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Anatomic ACL Repair

What is Anatomic ACL Reconstruction?

The anatomy of every patient is different.  The “Anatomic Technique for ACL Reconstruction” looks at each patient individually and anchors the ACL to its original anatomical position by using the medial portal approach; therefore keeping the natural anatomy of the knee.  By doing this, the patient is less likely to suffer a repeat tear and is able to return to activities in less time.  It is also believed that using this new method can decrease  the risk of developing arthritis later in life. 


When the ACL is injured it cannot be repaired by fixing the original ligament.  A “new” ACL must be constructed by grafting tissue from the patient’s body (autograph) or by using tissue from a cadaver (allograft).  It has been shown that anatomic graft placement is critical to the success and clinical outcome of ACL reconstruction.



The main benefit to the new procedure is that it helps prevent a re-tear of the ACL because the graft is placed lower and mimics the body’s natural anatomy.  Non-anatomic bone tunnel placement is the most common cause of a failed ACL reconstruction.  


What is the ACL?
There are two key ligaments in the knee that help to create stability. The Anterior Cruciate Ligament or ACL and the Posterior Cruciate Ligament are responsible for keeping the leg in place. 

What happens when the ACL is torn?
When the ACL is torn due to a traumatic force to the knee or a sudden twist, the ligaments often need to be reconstructed. If a tear is left untreated, other issues can arise (such as cartilage damage, meniscal tear and osteoarthritis)



Symptoms of a Torn ACL:

  • Swelling
  • Difficulty Walking
  • Instability
  • Knee “giving out” with certain activities
Treatment:
Dr. Vitolo uses an anatomic approach to repairing the ACL surgically. This method is performed arthroscopically and the goal is to return the knee to its natural anatomic state. In other repair methods, the ACL is re-attached either above or below the “natural” placement of the ACL. By performing the repair anatomically, Dr. Vitolo has seen his patients experience less post-operative pain, improved range of motion, and better results overall. 



For more information or to schedule an appointment, please visit our website:  www.skyvieworthopedic.com or call 973.300.1553.