acl reconstruction

Indications

Back wall blow out

Technique

Lateral incision

- divide ITB at posterior aspect of femoral condyle

Timing of Surgery

Issue

- reported higher incidence with immediate reconstruction in acute phase

- reduced by settling inflammation / effusion and obtaining FROM

- always best to delay if not professional athlete

- problematic if patient has locked bucket handle mensical tear

Results

Bottoni et al Am J Sports Med 2008

- RCT of early (average 9 days) v late reconstruction (average 85 days)