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Anterior Cruciate Ligament

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Introduction On Saturday December 24th, 2011, the Washington Redskins hosted the Minnesota Vikings for a regular season NFL football match. With both teams struggling through abysmal seasons and far out of playoff contention, the game meant little to either side. Nevertheless, the players laced up their cleats, put on their pads, and stepped onto the field to play ball. Every die-hard sports fan knows that games of such irrelevance are endured with hopes for next season, and fingers crossed that no key players get injured. Unfortunately for Vikings supporters, though, minutes into the second half, star running back Adrian Peterson suffered a brutal hit to the outside of his left knee, rupturing his anterior cruciate ligament (ACL). While …show more content…
By the 1970s, the thought process behind ACL reconstruction took a more mechanical based approach. Doctors began to conduct strength testing on the various ligaments comprising the knee joint in order to better understand the respective roles of the ligaments involved (6), (7). Through the research published in The Journal of Bone and Joint Surgery by John Kennedy and Peter Flower, it was learned that the medial capsular ligament and tibial collateral ligament failed under rotational loading prior to failure of the ACL (7). Even though the results definitively suggested that ACL failure was induced by isolated trauma, the surgical advancements developed in the era were predicated around resolving the rotational instability of the …show more content…
As documented by Dandy, Flanagan, and Steenmeyer, in their paper, “Arthroscopy and the Management of the Ruptured Anterior Cruciate Ligament” in 1982, the development of arthroscopy allowed for greater flexibility in grafting procedures (11). By reducing the number and size of incisions, improving grafting fixation techniques, and increasing surgical precision, arthroscopy became the wave of the future (12). Towards the end of the 20th century the technology associated with arthroscopic procedures continued to advance. As a result, the reconstructive techniques associated with ACL procedures also continued to develop. Numerous advancements in the placement of grafts were made, allowing for the maximization of stability following surgery. Furthermore, the angle of inclination of grafting tunnels also began to be taken into account during surgery (13). The overall results of these advancements allowed for the grafting procedures to achieve enhanced levels of effectiveness. The replacement material was able to better replicate the ACL with regards to the mechanical properties of the

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