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CRUCIATE RECONSTRUCTION

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https://www.readbyqxmd.com/read/29691761/open-tibial-inlay-pcl-reconstruction-surgical-technique-and-clinical-outcomes
#1
REVIEW
Evan E Vellios, Kristofer J Jones, David R McAllister
PURPOSE OF REVIEW: To review the current literature on clinical outcomes following open tibial inlay posterior cruciate ligament (PCL) reconstruction and provide the reader with a detailed description of the author's preferred surgical technique. RECENT FINDINGS: Despite earlier biomechanical studies which demonstrated superiority of the PCL inlay technique when compared to transtibial techniques, recent longitudinal cohort studies have shown no significant differences in clinical or functional outcomes at 10-year follow-up...
April 24, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29685502/effects-of-pre-operative-knee-laxity-on-clinical-outcomes-after-partial-anterior-cruciate-ligament-reconstruction
#2
Bin Li, Guang-Bin Wang, Yan-Fang Wang, Bing-Zheng Zhou
BACKGROUND: The effects of retaining residual bundles on surgical outcomes has not been observed, so we evaluated the effects of preoperative knee laxity on clinical outcomes after partial anterior cruciate ligament (ACL) reconstruction for partial ACL rupture in this study. PURPOSE: To evaluate the effects of preoperative knee laxity on clinical outcomes after partial anterior cruciate ligament (ACL) reconstruction for partial ACL rupture. METHODS: The data of 47 patients, who had partial ACL rupture and underwent partial ACL reconstruction, were retrospectively analyzed...
April 20, 2018: Knee
https://www.readbyqxmd.com/read/29685058/the-effect-of-open-vs-closed-kinetic-chain-exercises-on-anterior-tibial-laxity-strength-and-function-following-anterior-cruciate-ligament-reconstruction-a-systematic-review-and-meta-analysis
#3
Alyssa Perriman, Edmund Leahy, Adam Ivan Semciw
Study Design Systematic review with meta-analysis. Background There is controversy surrounding the early use of Open Kinetic Chain (OKC) quadriceps strengthening exercises post anterior cruciate ligament reconstruction (ACLR) due to the belief that increased strain in the graft could cause damage. Objectives To determine if OKC quadriceps exercises result in differences in anterior tibial laxity, strength, function, quality of life or adverse events in the ACLR population, when compared to closed kinetic chain (CKC) quadriceps exercises...
April 23, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29680779/effects-of-localized-vibration-on-knee-joint-position-sense-in-individuals-with-anterior-cruciate-ligament-reconstruction
#4
Takashi Nagai, Nathaniel A Bates, Timothy E Hewett, Nathan D Schilaty
BACKGROUND: Anterior cruciate ligament injury can disrupt one's mechanoreceptors and result in decreased proprioception such as joint position sense and ultimately altered motor function. The application of localized vibration has been used to investigate the integrity of the sensorimotor system and the mechanisms of quadriceps function after anterior cruciate ligament injury and reconstruction. The purpose of the study is to evaluate joint position sense with and without vibration and compare among anterior cruciate ligament reconstructed, contralateral, and control limbs...
April 14, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29679208/revision-pcl-reconstruction-review-update
#5
REVIEW
G Keith Gill, F Winston Gwathmey
PURPOSE OF REVIEW: The primary goal of this review is to update recent literature on revision PCL reconstruction and to discuss factors relevant to surgical failure, surgical indications and goals, patient evaluation, surgical decision-making, graft selection, surgical technique, associated surgical procedures, postoperative rehabilitation, and revision PCL reconstruction results. RECENT FINDINGS: Specifically, it is paramount to consider and treat posteromedial and posterolateral instability...
April 20, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29678623/differences-in-subchondral-bone-plate-and-cartilage-thickness-between-women-with-anterior-cruciate-ligament-reconstructions-and-uninjured-controls
#6
Jennifer L Bhatla, Andres Kroker, Sarah L Manske, Carolyn A Emery, Steven K Boyd
OBJECTIVE: Anterior cruciate ligament (ACL) tears increase early onset osteoarthritis (OA) risk leading to cartilage and bone degradation. While the contribution of bone in OA development is unclear, evidence suggests that bone changes accompany cartilage degradation. This study aims to assess if regions with differences in subchondral bone plate thickness have differences in cartilage thickness when comparing ACL reconstructed (ACLR) knees of women ≥5 years post-injury to contralateral and controls with uninjured knees...
April 17, 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29678170/self-reported-functional-recovery-after-reconstruction-versus-repair-in-acute-anterior-cruciate-ligament-rupture-rotor-a-randomized-controlled-clinical-trial
#7
Barbara C Boer, Roy A G Hoogeslag, Reinoud W Brouwer, Anna Demmer, Rianne M H A Huis In 't Veld
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction is today's surgical gold standard for ACL rupture. Although it provides satisfactory results, not all patients return to their previous activity level and moreover, early posttraumatic osteoarthritis is not prevented. As such, a renewed interest has emerged in ACL suture repair combined with dynamic augmentation. Compared to ACL reconstruction, the hypothesized advantages of ACL suture repair are earlier return to sports, reduction of early posttraumatic osteoarthritis and preservation of the patient's native ACL tissue and proprioceptive envelope of the knee...
April 20, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29675743/single-versus-double-bundle-pcl-reconstruction-scientific-rationale-and-clinical-evidence
#8
REVIEW
Christopher J Tucker, Patrick W Joyner, Nathan K Endres
PURPOSE OF REVIEW: The goal of this paper is to review the biomechanical and clinical rationale for single-bundle versus double-bundle posterior cruciate ligament (PCL) reconstruction. The primary question is whether there has been demonstrated any clear biomechanical or clinical superiority of a double-bundle reconstruction over a single-bundle reconstruction. RECENT FINDINGS: There is some recent evidence demonstrating biomechanical superiority of double-bundle versus single-bundle reconstruction; however, this is not definitive...
April 19, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29675503/factors-affecting-subjective-and-objective-outcomes-and-return-to-play-in-anterior-cruciate-ligament-reconstruction-a-retrospective-cohort-study
#9
Federica Rosso, Davide E Bonasia, Umberto Cottino, Simone Cambursano, Federico Dettoni, Roberto Rossi
Purpose  To analyze the prognostic factors influencing subjective and objective outcomes and return to play (RTP) after anterior cruciate ligament reconstruction (ACL-R). Methods  Primary ACL-Rs using a transtibial technique performed between 2008 and 2012 were included. Data regarding patients, surgery, sports, and rehabilitation, including an on-field rehabilitation (OFR) and duration of the rehabilitation program, were collected. The International Knee Documentation Committee (IKDC) subjective and objective evaluation forms, and the Knee Injury and Osteoarthritis Outcome Score and Lysholm questionnaires were used for the assessment of subjective and objective outcomes...
March 2018: Joints
https://www.readbyqxmd.com/read/29675501/does-donor-age-of-nonirradiated-achilles-tendon-allograft-influence-mid-term-results-of-revision-acl-reconstruction
#10
Stefano Zaffagnini, Tommaso Roberti di Sarsina, Tommaso Bonanzinga, Marco Nitri, Luca Macchiarola, Federico Stefanelli, Gianandrea Lucidi, Alberto Grassi
Purpose  The purpose of the present study was to investigate if the donor age of nonirradiated Achilles tendon allograft could influence the clinical results of revision anterior cruciate ligament (ACL) reconstruction. Methods  All patients that underwent ACL revision between 2004 and 2008 with at least 4 years of follow-up were included. For all the patients that met the inclusion criteria, the age of the graft donor was obtained from the tissue bank. Lysholm score was administered to patients that met inclusion criteria...
March 2018: Joints
https://www.readbyqxmd.com/read/29671697/a-biomechanical-comparison-of-dominant-and-non-dominant-limbs-during-a-side-step-cutting-task
#11
Christine D Pollard, Marc F Norcross, Sam T Johnson, Amanda E Stone, Eunwook Chang, Mark A Hoffman
Numerous studies have investigated anterior cruciate ligament (ACL) injury risk by examining gender differences in knee and hip biomechanics during a side-step cutting manoeuvre since it is known that ACL injury often occurs during such a task. Recent investigations have also examined lower extremity (LE) biomechanics during side-step cutting in individuals following ACL reconstruction (ACLR). Common research practice is to compare knee and hip biomechanics of the dominant limb between groups but this can add considerable complexity for clinicians and researchers...
April 19, 2018: Sports Biomechanics
https://www.readbyqxmd.com/read/29669497/increasing-rates-of-anterior-cruciate-ligament-reconstruction-in-young-australians-2000-2015
#12
David Zbrojkiewicz, Christopher Vertullo, Jane E Grayson
OBJECTIVES: To investigate the incidence and demographic features of anterior cruciate ligament (ACL) reconstructions in Australia by age and sex, and to determine whether the incidence has changed during the past 15 years. DESIGN AND SETTING: Descriptive epidemiological analysis of longitudinal data on ACL reconstructions (July 2000 - June 2015) in the National Hospital Morbidity Database. MAIN OUTCOME MEASURES: Population ACL reconstruction rates, by age group and sex...
April 23, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29669490/quality-of-life-in-symptomatic-anterior-cruciate-ligament-reconstructed-individuals-with-and-without-radiographic-knee-osteoarthritis
#13
Stephanie R Filbay, Ilana N Ackerman, Sanjay Dhupelia, Nigel K Arden, Kay M Crossley
Study Design Clinical measurement, cross-sectional. Background ACL-reconstructed individuals commonly experience impaired longer-term quality of life (QOL) which may be related to persistent knee symptoms or radiographic osteoarthritis (ROA). Understanding the impact of knee symptoms and ROA on QOL after ACL-reconstruction may assist in developing appropriate management strategies. Objectives 1. Compare QOL between ACL-reconstructed groups: i) symptomatic with ROA, ii) symptomatic without ROA, iii) asymptomatic (unknown ROA status); 2...
April 18, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29667429/quadriceps-function-knee-pain-and-self-reported-outcomes-in-patients-with-anterior-cruciate-ligament-reconstruction
#14
Adam S Lepley, Brian Pietrosimone, Marc L Cormier
CONTEXT:   Interactions among muscle strength, pain, and self-reported outcomes in patients with anterior cruciate ligament reconstruction (ACLR) are not well understood. Clarifying these interactions is of clinical importance because improving physical and psychological function is thought to optimize outcomes after ACLR. OBJECTIVE:   To examine the relationships among neuromuscular quadriceps function, pain, self-reported knee function, readiness to return to activity, and emotional response to injury both before and after ACLR...
April 18, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29663125/arthroscopic-transtibial-pcl-reconstruction-surgical-technique-and-clinical-outcomes
#15
REVIEW
Jessica Shin, Travis G Maak
PURPOSE OF REVIEW: Posterior cruciate ligament (PCL) injuries are relatively uncommon injuries. As such, there is a dearth of high-quality studies in the literature examining the operative management of PCL injuries and a lack of clear consensus on what the optimal method should be. The goal of this review was to conduct a comprehensive evaluation of recent literature and provide an evidence-based algorithm to optimize surgical decision-making and outcomes for PCL reconstruction. RECENT FINDINGS: Recent literature confirms that transtibial PCL reconstruction is a reliable and reproducible method to manage PCL injuries and results in satisfactory patient outcomes...
April 16, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29663013/bone-to-bone-integrations-were-complete-within-5-months-after-anatomical-rectangular-tunnel-anterior-cruciate-ligament-reconstruction-using-a-bone-patellar-tendon-bone-graft
#16
Hironari Masuda, Shuji Taketomi, Hiroshi Inui, Naoya Shimazaki, Nobuhiro Nishihara, Seikai Toyooka, Hirotaka Kawano, Takumi Nakagawa
PURPOSE: Anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone (BTB) graft is known to provide secure fixation due to the direct bone-to-bone integration of the bone plug and bone tunnel. It is important to know the time required for bone integration when designing the postoperative rehabilitation protocol or deciding when the patient can return to competition-level activity, especially if the patient is an athlete. However, because reports are scarce, the period necessary for bone-to-bone integration after ACL reconstruction using a BTB graft remains unclear...
April 16, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29662913/high-rate-of-missed-lateral-meniscus-posterior-root-tears-on-preoperative-magnetic-resonance-imaging
#17
Aaron J Krych, Isabella T Wu, Vishal S Desai, Naveen S Murthy, Mark S Collins, Daniel B F Saris, Bruce A Levy, Michael J Stuart
Background: Lateral meniscus posterior root tears (LMPRTs), if left untreated, can cause devastating effects to the knee, with rapid articular cartilage degeneration and loss of the meniscus as a secondary stabilizer. Detection and surgical repair of these defects have been linked to favorable outcomes, but preoperative identification of LMPRTs continues to be challenging. Purpose: To determine the rate of LMPRTs diagnosed preoperatively on magnetic resonance imaging (MRI) in a consecutive series of arthroscopically confirmed LMPRTs...
April 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29662910/outcomes-and-return-to-sport-after-revision-anterior-cruciate-ligament-reconstruction-in-adolescent-athletes
#18
Michael Saper, Stephanie Pearce, Joseph Shung, Robert Zondervan, Roger Ostrander, James R Andrews
Background: The number of adolescent anterior cruciate ligament (ACL) injuries is rising with increased participation in higher level athletics at earlier ages. With an increasing number of primary ACL reconstructions (ACLRs) comes a rise in the incidence of revision ACLRs. Purpose: To evaluate the clinical results of revision ACLR across a group of high-level adolescent athletes with at least 2-year follow-up. Study Design: Case series; Level of evidence, 4...
April 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29662909/development-and-validation-of-a-short-version-of-the-anterior-cruciate-ligament-return-to-sport-after-injury-acl-rsi-scale
#19
Kate E Webster, Julian A Feller
Background: The Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) scale was developed to measure an athlete's psychological readiness to return to sport after anterior cruciate ligament (ACL) injury and reconstruction surgery. The scale is being used with increasing frequency in both research and clinical settings. Purpose: To generate and validate a short version of the ACL-RSI scale. Study Design: Cohort study (diagnosis); Level of evidence, 2...
April 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29662782/quantitative-analysis-of-t2-relaxation-times-of-the-patellofemoral-joint-cartilage-3-years-after-anterior-cruciate-ligament-reconstruction
#20
Chang-Wan Kim, Ali Hosseini, Lin Lin, Yang Wang, Martin Torriani, Thomas Gill, Alan J Grodzinsky, Guoan Li
Objective: To evaluate patient-specific patellofemoral joint (PFJ) cartilage 3 years postoperatively using T2 mapping magnetic resonance imaging and the uninjured contralateral side as control. Hypothesis: The cartilage of the PFJ in the anterior cruciate ligament (ACL) reconstructed knees would show increased T2 values compared to the uninjured contralateral knees at 3-year follow-up, and the femoral (trochlear) cartilage would be more susceptible than the patella in degeneration in ACL-reconstructed knees...
January 2018: Journal of Orthopaedic Translation
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