes of ACL Reconstruction Failure? Kyle R. Flik
MD Question 33 What Are the Indications for Revision ACL Surgery? Shane J. Nho
MD
MS; Michael Pensak
BS; and John D. MacGillivray
MD Question 34 How Do You Manage the Expanded Femoral or Tibial Tunnel in a Failed ACL Patient? Luke S. Oh
MD
and Thomas L. Wickiewicz
MD Question 35 What Grafts Do You Use for Revision ACL Reconstruction? Scott A. Rodeo
MD Question 36 When Do You Use the Contralateral Patellar Tendon for Revision ACL Reconstruction? Nicholas T. Dutcheshen
MD
and Thomas J. Gill
MD Question 37 Is Your Rehabilitation Protocol Different in First Time Versus Revision ACL Patients? Shane J. Nho
MD
MS; Michael Pensak
BS; and John D. MacGillivray
MD Question 38 Does Hardware Have to Routinely Be Removed at the Time of Revision ACL Surgery? R. Edward Glenn
Jr.
MD Question 39 How Do You Manage the Patient Who Has Early Degenerative Joint Disease and Has Complaints of Pain and Instability? Annunziato Amendola
MD Question 40 If You Have a Patient Who Is a Candidate for a High Tibial Osteotomy and ACL Reconstruction
Should You Perform a 1-Stage or 2-Stage Procedure? Annunziato Amendola
MD Question 41 What Technical Pearls Do You Have When Performing a Single-Stage ACL Reconstruction and High Tibial Osteotomy? Annunziato Amendola
MD Question 42 How Do You Manage the Postoperative Patellar Fracture Following ACL Reconstruction With Patellar Tendon Autograft? Matthew Busam
MD
and Bernard R. Bach
Jr.
MD Question 43 How Do You Evaluate Tunnel Position in the Revision Setting? L. Pearce McCarty
III
MD
and Aimee S. Klapach
MD Section V Pediatric/Adolescent Questions Question 44 How Do You Manage the Adolescent With Open Growth Plates Who Has Sustained an ACL Injury? 173 Stephen F. Brockmeier
MD
and Riley J. Williams
III
MD Question 45 What Surgical Options Are Available in the Adolescent With Considerable Growth Remaining? Aimee S. Klapach
MD
and L. Pearce McCarty
III
MD Question 46 My Daughter Is a High School Basketball Athlete. What Are the Risks of Tearing Her ACL? If She Has That Knee Fixed
What Are the Risks for the Opposite Knee? Are There ACL Injury Prevention Programs Available? Nicholas T. Dutcheshen
MD
and Thomas J. Gill
MD Section VI Miscellaneous Questions Question 47 What Is Your Preferred Nonoperative Treatment Protocol for Acute ACL Injuries in Patients Who Do Not Wish to Undergo Surgery? Kyle R. Flik
MD Question 48 What Are the Long-Term Implications of the Patient With Recurrent Instability in the Setting of Untreated ACL Injuries? Scott A. Rodeo
MD Question 49 What Implications Does ACL Reconstruction Have on the Future Development of Degenerative Arthritis? Kurt P. Spindler
MD
and James L. Carey
MD Index
CONTENTS Dedication Acknowledgments About the Editors Contributing Authors Preface Foreword William A. Grana
MD
MPH Section I Preoperative Questions Question 1 What Are the Indications for Surgical or Nonsurgical Treatment? Bernard R. Bach
Jr.
MD
and Matthew Busam
MD Question 2 What Are the Radiographic
Magnetic Resonance
and KT-1000 Characteristics of an ACL-Injured Knee? Matthew Busam
MD
and Bernard R. Bach
Jr.
MD Question 3 How Do You Manage a Combined ACL/MCL Injury? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 4 How Do You Manage a Combined ACL/LCL Injury? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 5 What Determines Which Graft You Recommend for ACL Surgery? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 6 When Would You Use Patellar Tendon Autograft as Your Main Graft Selection? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 7 When Would You Use Hamstring Autograft as Your Main Graft Source? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 8 When Do You Use Allograft Tissues for Primary ACL Surgery? Warren R. Dunn
MD
MPH Question 9 After an Acute ACL Injury in a Competitive Athlete
How Do You Manage the Patient in Preparation for Surgery? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 10 What Options Are Available in the Patient Who Has a Tibial Eminence Fracture Avulsion (Skeletally Mature
Middle-Aged Patient) Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 11 Do You Prefer Endoscopic or 2-Incision Technique and Why? James L. Carey
MD
and Kurt P. Spindler
MD Question 12 How Do You Examine the Knee for Posterolateral Corner Injury Combined With ACL Injury? Luke S. Oh
MD
and Thomas L. Wickiewicz
MD Section II Intraoperative Questions Question 13 What Do You Do if You Drop the Graft on the Floor? Matthew Busam
MD
and Bernard R. Bach
Jr.
MD Question 14 How Do You Manage a Posterior Wall Blowout Created Inadvertently at the Time of Surgery? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 15 How Do You Manage the Hamstring Autograft That Is Prematurely Amputated During Graft Harvest? Robert H. Brophy
MD
and Riley J. Williams
III
MD Question 16 How Would You Manage the Situation of Graft Amputation During Interference Screw Placement With a Patellar Tendon Graft? Brian Kerr
MD
and Eric C. McCarty
MD Question 17 What Tricks Do You Have to Avoid Creation of a Vertical Tunnel When Drilling a Transtibial Tunnel? Luke S. Oh
MD
and Thomas L. Wickiewicz
MD Question 18 What Options Do You Have and How Do You Manage a Construct Mismatch With the Endoscopic Technique? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 19 What Is Your Preferred Fixation Method for Soft-Tissue Grafts on Both Tibial and Femoral Sides? Seth C. Gamradt
MD
and Riley J. Williams
III
MD Question 20 How Do You Determine Tibial Tunnel Position to Optimize Graft Length and Femoral Tunnel Position When Performing an Endoscopic Technique? Answorth A. Allen
MD Section III Postoperative Questions Question 21 How Do You Manage the ACL Patient Following Reconstruction? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 22 Do You Rehab Your Patellar Tendon Autograft and Allograft Patients Differently? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 23 Do You Manage the Patient Differently if a Concurrent Meniscal Repair Was Performed? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 24 How Do You Manage the Patient Who Is Having a Difficult Time Gaining Extension After Reconstruction? Eric C. McCarty
MD
and Brian Kerr
MD Question 25 How Do You Manage the Patient Who Develops a Postoperative Infection Following ACL Reconstruction? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 26 How Do You Manage the Patient Who Has Postoperative Patellar Pain? James D. Ferrari
MD Question 27 How Do You Determine the Timing of Reoperation in a Patient Who Has Motion Problems Following an ACL Reconstruction? James D. Ferrari
MD Question 28 What Criteria Do You Use to Return an Athlete to Sport? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 29 What Are Your Expected Results After ACL Reconstruction? Jerome J. DaSilva
MD
and Nikhil N. Verma
MD Question 30 Is There Any Significant Difference When Comparing the Results of Various Grafts in Your Practice? R. Edward Glenn
Jr.
MD Question 31 What Is the Role of Bracing After ACL Reconstruction
Both in the Postoperative Setting and With Return to Competition? James L. Carey
MD
and Kurt P. Spindler
MD Section IV Failed ACL Reconstruction Questions Question 32 What Are the Causes of ACL Reconstruction Failure? Kyle R. Flik
MD Question 33 What Are the Indications for Revision ACL Surgery? Shane J. Nho
MD
MS; Michael Pensak
BS; and John D. MacGillivray
MD Question 34 How Do You Manage the Expanded Femoral or Tibial Tunnel in a Failed ACL Patient? Luke S. Oh
MD
and Thomas L. Wickiewicz
MD Question 35 What Grafts Do You Use for Revision ACL Reconstruction? Scott A. Rodeo
MD Question 36 When Do You Use the Contralateral Patellar Tendon for Revision ACL Reconstruction? Nicholas T. Dutcheshen
MD
and Thomas J. Gill
MD Question 37 Is Your Rehabilitation Protocol Different in First Time Versus Revision ACL Patients? Shane J. Nho
MD
MS; Michael Pensak
BS; and John D. MacGillivray
MD Question 38 Does Hardware Have to Routinely Be Removed at the Time of Revision ACL Surgery? R. Edward Glenn
Jr.
MD Question 39 How Do You Manage the Patient Who Has Early Degenerative Joint Disease and Has Complaints of Pain and Instability? Annunziato Amendola
MD Question 40 If You Have a Patient Who Is a Candidate for a High Tibial Osteotomy and ACL Reconstruction
Should You Perform a 1-Stage or 2-Stage Procedure? Annunziato Amendola
MD Question 41 What Technical Pearls Do You Have When Performing a Single-Stage ACL Reconstruction and High Tibial Osteotomy? Annunziato Amendola
MD Question 42 How Do You Manage the Postoperative Patellar Fracture Following ACL Reconstruction With Patellar Tendon Autograft? Matthew Busam
MD
and Bernard R. Bach
Jr.
MD Question 43 How Do You Evaluate Tunnel Position in the Revision Setting? L. Pearce McCarty
III
MD
and Aimee S. Klapach
MD Section V Pediatric/Adolescent Questions Question 44 How Do You Manage the Adolescent With Open Growth Plates Who Has Sustained an ACL Injury? 173 Stephen F. Brockmeier
MD
and Riley J. Williams
III
MD Question 45 What Surgical Options Are Available in the Adolescent With Considerable Growth Remaining? Aimee S. Klapach
MD
and L. Pearce McCarty
III
MD Question 46 My Daughter Is a High School Basketball Athlete. What Are the Risks of Tearing Her ACL? If She Has That Knee Fixed
What Are the Risks for the Opposite Knee? Are There ACL Injury Prevention Programs Available? Nicholas T. Dutcheshen
MD
and Thomas J. Gill
MD Section VI Miscellaneous Questions Question 47 What Is Your Preferred Nonoperative Treatment Protocol for Acute ACL Injuries in Patients Who Do Not Wish to Undergo Surgery? Kyle R. Flik
MD Question 48 What Are the Long-Term Implications of the Patient With Recurrent Instability in the Setting of Untreated ACL Injuries? Scott A. Rodeo
MD Question 49 What Implications Does ACL Reconstruction Have on the Future Development of Degenerative Arthritis? Kurt P. Spindler
MD
and James L. Carey
MD Index
MD
MPH Section I Preoperative Questions Question 1 What Are the Indications for Surgical or Nonsurgical Treatment? Bernard R. Bach
Jr.
MD
and Matthew Busam
MD Question 2 What Are the Radiographic
Magnetic Resonance
and KT-1000 Characteristics of an ACL-Injured Knee? Matthew Busam
MD
and Bernard R. Bach
Jr.
MD Question 3 How Do You Manage a Combined ACL/MCL Injury? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 4 How Do You Manage a Combined ACL/LCL Injury? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 5 What Determines Which Graft You Recommend for ACL Surgery? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 6 When Would You Use Patellar Tendon Autograft as Your Main Graft Selection? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 7 When Would You Use Hamstring Autograft as Your Main Graft Source? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 8 When Do You Use Allograft Tissues for Primary ACL Surgery? Warren R. Dunn
MD
MPH Question 9 After an Acute ACL Injury in a Competitive Athlete
How Do You Manage the Patient in Preparation for Surgery? Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 10 What Options Are Available in the Patient Who Has a Tibial Eminence Fracture Avulsion (Skeletally Mature
Middle-Aged Patient) Anne E. Colton
MD
and Charles A. Bush-Joseph
MD Question 11 Do You Prefer Endoscopic or 2-Incision Technique and Why? James L. Carey
MD
and Kurt P. Spindler
MD Question 12 How Do You Examine the Knee for Posterolateral Corner Injury Combined With ACL Injury? Luke S. Oh
MD
and Thomas L. Wickiewicz
MD Section II Intraoperative Questions Question 13 What Do You Do if You Drop the Graft on the Floor? Matthew Busam
MD
and Bernard R. Bach
Jr.
MD Question 14 How Do You Manage a Posterior Wall Blowout Created Inadvertently at the Time of Surgery? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 15 How Do You Manage the Hamstring Autograft That Is Prematurely Amputated During Graft Harvest? Robert H. Brophy
MD
and Riley J. Williams
III
MD Question 16 How Would You Manage the Situation of Graft Amputation During Interference Screw Placement With a Patellar Tendon Graft? Brian Kerr
MD
and Eric C. McCarty
MD Question 17 What Tricks Do You Have to Avoid Creation of a Vertical Tunnel When Drilling a Transtibial Tunnel? Luke S. Oh
MD
and Thomas L. Wickiewicz
MD Question 18 What Options Do You Have and How Do You Manage a Construct Mismatch With the Endoscopic Technique? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 19 What Is Your Preferred Fixation Method for Soft-Tissue Grafts on Both Tibial and Femoral Sides? Seth C. Gamradt
MD
and Riley J. Williams
III
MD Question 20 How Do You Determine Tibial Tunnel Position to Optimize Graft Length and Femoral Tunnel Position When Performing an Endoscopic Technique? Answorth A. Allen
MD Section III Postoperative Questions Question 21 How Do You Manage the ACL Patient Following Reconstruction? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 22 Do You Rehab Your Patellar Tendon Autograft and Allograft Patients Differently? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 23 Do You Manage the Patient Differently if a Concurrent Meniscal Repair Was Performed? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 24 How Do You Manage the Patient Who Is Having a Difficult Time Gaining Extension After Reconstruction? Eric C. McCarty
MD
and Brian Kerr
MD Question 25 How Do You Manage the Patient Who Develops a Postoperative Infection Following ACL Reconstruction? Matthew T. Provencher
MD
LCDR
MC
USN
and Nikhil N. Verma
MD Question 26 How Do You Manage the Patient Who Has Postoperative Patellar Pain? James D. Ferrari
MD Question 27 How Do You Determine the Timing of Reoperation in a Patient Who Has Motion Problems Following an ACL Reconstruction? James D. Ferrari
MD Question 28 What Criteria Do You Use to Return an Athlete to Sport? John-Paul H. Rue
MD
LCDR
MC
USN
and Brian J. Cole
MD
MBA Question 29 What Are Your Expected Results After ACL Reconstruction? Jerome J. DaSilva
MD
and Nikhil N. Verma
MD Question 30 Is There Any Significant Difference When Comparing the Results of Various Grafts in Your Practice? R. Edward Glenn
Jr.
MD Question 31 What Is the Role of Bracing After ACL Reconstruction
Both in the Postoperative Setting and With Return to Competition? James L. Carey
MD
and Kurt P. Spindler
MD Section IV Failed ACL Reconstruction Questions Question 32 What Are the Causes of ACL Reconstruction Failure? Kyle R. Flik
MD Question 33 What Are the Indications for Revision ACL Surgery? Shane J. Nho
MD
MS; Michael Pensak
BS; and John D. MacGillivray
MD Question 34 How Do You Manage the Expanded Femoral or Tibial Tunnel in a Failed ACL Patient? Luke S. Oh
MD
and Thomas L. Wickiewicz
MD Question 35 What Grafts Do You Use for Revision ACL Reconstruction? Scott A. Rodeo
MD Question 36 When Do You Use the Contralateral Patellar Tendon for Revision ACL Reconstruction? Nicholas T. Dutcheshen
MD
and Thomas J. Gill
MD Question 37 Is Your Rehabilitation Protocol Different in First Time Versus Revision ACL Patients? Shane J. Nho
MD
MS; Michael Pensak
BS; and John D. MacGillivray
MD Question 38 Does Hardware Have to Routinely Be Removed at the Time of Revision ACL Surgery? R. Edward Glenn
Jr.
MD Question 39 How Do You Manage the Patient Who Has Early Degenerative Joint Disease and Has Complaints of Pain and Instability? Annunziato Amendola
MD Question 40 If You Have a Patient Who Is a Candidate for a High Tibial Osteotomy and ACL Reconstruction
Should You Perform a 1-Stage or 2-Stage Procedure? Annunziato Amendola
MD Question 41 What Technical Pearls Do You Have When Performing a Single-Stage ACL Reconstruction and High Tibial Osteotomy? Annunziato Amendola
MD Question 42 How Do You Manage the Postoperative Patellar Fracture Following ACL Reconstruction With Patellar Tendon Autograft? Matthew Busam
MD
and Bernard R. Bach
Jr.
MD Question 43 How Do You Evaluate Tunnel Position in the Revision Setting? L. Pearce McCarty
III
MD
and Aimee S. Klapach
MD Section V Pediatric/Adolescent Questions Question 44 How Do You Manage the Adolescent With Open Growth Plates Who Has Sustained an ACL Injury? 173 Stephen F. Brockmeier
MD
and Riley J. Williams
III
MD Question 45 What Surgical Options Are Available in the Adolescent With Considerable Growth Remaining? Aimee S. Klapach
MD
and L. Pearce McCarty
III
MD Question 46 My Daughter Is a High School Basketball Athlete. What Are the Risks of Tearing Her ACL? If She Has That Knee Fixed
What Are the Risks for the Opposite Knee? Are There ACL Injury Prevention Programs Available? Nicholas T. Dutcheshen
MD
and Thomas J. Gill
MD Section VI Miscellaneous Questions Question 47 What Is Your Preferred Nonoperative Treatment Protocol for Acute ACL Injuries in Patients Who Do Not Wish to Undergo Surgery? Kyle R. Flik
MD Question 48 What Are the Long-Term Implications of the Patient With Recurrent Instability in the Setting of Untreated ACL Injuries? Scott A. Rodeo
MD Question 49 What Implications Does ACL Reconstruction Have on the Future Development of Degenerative Arthritis? Kurt P. Spindler
MD
and James L. Carey
MD Index