title: ACL reconstruction in a deployed environment in support of operation enduring freedom: a surgical technique.
abstract: Military orthopaedic surgeons in deployed environments along with orthopaedic surgeons working in more austere environments often find themselves without surgical equipment that they are normally accustomed to having in the operative suite. Today's U.S. Army Combat Support Hospital is appropriately focused on being prepared for modern battlefield trauma but lacks the resources for advanced sports medicine surgery to include arthroscopic equipment and implants. In this report, we describe an autograft anterior cruciate ligament reconstruction procedure using a combined mini-open extra-articular/intra-articular technique. This method could serve as a model for orthopaedic surgeons operating in more austere environments without modern sports medicine equipment and when working with the local national population who do not have access to modern health care facilities.
authors.affiliation: Madigan Army Medical Center, 9040 Fitzsimmons Dr., Tacoma, WA 98431.
authors.forename: Todd
authors.initials: T
authors.lastname: Balog
authors.affiliation: Madigan Army Medical Center, 9040 Fitzsimmons Dr., Tacoma, WA 98431.
authors.forename: James A
authors.initials: JA
authors.lastname: Sebesta
authors.affiliation: MEDCOM USAMRICD, 3100 Ricketts Point Rd, Aberdeen Proving Grounds, MD 21010.
authors.forename: Bruce A
authors.initials: BA
authors.lastname: Schoneboom
authors.affiliation: Hughston Sports Medicine Clinic, 6262 Veterans Pkwy, Columbus, GA 31909.
authors.forename: Douglas W
authors.initials: DW
authors.lastname: Pahl
authors.affiliation: Dwight David Eisenhower Army Medical Center, 300 E Hospital Rd, FT Gordon, GA 30905.
authors.forename: John A
authors.initials: JA
authors.lastname: Bojescul
mesh_terms: D055826:Afghan Campaign 2001-; D000346:Afghanistan; D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D006801:Humans; D008022:Ligaments / Q000637:transplantation; D008297:Male; D008887:Military Medicine / Q000379:methods; D012916:Soccer / Q000293:injuries*; D055815:Young Adult