1、Anterior Cruciate Ligament Injury,Han Guibin orthopaedics department Haikou municipal peoples hospital,MEDICAL TERMS,anterior cruciate ligament(ACL) femoral condylar notch synovium eversion inversion graft patellar tibial plateau,前交叉韧带 股骨髁间窝 滑膜 外翻 内翻 移植物 髌骨的 胫骨平台,EPIDEMIOLOGY,ANATOMY,Originates from
2、 the lateral femoral condyle within the condylar notch and inserts on the tibial plateau. 31 to 35 mm in length and 31.3 mm2 in cross section. A two-bundle ligament, consisting of a small anteromedial and a larger posterolateral bundle. Surrounded by synovium.,PATHOGENESIS,Contact injury Eversion In
3、version Hyperextended Anterior and posterior remotion Noncontact injury Deceleration in jumping, or cutting action,SYMPTOMS,An audible pop or crack A feeling of initial instability Extreme pain Dysfunction,SIGNS,INVESTIGATIONS,arthroscope,MRI、KT-1000,ultrasonography、CT,X-ray,TREATMENT,SURGICAL TREAT
4、MENT,Click to ignore two slides about operation details,RECONSTRUCTION TECHNIQUE,ARTHROSCOPY TECHNIQUE OF ACL RECONSTRUCTION,Harvesting the Graft,Preparing the Graft,Drilling the tibial tunnel,Drilling the Femoral tunnel,Pulling the graft in place,Femoral Fixation,Tibial Fixation,A CARTOON OF ACL RECONSTRUCTION,COMPLICATIONS OF ACL SURGERY,preoperative,intraoperative,postoperative,PROGNOSIS,REVIEW,THANK YOU!,