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Combined ACL and Peripheral Instability: The Eastern Experience

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Knee Ligament Injuries

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Abstract

We reviewed ACL instability and its treatment in the eastern experience. Chronic ACL-deficient knees had significantly larger anterior tibial subluxation, and it was difficult to reduce anterior tibial subluxation after ACL reconstruction in chronic ACL-dificient knees and large tibial subluxation cases. Regarding to the combined intra- and extra-articular reconstruction, it has been still unknown whether these surgical procedures could restore normal knee kinematics or not because the long-term results of the combined intra- and extra-articular reconstruction has not been superior to conventional ACL reconstruction procedure in the literature. From the previous clinical studies in Japan, anatomic reconstruction is crucial to restore normal knee kinematics. In addition, the biomechanical function and biological healings are enhanced by preservation of ACL remnant. Therefore, we believe that although this procedure is technically demanding, anatomic double-bundle ACL reconstruction with ACL remnant preservation has been better treatment option to restore normal knee kinematics.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan

    Ryosuke Kuroda MD, PhD, Takehiko Matsushita MD, PhD, Daisuke Araki MD, PhD, Yuichiro Nishizawa MD, Tomoyuki Matsumoto MD, PhD & Masahiro Kurosaka MD, PhD

Authors
  1. Ryosuke Kuroda MD, PhD
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  2. Takehiko Matsushita MD, PhD
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  3. Daisuke Araki MD, PhD
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  4. Yuichiro Nishizawa MD
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  5. Tomoyuki Matsumoto MD, PhD
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  6. Masahiro Kurosaka MD, PhD
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Corresponding author

Correspondence to Ryosuke Kuroda MD, PhD .

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Editors and Affiliations

  1. Mauriziano “Umberto I” Hospital, Turin, Italy

    Roberto Rossi

  2. University of Rome “Foro Italico”, Rome, Italy

    Fabrizio Margheritini

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Kuroda, R., Matsushita, T., Araki, D., Nishizawa, Y., Matsumoto, T., Kurosaka, M. (2014). Combined ACL and Peripheral Instability: The Eastern Experience. In: Rossi, R., Margheritini, F. (eds) Knee Ligament Injuries. Springer, Milano. https://doi.org/10.1007/978-88-470-5513-1_11

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  • DOI: https://doi.org/10.1007/978-88-470-5513-1_11

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5512-4

  • Online ISBN: 978-88-470-5513-1

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