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ACLS 2016

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https://www.readbyqxmd.com/read/27859527/gait-mechanics-and-second-acl-rupture-implications-for-delaying-return-to-sport
#1
Jacob J Capin, Ashutosh Khandha, Ryan Zarzycki, Kurt Manal, Thomas S Buchanan, Lynn Snyder-Mackler
Second anterior cruciate ligament rupture is a common and devastating injury among young women who return to sport after ACL reconstruction, but it is inadequately understood. The purpose of this study was to compare gait biomechanics and return-to-sport time frames in a matched cohort of young female athletes who, after primary ACLR, returned to sport without re-injury or sustained a second ACL injury. Approximately 6 months after primary reconstruction, 14 young women (age 16 ± 2 years) involved in jumping, cutting, and pivoting sports underwent motion analysis testing after physical therapy and impairment resolution...
November 9, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27826598/variables-affecting-return-to-play-after-anterior-cruciate-ligament-injury-in-the-national-football-league
#2
Emmanuel D Eisenstein, Nathaniel L Rawicki, Nicholas J Rensing, Nicholas A Kusnezov, Joseph T Lanzi
BACKGROUND: Anterior cruciate ligament (ACL) injuries are common in the National Football League (NFL). Limited literature exists regarding return to play (RTP) and the factors affecting RTP after ACL reconstruction in NFL players. PURPOSE/HYPOTHESIS: To determine RTP rates after ACL reconstruction in NFL players and to ascertain which variables affect RTP in these players. We hypothesized that RTP in this population will be less than in the general population and similar to the limited studies published previously...
October 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27817301/neuroplasticity-associated-with-anterior-cruciate-ligament-reconstruction
#3
Dustin R Grooms, Stephen J Page, Deborah S Nichols-Larsen, Ajit M W Chaudhari, Susan E White, James A Onate
Study Design Controlled laboratory study. Background Anterior cruciate ligament (ACL) injury may result in neuroplastic changes due to lost mechanoreceptors of the ACL and compensations in neuromuscular control. These alterations are not completely understood. Assessing brain function after ACL injury and reconstruction with functional magnetic resonance imaging (fMRI), provides a means to address this gap in knowledge. Objective To investigate brain activation differences during knee flexion/extension in persons who have undergone ACL reconstruction (ACLR) and matched controls...
November 5, 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27747918/predictors-of-knee-joint-loading-after-anterior-cruciate-ligament-reconstruction
#4
Elizabeth Wellsandt, Ashutosh Khandha, Kurt Manal, Michael J Axe, Thomas S Buchanan, Lynn Snyder-Mackler
Anterior cruciate ligament (ACL) injury results in altered knee joint mechanics which frequently continue even after ACL reconstruction. The persistence of altered mechanical loading of the knee is of concern due to its likely role in the development of post-traumatic osteoarthritis (OA). Joint contact forces are associated with post-traumatic OA development, but evaluation of factors influencing the magnitude of contact forces after ACL injury is needed to advance current strategies aimed at preventing post-traumatic OA...
October 17, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27739132/psychometric-properties-and-normative-values-of-early-maladaptive-schema-questionnaires-set-for-children-and-adolescents-sqs
#5
Olcay Güner
: The Early Maladaptive Schema Questionnaires Set for Children and Adolescents (SQS) was developed to assess early maladaptive schemas in children between the ages of 10 and 16 in Turkey. The SQS consists of five questionnaires that represent five schema domains in Young's schema theory. Psychometric properties (n = 983) and normative values (n = 2250) of SQS were investigated in children and adolescents between the ages of 10 and 16. Both exploratory and confirmatory factor analyses were performed...
October 13, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27693100/diagnostic-validity-of-physical-examination-tests-for-common-knee-disorders-an-overview-of-systematic-reviews-and-meta-analysis
#6
Simon Décary, Philippe Ouellet, Pascal-André Vendittoli, Jean-Sébastien Roy, François Desmeules
INTRODUCTION: More evidence on diagnostic validity of physical examination tests for knee disorders is needed to lower frequently used and costly imaging tests. OBJECTIVE: To conduct a systematic review of systematic reviews (SR) and meta-analyses (MA) evaluating the diagnostic validity of physical examination tests for knee disorders. METHODS: A structured literature search was conducted in five databases until January 2016. Methodological quality was assessed using the AMSTAR...
August 5, 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27687062/french-prospective-multicenter-comparative-assessment-of-ambulatory-surgery-feasibility-in-anterior-cruciate-ligament-reconstruction
#7
N Lefevre, E Servien, P Colombet, J Cournapeau, F Dalmay, C Lutz, R Letartre, J-F Potel, X Roussignol, L Baverel, T Cucurulo
INTRODUCTION: The main objective of this multicenter study was to assess the feasibility of ambulatory surgery in France in anterior cruciate ligament (ACL) reconstructions for any technique or graft used (hamstring, patellar tendon, fascia lata). We hypothesized that a dedicated organization would guarantee the patient's safety. PATIENTS AND METHODS: A multicenter, non-randomized, prospective, comparative study, conducted within the SFA symposium was conducted between January 2014 and March 2015, included all the patients operated on for arthroscopic ACL reconstruction using different surgical techniques...
September 27, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27681449/translation-and-cross-cultural-adaption-of-the-lysholm-score-and-tegner-activity-scale-for-patients-with-anterior-cruciate-ligament-injuries
#8
Rienk Eshuis, Gijsbertus Wilhelmus Lentjes, Yelverton Tegner, Nienke Wolterbeek, Maurits Remmelt Veen
Study Design Clinical measurement. Background The Lysholm score and Tegner Activity Scale are frequently used patient-reported instruments to determine the functional status and activity level after anterior cruciate ligament (ACL) reconstruction. Objectives To translate and cross-culturally adapt the Lysholm score and Tegner Activity Scale for use in the Dutch population and to evaluate reliability and validity of these questionnaires in individuals after ACL reconstruction. Methods The translation and adaptation was conducted in several steps according to the guidelines in the literature...
September 28, 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27676866/evolution-of-the-anteroposterior-laxity-by-gnrb-at-6-9-and-12-months-post-surgical-anterior-cruciate-ligament-reconstruction
#9
Bertrand Semay, Alexandre Rambaud, Rémi Philippot, Pascal Edouard
OBJECTIVE: This study aimed to analyze the evolution of the tibiofemoral anterior laxity during the return to sport after anterior cruciate ligament reconstruction. PATIENTS AND METHODS: Twenty patients (11 women, 9 men) with mean age of 22.4±5.1 years, operated for ACL reconstruction by a hamstring technique, competitors in a pivot-contact sport, were enrolled between September 2014 and March 2016. They were evaluated at 6 (n=20), 9 (n=13) and 12 (n=13) months postoperatively by laximetry to 250N using laximètre GnRB(®) (GenouROB, Laval, France)...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27662636/the-effects-of-irradiation-on-the-biological-and-biomechanical-properties-of-an-acellular-porcine-superflexor-tendon-graft-for-cruciate-ligament-repair
#10
Jennifer H Edwards, Anthony Herbert, Gemma L Jones, Iain W Manfield, John Fisher, Eileen Ingham
Acellular xenogeneic tissues have the potential to provide 'off-the-shelf' grafts for anterior cruciate ligament (ACL) repair. To ensure that such grafts are sterile following packaging, it is desirable to use terminal sterilization methods. Here, the effects of gamma and electron beam irradiation on the biological and biomechanical properties of a previously developed acellular porcine superflexor tendon (pSFT) were investigated. Irradiation following treatment with peracetic acid was compared to peracetic acid treatment alone and the stability of grafts following long-term storage assessed...
September 23, 2016: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
https://www.readbyqxmd.com/read/27661048/autograft-versus-allograft-in-anterior-cruciate-ligament-reconstruction-a-meta-analysis-with-trial-sequential-analysis
#11
Shun-Li Kan, Zhi-Fang Yuan, Guang-Zhi Ning, Bo Yang, Hai-Liang Li, Jing-Cheng Sun, Shi-Qing Feng
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction is considered as the standard surgical procedure for the treatment of ACL tear. However, there is a crucial controversy in terms of whether to use autograft or allograft in ACL reconstruction. The purpose of this meta-analysis is to compare autograft with allograft for patients undergoing ACL reconstruction. METHODS: PubMed, EMBASE, and the Cochrane Library were searched for randomized controlled trials that compared autograft with allograft in ACL reconstruction up to January 31, 2016...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27612195/mechanisms-prediction-and-prevention-of-acl-injuries-cut-risk-with-three-sharpened-and-validated-tools
#12
REVIEW
Timothy E Hewett, Gregory D Myer, Kevin R Ford, Mark V Paterno, Carmen E Quatman
Economic and societal pressures influence modern medical practice to develop and implement prevention strategies. Anterior cruciate ligament (ACL) injury devastates the knee joint leading to short term disability and long term sequelae. Due to the high risk of long term osteoarthritis in all treatment populations following ACL injury, prevention is the only effective intervention for this life-altering disruption in knee health. The "Sequence of Prevention" Model provides a framework to monitor progress towards the ultimate goal of preventing ACL injuries...
November 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27581178/we-need-to-implement-current-evidence-in-early-rehabilitation-programs-to-improve-long-term-outcome-after-anterior-cruciate-ligament-injury
#13
May Arna Risberg, Hege Grindem, Britt Elin Øiestad
We like to think that we are successful in the treatment of individuals with anterior cruciate ligament (ACL) injury, but recent literature reveals that only about 60% of these individuals make a full recovery, less than 60% return to sport, and more than 50% develop knee osteoarthritis (OA) by middle age. Both short- and long-term outcomes after ACL injury and reconstruction need attention and action. We need to implement strategies early after ACL injury to prevent the development and progression of posttraumatic OA, rather than "sit and wait" until posttraumatic knee OA has developed...
September 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27556275/three-dimensional-isotropic-fat-suppressed-proton-density-weighted-mri-at-3-tesla-using-a-t-r-coil-can-replace-multiple-plane-two-dimensional-sequences-in-knee-imaging
#14
R Homsi, J Gieseke, J A Luetkens, P Kupczyk, B Maedler, G M Kukuk, F Träber, B Agha, M Rauch, N Rajakaruna, W Willinek, H H Schild, D R Hadizadeh
PURPOSE: To evaluate whether a 3 D proton density-weighted fat-suppressed sequence (PDwFS) of the knee is able to replace multiplanar 2D-PDwFS. MATERIALS AND METHODS: 52 patients (26 men, mean age: 41.9 ± 14.5years) underwent magnetic resonance imaging (MRI) of the knee at 3.0 Tesla using a T/R-coil. The imaging protocol included 3 planes of 2D-PDwFS (acquisition time (AT): 6:40 min; voxel sizes: 0.40 - 0.63 × 0.44 - 0.89 × 3mm³) and a 3D-PDwFS (AT: 6:31 min; voxel size: 0...
October 2016: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/27517460/local-vancomycin-in-acl-reconstruction-a-modern-rationale-2016-for-morbidity-prevention-and-patient-safety
#15
EDITORIAL
Karl Eriksson, Jon Karlsson
No abstract text is available yet for this article.
September 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27496245/combined-unicompartmental-knee-arthroplasty-and-anterior-cruciate-ligament-reconstruction-in-knees-with-osteoarthritis-and-deficient-anterior-cruciate-ligament
#16
Shaoqi Tian, Bin Wang, Yuanhe Wang, Chengzhi Ha, Lun Liu, Kang Sun
BACKGROUND: Relative young and more active patients with osteoarthritis (OA) of the isolated medial femorotibial compartment in conjunction with anterior cruciate ligament (ACL) deficiency are difficult to treat. The aim of this study was to explore the early clinical outcomes of combined Oxford unicompartmental knee arthroplasty (UKA) and ACL reconstruction for the patients presenting ACL deficiency and isolated OA of the medial compartment. METHODS: Twenty-eight patients were included into the study...
2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27450741/bioabsorbable-versus-metallic-interference-screws-for-graft-fixation-in-anterior-cruciate-ligament-reconstruction
#17
REVIEW
Pedro Debieux, Carlos E S Franciozi, Mário Lenza, Marcel Jun Tamaoki, Robert A Magnussen, Flávio Faloppa, João Carlos Belloti
BACKGROUND: Anterior cruciate ligament (ACL) tears are frequently treated with surgical reconstruction with grafts, frequently patella tendon or hamstrings. Interference screws are often used to secure the graft in bone tunnels in the femur and tibia. This review examines whether bioabsorbable interference screws give better results than metal interference screws when used for graft fixation in ACL reconstruction. OBJECTIVES: To assess the effects (benefits and harms) of bioabsorbable versus metallic interference screws for graft fixation in ACL reconstruction...
July 24, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27374015/postural-stability-during-single-leg-stance-a-preliminary-evaluation-of-noncontact-lower-extremity-injury-risk
#18
Bart Dingenen, Bart Malfait, Stefaan Nijs, Koen H E Peers, Styn Vereecken, Sabine M P Verschueren, Luc Janssens, Filip F Staes
Study Design Controlled laboratory study with a prospective cohort design. Background Postural stability deficits during single-leg stance have been reported in persons with anterior cruciate ligament (ACL) injury, ACL reconstruction, and chronic ankle instability. It remains unclear whether impaired postural stability is a consequence or cause of these injuries. Objectives To prospectively investigate whether postural stability deficits during single-leg stance predict noncontact lower extremity injuries. Methods Fifty injury-free female athletes performed a transition task from double-leg stance to single-leg stance with eyes closed...
August 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27340734/risk-factors-for-surgical-site-infections-following-anterior-cruciate-ligament-reconstruction
#19
Michael V Murphy, Dongyi Tony Du, Wei Hua, Karoll J Cortez, Melissa G Butler, Robert L Davis, Thomas A DeCoster, Laura Johnson, Lingling Li, Cynthia Nakasato, James D Nordin, Mayur Ramesh, Michael Schum, Ann Von Worley, Craig Zinderman, Richard Platt, Michael Klompas
OBJECTIVE To determine the effect of graft choice (allograft, bone-patellar tendon-bone autograft, or hamstring autograft) on deep tissue infections following anterior cruciate ligament (ACL) reconstructions. DESIGN Retrospective cohort study. SETTING AND POPULATION Patients from 6 US health plans who underwent ACL reconstruction from January 1, 2000, through December 31, 2008. METHODS We identified ACL reconstructions and potential postoperative infections using claims data. A hierarchical stratified sampling strategy was used to identify patients for medical record review to confirm ACL reconstructions and to determine allograft vs autograft tissue implanted, clinical characteristics, and infection status...
July 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27277002/immediate-post-operative-pain-in-anterior-cruciate-ligament-reconstruction-surgery-with-bone-patellar-tendon-bone-graft-versus-hamstring-graft
#20
Ravi Gupta, Dheeraj Kapoor, Love Kapoor, Anubhav Malhotra, Gladson David Masih, Anil Kapoor, Shweta Joshi
BACKGROUND: Pain in the immediate post-operative period after anterior cruciate ligament (ACL) surgery, apart from an unpleasant experience for the patient, can act as a barrier for static quadriceps contractions and optimum execution of the initial rehabilitation protocol resulting in slow recovery and a later return to full function for a sportsperson. There is no report in the literature comparing pain in the immediate post-operative period after using the two most widely used autografts, bone patellar tendon bone (BPTB) graft and hamstring graft...
2016: Journal of Orthopaedic Surgery and Research
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