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https://www.readbyqxmd.com/read/29618144/five-strand-hamstring-autograft-in-primary-anterior-cruciate-ligament-reconstruction
#1
Lingaraj Krishna, Xin Yang Tan, Acksen Thangaraja, Francis K L Wong
The purpose of this study was to describe our surgical technique of using five-strand hamstring autograft with interference screw fixation in primary anterior cruciate ligament (ACL) reconstruction and to report the early postoperative outcomes of this technique. Patients who underwent primary ACL reconstruction using five-strand hamstring autografts with interference screw fixation between December 2014 and June 2016 were included in this study. The five-strand configuration was used in these patients because the four-strand configuration produced a graft diameter of less than 8 mm...
April 4, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29600266/clinical-outcome-of-anatomical-transportal-arthroscopic-anterior-cruciate-ligament-reconstruction-with-hamstring-tendon-autograft
#2
Omid Shahpari, Moslem FallahKezabi, Hamid Hejrati Kalati, Farshid Bagheri, Mohammad H Ebrahimzadeh
Background: Good clinical outcome and return to sport and daily functions after anatomical arthroscopic anterior cruciate ligament (ACL) reconstruction is goal standard in this surgery. but to date, there are different challenging issues between orthopedic surgeons regarding graft selection and surgical techniques. Methods: We retrospectively reviewed the patients who underwent anatomical arthroscopic one bundle ACL reconstruction with quadruple hamstring tendon autograft from 2010 to 2016 in our orthopedic sport medicine center...
March 2018: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29596077/anterior-cruciate-ligament-injuries-in-the-national-hockey-league-epidemiology-and-performance-impact
#3
Robert Longstaffe, Jeff Leiter, Peter MacDonald
OBJECTIVE: To determine the incidence of anterior cruciate ligament (ACL) injuries in the National Hockey League (NHL) and to examine the effects of this injury on return-to-play status and performance. DESIGN: Case series; level of evidence, 4. METHODS: This was a 2-phase study. Phase I used the NHL electronic injury surveillance system and Athlete Health Management System to collect data on ACL injuries and man games lost over 10 seasons (2006/2007-2015/2016)...
March 27, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29578774/greater-static-anterior-tibial-subluxation-of-the-lateral-compartment-after-an-acute-anterior-cruciate-ligament-injury-is-associated-with-an-increased-posterior-tibial-slope
#4
Guan-Yang Song, Hui Zhang, Jin Zhang, Xin Liu, Zhe Xue, Yi Qian, Hua Feng
BACKGROUND: Static anterior tibial subluxation of the lateral compartment after an anterior cruciate ligament (ACL) injury highlights an increased anterior position of the tibia relative to the femur. However, the precise cause of this phenomenon is not entirely clear. Recently, an increased posterior tibial slope (PTS) has been identified as an independent risk factor for noncontact ACL injuries. HYPOTHESIS: An increased PTS is associated with an increased anterior position of the lateral compartment of the tibia relative to the femur after acute ACL injuries...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29568784/does-the-lever-sign-test-have-added-value-for-diagnosing-anterior-cruciate-ligament-ruptures
#5
Miranda C Lichtenberg, Christiaan H Koster, Lennart P J Teunissen, Frits G J Oosterveld, Annelieke M K Harmsen, Daniel Haverkamp, Daniel Hoornenborg, Robert P Berg, Frank W Bloemers, Irene R Faber
Background: Diagnosing an anterior cruciate ligament (ACL) rupture based on a physical examination remains a challenge for both surgeons and physical therapists. The lever sign test was developed to overcome the practical limitations of other tests and to optimize diagnosis. An evaluation of the measurement properties of the lever sign test is needed to make adequate interpretations in practice. Purpose: To evaluate the reliability and diagnostic value of the lever sign test...
March 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29556890/septic-arthritis-after-arthroscopic-posterior-cruciate-ligament-and-multi-ligament-reconstructions-is-rare-and-can-be-successfully-treated-with-arthroscopic-irrigation-and-debridement-analysis-of-866-reconstructions
#6
Philipp Schuster, Markus Geßlein, Philipp Mayer, Michael Schlumberger, Raul Mayr, Jörg Richter
PURPOSE: The purpose of this study was to determine the incidence of septic arthritis following arthroscopic posterior cruciate ligament (PCL) and multi-ligament reconstructions, and to evaluate a treatment regime with sequential arthroscopic irrigation and debridement procedures combined with antibiotic therapy that is focused on retention of the graft. METHODS: Between 2004 and 2016 a total of 866 PCL reconstructions and multi-ligament reconstructions were performed at our institution (408 isolated PCL reconstructions, 458 combined reconstructions)...
March 20, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29554717/diagnostic-tools-for-acute-anterior-cruciate-ligament-injury-gnrb-lachman-test-and-telos
#7
Seung Min Ryu, Ho Dong Na, Oog Jin Shon
Purpose: The purpose of this study is to compare the accuracy of the GNRB arthrometer (Genourob), Lachman test, and Telos device (GmbH) in acute anterior cruciate ligament (ACL) injuries and to evaluate the accuracy of each diagnostic tool according to the length of time from injury to examination. Materials and Methods: From September 2015 to September 2016, 40 cases of complete ACL rupture were reviewed. We divided the time from injury to examination into three periods of 10 days each and analyzed the diagnostic tools according to the time frame...
March 19, 2018: Knee Surgery & related Research
https://www.readbyqxmd.com/read/29469658/evolving-treatment-patterns-of-nfl-players-by-orthopaedic-team-physicians-over-the-past-decade-2008-2016
#8
John B Schrock, Trevor J Carver, Matthew J Kraeutler, Eric C McCarty
BACKGROUND: Previous studies have analyzed the treatment patterns used to manage injuries in National Football League (NFL) players. HYPOTHESIS: Treatment patterns for injuries in NFL players will have changed over the study period. STUDY DESIGN: Descriptive epidemiology study. LEVEL OF EVIDENCE: Level 5. METHODS: The head orthopaedic team physicians for all 32 NFL teams were asked to complete a survey containing questions regarding experience as team physician, medical coverage of the team, and treatment preferences for some of the most common injuries occurring in football players...
February 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29466019/video-analysis-of-anterior-cruciate-ligament-tears-in-professional-american-football-athletes
#9
Jeffrey T Johnston, Bert R Mandelbaum, David Schub, Scott A Rodeo, Matthew J Matava, Holly J Silvers, Brian J Cole, Neil S ElAttrache, Tim R McAdams, Robert H Brophy
BACKGROUND: Anterior cruciate ligament (ACL) injuries are prevalent in contact sports that feature cutting and pivoting, such as American football. These injuries typically require surgical treatment, can result in significant missed time from competition, and may have deleterious long-term effects on an athlete's playing career and health. While the majority of ACL tears in other sports have been shown to occur from a noncontact mechanism, it stands to reason that a significant number of ACL tears in American football would occur after contact, given the nature of the sport...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29455503/-diagnostic-value-of-blumensaat-angle-for-anterior-cruciate-ligament-injury
#10
Xiang-Yun Cheng, Jiang-Feng Feng, Yan-Hui Lu, Yong-Liang Zhao, Zi-Quan Yang
OBJECTIVE: The receiver operator characteristic(ROC) curve was used to determine the best Blumensaat angle for the diagnosis of anterior cruciate ligament injury, so as to objectively evaluate the diagnostic value of Blumensaat angle for anterior cruciate ligament injury. METHODS: Total 167 patients who had knee arthroscopic treatment in a hospital from January 2015 to January 2016 were retrospectively studied, and the patients' age, gender, left and right limb condition were recorded...
August 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29415078/risk-factors-for-anthroponotic-cutaneous-leishmaniasis-in-unresponsive-and-responsive-patients-in-a-major-focus-southeast-of-iran
#11
Mehdi Bamorovat, Iraj Sharifi, Mohammad Reza Aflatoonian, Hamid Sharifi, Ali Karamoozian, Fatemeh Sharifi, Ahmad Khosravi, Saeid Hassanzadeh
Cutaneous leishmaniasis (CL) is a serious health challenge at the global level due to Leishmania tropica. This study was conducted to evaluate the risk factors associated with anthroponotic CL (ACL) in unresponsive (patient who does not heal and remains with an active lesion, despite receiving two courses of intra-lesional Glucantime along with cryotherapy and one cycle of systemic Glucantime) and responsive patients in a major focus in southeastern Iran. A case-control study was conducted from April 2015 to October 2016 in the southeast of Iran...
2018: PloS One
https://www.readbyqxmd.com/read/29404655/concomitant-injuries-may-not-reduce-the-likelihood-of-achieving-symmetrical-muscle-function-one%C3%A2-year-after-anterior-cruciate-ligament-reconstruction-a-prospective-observational-study-based-on-263-patients
#12
Eric Hamrin Senorski, Eleonor Svantesson, Susanne Beischer, Christoffer Thomeé, Alberto Grassi, Ferid Krupic, Roland Thomeé, Jón Karlsson, Kristian Samuelsson
PURPOSE: A better understanding of patient characteristics and the way common concomitant injuries affect the recovery of muscle function after surgery should help providers to treat patients with anterior cruciate ligament (ACL) injuries. The aim of this study was to determine whether patient characteristics, concomitant injuries and graft choice at ACL reconstruction were associated with symmetrical knee muscle function at one year. The hypothesis was that the presence of concomitant injuries would negatively influence the opportunity to achieve symmetrical knee function at the one-year follow-up...
February 5, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29404654/translation-and-validation-of-the-simplified-chinese-version-of-the-anterior-cruciate-ligament-return-to-sport-after-injury-acl-rsi
#13
Zhen-Yu Jia, Jin Cui, Wei Wang, Chen-Chen Xue, Tian-Ze Liu, Xuan Huang, Wei-Dong Xu
PURPOSE: The aim of this study is to obtain a translation and adaptation of the anterior cruciate ligament-return to sport after injury (ACL-RSI) into simplified Chinese and validate the simplified Chinese version. METHODS: Translation and adaptation were performed according to the guidelines of the American Academy of Orthopaedic Surgeons Outcome Committee. A total of 122 patients who were diagnosed with an ACL injury and underwent primary arthroscopic anterior cruciate ligament reconstruction (ACLR) between 2015 and 2016 were included in this study...
February 5, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29397287/clinical-outcomes-after-arthroscopic-release-of-patellofemoral-arthrofibrosis-in-patients-with-prior-anterior-cruciate-ligament-reconstruction
#14
Sean P Calloway, Clinton J Soppe, Bert R Mandelbaum
PURPOSE: The purpose of this study was to review our results of arthroscopic release in patients diagnosed with refractory patellofemoral arthrofibrosis (PFA) after having undergone anterior cruciate ligament (ACL) reconstruction. METHODS: From 2006 to 2016, all patients who underwent arthroscopic release for refractory PFA after ACL reconstruction were reviewed retrospectively. All patients then completed surveys containing the International Knee Documentation Committee (IKDC) and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and were asked 2 subjective questions...
January 31, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29376084/chinese-ethnicity-is-associated-with-concomitant-cartilage-injuries-in-anterior-cruciate-ligament-tears
#15
Chloe Xiaoyun Chan, Keng Lin Wong, Shi Jie Toh, Lingaraj Krishna
Background: Chinese ethnicity is associated with the presence of knee osteoarthritis. This raises the possibility that it may similarly be associated with concomitant meniscus and cartilage injuries in patients with anterior cruciate ligament (ACL) tears. There are currently no published data on the effect of Chinese ethnicity in this regard. Purpose: The primary aim was to determine whether Chinese ethnicity is associated with concomitant intra-articular injuries in patients with ACL tears and to verify the correlation of age, sex, body mass index, mechanism of injury, cause of injury, and presence of bone contusions on magnetic resonance imaging with such injuries...
January 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29373984/the-effect-of-targeted-exercise-on-knee-muscle-function-in-patients-with-persistent-hamstring-deficiency-following-acl-reconstruction-study-protocol-for-a-randomized-controlled-trial
#16
Bo Bregenhof, Uffe Jørgensen, Per Aagaard, Nis Nissen, Mark W Creaby, Jonas Bloch Thorlund, Carsten Jensen, Trine Torfing, Anders Holsgaard-Larsen
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction, using hamstring auto-graft is a common surgical procedure, which often leads to persistent hamstring muscle-strength deficiency and reduced function. The purpose of this randomized controlled trial (RCT) is to investigate the effect of a combined, progressive, strength and neuromuscular exercise intervention on knee muscle strength, functional capacity and hamstring muscle-tendon morphology in ACL-reconstructed patients with persistent hamstring muscle-strength deficiency compared with controls...
January 26, 2018: Trials
https://www.readbyqxmd.com/read/29362146/protruding-anterior-medial-meniscus-an-indirect-sign-of-posterior-cruciate-ligament-deficiency
#17
Anagha P Parkar, Kristiane Bleskestad, Susanne Løken, Miraude E A P M Adriaensen, Eirik Solheim
BACKGROUND: to examine if PROTruding of the Anterior Medial Meniscus (PROTAMM) could be an indirect sign of PCL deficiency by comparing PROTAMM to passive posterior tibial sagging (PSS) for chronic PCL rupture on routine MRI. METHODS: Patients with PCL reconstruction between 2011 and 2016 were included in a case control study. Primarily cases with combined ACL/PCL injury were excluded. Secondary exclusion criteria were bony fractures, medial meniscus pathology and poor quality MRIs...
February 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/29353004/leishmania-tropica-isolates-from-non-healed-and-healed-patients-in-iran-a-molecular-typing-and-phylogenetic-analysis
#18
Mehdi Bamorovat, Iraj Sharifi, Mohammad Ali Mohammadi, Sana Eybpoosh, Saeid Nasibi, Mohammad Reza Aflatoonian, Ahmad Khosravi
The precise identification of the parasite species causing leishmaniasis is essential for selecting proper treatment modality. The present study aims to compare the nucleotide variations of the ITS1, 7SL RNA, and Hsp70 sequences between non-healed and healed anthroponotic cutaneous leishmaniasis (ACL) patients in major foci in Iran. A case-control study was carried out from September 2015 to October 2016 in the cities of Kerman and Bam, in the southeast of Iran. Randomly selected skin-scraping lesions of 40 patients (20 non-healed and 20 healed) were examined and the organisms were grown in a culture medium...
March 2018: Microbial Pathogenesis
https://www.readbyqxmd.com/read/29157992/complications-associated-with-the-techniques-for-anterior-cruciate-ligament-reconstruction-in-patients-under-18-years-old-a-systematic-review
#19
W Tovar-Cuellar, F Galván-Villamarín, J Ortiz-Morales
OBJECTIVE: Determine the complications related to the different techniques for anterior cruciate ligament reconstruction in patients under 18 years old. METHODOLOGY: Systematic review using the databases Medline, Cochrane Database of Systematic Reviews and Embase (until July 2016), additional studies were included conducting a search of the references of previous studies. The terms included in the search were: «cruciate», «ligament», «anterior», «immature», «complications», «outcome», «acl reconstruction»,« cruciate ligament anterior reconstruction», «children», «child», «infants», «adolescent», «open physis», «growth plate» and «skeletally immature»...
November 17, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29132386/primary-single-suture-anchor-re-fixation-of-anterior-cruciate-ligament-proximal-avulsion-tears-leads-to-good-functional-mid-term-results-a-preliminary-study-in-12-patients
#20
Christof Hoffmann, Jan Friederichs, Christian von Rüden, Christian Schaller, Volker Bühren, Christoph Moessmer
BACKGROUND: Current studies demonstrate encouraging short-term results after primary anterior cruciate ligament (ACL) suture anchor repair. However, earlier studies reported deterioration of knee function at 5-year follow-up following good clinical short-term recovery. Therefore, the aim of this study was to evaluate clinical long-term results after primary ACL repair at a minimum 5-year follow-up. METHODS: In a retrospective study, 13 patients were included between 2009 and 2012...
November 13, 2017: Journal of Orthopaedic Surgery and Research
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