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ACL Reconstruction X-Ray

X-ray on a knee following an ACL reconstruction - the white screw is used to fix the new ligament to the shin bone

ACL

Not all patients with an ACL rupture require a surgical reconstruction. Some are able to achieve sufficient stability with an ACL directed physiotherapy rehab. Some patients take to wearing a stabilising brace when undertaking sporting activity such as skiing.


However, if you are experiencing episodes of your knee giving way during normal daily activity this can and does have detrimental long term effects on your knee. In an ACL deficient knee, any change in the direction when you are walking or running can lead to your knee giving way. High level athletes have a higher functional demand than most patients and are therefore more likely to have ACL reconstruction surgery.


The ruptured ACL is usually reconstructed using some of your own tissue from around the injured knee. Normally two of your own hamstring tendons though sometimes the middle third of the patella tendon is used, . The operation is mainly carried out with key-hole surgery, aside from a small incision through which the hamstring tendons are "borrowed". This incision is just below the knee. Holes are drilled in the femur and tibia and the new graft is securely fixed within so that immediate weight bearing without the need for a brace or plaster can occur.

 

A new surgical technique for ACL Reconstruction

Mr Wilson has developed a new surgical technique for carrying out anterior cruciate ligament (ACL) surgery. He has done this in conjunction with Arthrex, which is one of the leading companies that supply and design knee surgery key hole equipment.

Orthopaedic Surgeons carrying out a new surgical technical for ACL Reconstruction

Mr Wilson has developed a new surgical technique for carrying out anterior cruciate ligament (ACL) surgery. He has done this in conjunction with Arthrex, which is one of the leading companies that supply and design knee surgery key hole equipment.


The current technique for ACL surgery done worldwide is carried out in such a way that the surgeon has a relatively poor view of the inside of the knee. This makes it impossible to place the new ligament in the ideal position (ie. where the ligament sits normally).



Orthopaedic Surgeons being filed during an ACL Surgery

With current ACL surgery as done by 99% of orthopaedic surgeons the ligament is placed in a non anatomical position. The operation works well in terms of functional outcome but 100% of patients go on to develop osteoarthritis relatively soon after surgery (it usually takes about 10 years for the wear and tear to be visible on an x-ray following this injury and operation). This is partly due to the injury itself but there is no question that in its current form the operation doesn't put the new ligament in quite the right place and this causes problems. Because of this, over the last few years, surgeons have developed new ways of doing this operation.



Filming of Anatomical ACL surgery or Foot Print ACL surgery

This new approach is called Anatomical or Foot Print ACL surgery. This type of surgery is difficult to carry out even in experienced hands and is only offered by a small number of specialist knee surgeons. With the new technique that Mr Wilson has developed Anatomical Foot Print ACL surgery has become much more straight forward. Mr Wilson has spent time working with the engineers at Arthrex and has designed a new set of novel instruments that together with the new technique have transformed this procedure. These instruments will be available form early 2011.



 
ACL surgery - Trans-lateral ACL Reconstruction

Mr Wilson has been invited to present his new technique at a series of key orthopaedic meetings in 2011, starting in February at the German Arthroscopic Association meeting in Garmisch-Partenkirchen. Here, he presented the Trans-Lateral technique with a live surgical demonstration and also with a hands on workshop with the delegates. It is Mr Wilson's belief and that of the team at Arthrex, that this new technique will become the standard way that ACL reconstruction surgery is carried out and it will enable this commonly done operation to be more accurate and reproducible. This will be a very positive step for both patients and other surgeons who carry out this common operation.


Trans-lateral ACL Reconstruction - Scientific Paper
Orthopaedic consultation

Orthopaedic consultation

Key-hole  knee surgery

Key-hole knee surgery

Mr Wilson carrying out knee arthroscopy surgery

Mr Wilson carrying out knee arthroscopy surgery

Scrub team before ACL surgery

Scrub team before ACL surgery

Mr Wilson carrying out knee arthroscopy surgery

Mr Wilson carrying out knee arthroscopy surgery

ACL reconstruction in progress

ACL reconstruction in progress

Surgical team setting up for a knee replacement operation

Surgical team setting up for knee surgery

Mr Wilson preparing for knee osteotomy surgery

Mr Wilson preparing for knee osteotomy surgery

ACL reconstruction

ACL reconstruction

Arthroscopic knee surgery

Arthroscopic knee surgery

ACL reconstruction

ACL reconstruction

ACL surgery

ACL surgery

Knee osteotomy surgery in progress

Knee osteotomy surgery in progress

Anterior cruciate ligament reconstruction

Anterior cruciate ligament reconstruction