Kitap Değerlendirmesi: “Current Concepts in ACL Reconstruction”

Book review

Current Concepts in ACL Reconstruction

Editor: Freddie H. Fu, Steven B. Cohen

Bibliographic Data: ISBN:978-1-55642-813-5; 2008 by SLACK İncorporated NJ, USA. 441 pages, hardcover.

Subjects: ACL injury (anatomy, biology, biomechanics, kinematics, evaluation,  imaging, injury mechanism, injury in the skelatally inmature patients); ACL reconstruction (technique, graft, portals, computer navigation, single bundle, double bundle, revision, outcome, rehabilitation, future advances)

DESCRIPTION: Current Concepts in ACL Reconstruction is a complete reference text composed of the most thorough  collection of topics on the  ACL and its surgical reconstruction compiled, with contributions from some of the world’s experts and most experienced ACL surgeons. Various procedures mentioned throughout the text are also demonstrated in an accompanying video CD-ROM.

PURPOSE: Composing a single, comprehensive and complete information source on ACL including basic sciences, clinical issues, latest concepts and surgical techniques, from evaluation to outcome ,from history to future, editors and contributers have targeted to keep the audience pace with the latest concepts and techniques for the evaluation and the treatment of  ACL injuries.

AUDIENCE: Orthopedic residents, sports traumatology and knee surgery fellows, orthopedic surgeons, also scientists in basic sciences or clinicians who are studying or planning a research on ACL forms the audience group of this book.

FEATURES:  The text is composed of 27 chapters in 6 sections.The first section is mostly about basic sciences, also history of the ACL, imaging, clinical approach to adolescent and pediatric patients are subjected. The chapters of the first section are:The History of the Cruciate Ligaments, Anatomy of the ACL, Basic Science/Biology, ACL Reconstruction Biomechenics, ACL Kinematics, New Advances in MRI of the ACL- İnjured Knee, Rupture Pattern and Injury Mechanism,Gender Differences in ACL injury,ACL injury in the Skelatally Immature Patient.

In the second section, Graft Choices and Arthroscopy Portals fora CL Reconstruction are mentioned.

The third section is about the technique and the outcome of the single-bundle ACL reconstruction and the chapters are: Single-Budle ACL Reconstruction Technique: Allograft, Single-Bundle ACL Reconstruction Technique:Bone-Patellar Tendon-Bone Autograft, Single-Bundle ACL Reconstruction Technique: Hamstring Autograft, Single-Bundle ACL Reconstruction Thecnique: Medial Portal, Outcomes of Single-Budle ACL Reconstruction.

The fourth chapter includes the techniques and outcome of the double-bundle ACL reconstruction and the chapters are: Double-Bundle ACL Reconstruction Thecnique: Japan, 

Double-Bundle ACL Reconstruction Thecnique: France, Double-Bundle ACL Reconstruction Thecnique: Italy, Double-Bundle ACL Reconstruction Thecnique: USA, Outcomes of Double-Bundle ACL Reconstruction.

In the fifth chapter revision, navigation thecnology, rehabilitation and the evaluation of the outcome of ACL reconstruction is subjected. The chapters are:Revision ACL Reconstruction, Principles of Soft Tissue Navigation for ACL Reconstruction, Computer Navigation ACL Reconstruction, Rehabilitation Following ACL Reconstruction, Outcome measures for ACL Reconstruction.

The sixth and the last chapter is about the future advances to reach: What We Have Learned and the Future of ACL Reconstruction.

ASSESMENT: This may be the latest, the most complete and comprehensive textbook of ACL  reconstruction produced by the editorial work up of two pioneer and  masters “Freddie H. Fu MD. and Steven B. Cohen MD.”with the contribution of  world’s most experienced surgeons to produce a so called “Bible of ACL”.

The most current consepts not only for the clinical approach but the latest knowdledge in basic sciences which the clinical consepts are based on also reviewed including biology, biomechanics, kinematics. Advances in the diagnostic measures mainly MR imaging are also included.

“Current Concepts in ACL Reconstruction” is a complete and the most up-to-date review providing the latest techniques for the treatment  of ACL injuries in details, including the perspectives of the most experienced ACL surgeons of the world. Rich illustrations and an accompanying video CD-ROM  comprehensively demonstrates the procedures and the techniques described in the book. The differences between single and double-bundle techniques, the technical details in different grafts choices and in technique and approach in the revison surgery and the are described in detail and explained in the anatomical basis.

Pearls, technical pitfalls, personal experience and advices of the most experienced ACL surgeons not only from USA but also from the other pioneer countries of the world in ACL surgery may be the most welcomed parts of the book even by the highly experienced ACL surgeons especially for technically demanding procedures like double-bundle reconstruction.

Postoperative rehabilitation described in phases provides the current rehabilitation concept after ACL reconstruction. Outcome measures to asses success after surgery are also reviewed and aspects for future is recomended.

Principles and experiences in the navigation technologies in ACL reconstruction are providing the reader  new perspectives for future possibilities in diagnosis and treatment.   

Review of basic sciences, advences in technology and clinical approach from history to future also clearly demontrates the evalution “where are we and the way to go” and future aspects in the treatment of a thorn ACL.

Reviewed by: M.Asım Baykan MD, Acibadem Harvard Medical International , İstanbul, Turkey