keyword
https://read.qxmd.com/read/38414705/conservative-treatment-using-platelet-rich-plasma-for-acute-anterior-cruciate-ligament-injuries-in-highly-active-patients-a-retrospective-survey
#1
JOURNAL ARTICLE
Shinnosuke Hada, Masao Hada, Keiichi Yoshida, Haruka Kaneko, Yoshitomo Saita, Mitsuaki Kubota, Muneaki Ishijima
Background The recommended treatment for anterior cruciate ligament (ACL) injuries in active, sports-oriented patients is reconstructive surgery in order to regain stability and prevent secondary meniscal injuries. However, ACL reconstruction requires a long recovery period and poses issues such as decreased muscle strength due to tendon harvesting and postoperative osteoarthritis (OA) progression, thereby raising significant expectations for the advancement of conservative treatments. Recent studies have shown that platelet-rich plasma (PRP) therapy, which utilizes the tissue repair-promoting property of platelets, is effective for ACL injuries...
January 2024: Curēus
https://read.qxmd.com/read/38269417/analysis-of-graft-types-augmented-with-an-internal-brace-for-acl-reconstruction-a-systematic-review
#2
JOURNAL ARTICLE
Connor Maginnis, Cooper Root, Julie H Schiavo, Victoria K Ierulli, Bryan Vopat, Mary K Mulcahey
BACKGROUND: New techniques are being developed to decrease the failure rate of anterior cruciate ligament (ACL) grafts and prevent revision surgery. One such technique involves high-strength suture tape (ST), also referred to as internal bracing. Recent literature has highlighted the use of ST for ACL reconstruction, but no study has compared ST augmentation between graft types. PURPOSE: To compare the use of ST augmentation for ACL reconstruction based on the type of graft used (ie, bone-patellar tendon-bone [BPTB], quadriceps, hamstring)...
January 25, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38114287/internal-brace-augmentation-reconstruction-versus-standard-anterior-cruciate-ligament-reconstruction-a-randomised-controlled-clinical-trial-study-protocol
#3
JOURNAL ARTICLE
Wenhao Lu, Di Liu, Zijun Cai, Linyuan Pan, Wenqing Xie, Hongfu Jin, Xu Liu, Yusheng Li, Wenfeng Xiao
INTRODUCTION: Anterior cruciate ligament (ACL) rupture is one of the most common knee injuries in sports, and the gold standard for treating ACL rupture is tendon graft reconstruction. Internal brace technology is being used nowadays for ligament repair; however, more relevant in vivo clinical evidence is required for using internal brace technology in ACL reconstruction (ACLR). We conducted a randomised controlled trial to investigate the clinical efficacy of internal brace technology in ACLR...
December 19, 2023: BMJ Open
https://read.qxmd.com/read/37988779/the-effects-of-a-sleeve-knee-brace-during-stair-negotiation-in-patients-with-symptomatic-patellofemoral-osteoarthritis
#4
JOURNAL ARTICLE
K Doslikova, N D Reeves, C N Maganaris, V Baltzopoulos, S M P Verschueren, F P Luyten, R K Jones, D T Felson, M J Callaghan
BACKGROUND: The patellofemoral joint is an important source of pain in knee osteoarthritis. Most biomechanical research in knee osteoarthritis has focused on the tibiofemoral joint during level walking. It is unknown what happens during stair negotiation in patients with patellofemoral joint osteoarthritis, a task commonly increasing pain. Conservative therapy for patellofemoral joint osteoarthritis includes the use of a sleeve knee brace. We aimed to examine the effect of a sleeve knee brace on knee biomechanics during stair negotiation in patellofemoral joint osteoarthritis patients...
November 3, 2023: Clinical Biomechanics
https://read.qxmd.com/read/37985029/design-and-evaluation-of-an-offloading-orthosis-for-medial-knee-osteoarthritis
#5
JOURNAL ARTICLE
Madeleine Imboden, Émélie Séguin, Marc Doumit
Knee osteoarthritis is an incurable degenerative joint disease that affects millions of people. Characterized by stiffness and knee pain in the early stages, it can cause loss of function and mobility. Most treatment options are either not sustainable, invasive, or costly. Alternatively, offloading knee orthoses are a cost-effective option that provides immediate pain relief when worn. Offloading knee orthoses, however, have low patient compliance rates. To improve patient compliance and optimize patient benefit, current orthosis designs must be enhanced to improve comfort, increase the perceived effect, and be adjustable to the patient...
November 2023: Medical Engineering & Physics
https://read.qxmd.com/read/37984028/sex-differences-in-dynamic-joint-stiffness-during-walking-in-older-adults
#6
JOURNAL ARTICLE
Haruki Toda, Hiroaki Hobara, Mitsunori Tada
BACKGROUND: Knee osteoarthritis (OA) often occurs in older women. Walking assistance such as knee brace is used to reduce mechanical stress on the knee, preventing OA onset. Dynamic joint stiffness (DJS) quantifies the resistance of an assistive device, providing a foundation for an objective bending stiffness prescription model. DJS may show sex differences among older adults. RESEARCH QUESTION: This study aimed to investigate sex differences in lower limb DJS in the sagittal plane during walking in older adults...
November 14, 2023: Gait & Posture
https://read.qxmd.com/read/37975527/outcomes-of-anterior-cruciate-ligament-reconstruction-with-independently-tensioned-suture-tape-augmentation-at-5-year-follow-up
#7
JOURNAL ARTICLE
William T Wilson, Matthew J Kennedy, Douglas MacLeod, Graeme P Hopper, Gordon M MacKay
BACKGROUND: Reconstruction using autograft remains the gold standard surgical treatment for anterior cruciate ligament (ACL) injuries. However, up to 10% to 15% of patients will suffer a graft failure in the future. Cadaveric studies have demonstrated that the addition of suture tape augmentation to ACL autograft constructs can increase graft strength and reduce elongation under cyclical loading. PURPOSE/HYPOTHESIS: This study aimed to investigate the clinical outcomes and rerupture rates after ACL reconstruction (ACLR) with suture tape augmentation...
December 2023: American Journal of Sports Medicine
https://read.qxmd.com/read/37943157/evaluation-of-an-unloading-concept-for-knee-osteoarthritis-a-pilot-study-in-a-small-patient-group
#8
JOURNAL ARTICLE
Jonas S Stoltze, Anderson S C Oliveira, John Rasmussen, Michael S Andersen
Joint compressive forces have been identified as a risk factor for osteoarthritis disease progression. Therefore, unloader braces are a common treatment with the aim of relieving pain, but their effects are not clearly documented in the literature. A knee brace concept was tested with the aim of reducing joint loads and pain in knee osteoarthritis patients by applying an extension moment exclusively during the stance phase. The ideal effects were evaluated during gait based on musculoskeletal modeling of six patients, and experimental tests with a prototype brace were conducted on one patient...
January 1, 2024: Journal of Biomechanical Engineering
https://read.qxmd.com/read/37915868/the-novelty-of-orthopedic-rehabilitation-after-conservative-management-for-patellar-dislocation-with-partial-tear-of-medial-meniscus-and-early-osteoarthritis-in-a-31-year-old-female
#9
Pooja R Tiwari, Deepali S Patil, Anam R Sasun, Pratik Phansopkar
Primary patellar dislocation or first-time patellar dislocation is the second most frequent cause of knee injuries which overall accounts for about 3% of other knee injuries. The patellofemoral joint is formed by the patella connecting to the femoral trochlea and creates both static and dynamic structures of the knee. There are basically three types of patellar dislocation: superior, lateral, and medial. The lateral dislocation is the most frequent one. Females are more vulnerable and are at higher risk than males...
September 2023: Curēus
https://read.qxmd.com/read/37815539/-treatment-of-acute-knee-dislocations
#10
REVIEW
Thomas R Pfeiffer, Daniel Günther
A knee dislocation is a serious injury involving at least two of the four major ligamentous stabilizers of the knee. This injury results in multidirectional knee instability. In dislocation of the knee the popliteal artery and the peroneal nerve can also be damaged. Dislocations with vascular involvement are potentially threatening injuries of the lower extremities. The diagnosis of knee dislocation can be difficult due to a high rate of spontaneous reduction at the initial examination. Knee dislocations are rare and mainly occur in young men...
October 10, 2023: Unfallchirurgie (Heidelb)
https://read.qxmd.com/read/37779772/catastrophic-mid-flexion-instability-after-avulsion-fractures-of-the-articular-capsule-of-the-femur-and-tibia-in-a-patient-with-posterior-stabilized-total-knee-arthroplasty-a-case-report
#11
Akihiro Itamoto, Kohei Nishitani, Shinichi Kuriyama, Shinichiro Nakamura, Shuichi Matsuda
Mid-flexion instability can be caused by patient-related, implant-related, or technique-specific factors and impairs the activities of daily living after total knee arthroplasty (TKA). In this study, we report a rare case of a patient with severe mid-flexion instability following tibial and femoral avulsion fractures after posterior-stabilized (PS) TKA for knee osteoarthritis. An 82-year-old female with bilateral knee osteoarthritis underwent staged bilateral TKA with a posterior-stabilized prosthesis. The course of the early postoperative period was good, and the patient was able to walk independently with a cane...
August 2023: Curēus
https://read.qxmd.com/read/37685647/high-prevalence-of-persistent-measurable-postoperative-knee-joint-laxity-in-patients-with-tibial-plateau-fractures-treated-by-open-reduction-and-internal-fixation-orif
#12
JOURNAL ARTICLE
Markus Bormann, Claas Neidlein, Niels Neidlein, Dennis Ehrl, Maximilian Jörgens, Daniel P Berthold, Wolfgang Böcker, Boris Michael Holzapfel, Julian Fürmetz
The development of post-traumatic osteoarthrosis after tibial plateau fracture (TPF) is multifactorial and can only be partially influenced by surgical treatment. There is no standardized method for assessing pre- and postoperative knee joint laxity. Data on the incidence of postoperative laxity after TPF are limited. The purpose of this study was to quantify postoperative laxity of the knee joint after TPF. Fifty-four patients (mean age 51 ± 11.9 years) were included in this study. There was a significant increase in anterior-posterior translation in 78...
August 27, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37673295/oarsi-year-in-review-2023-rehabilitation-and-outcomes
#13
REVIEW
E M Macri, R W Selles, J J Stefanik, M Reijman
OBJECTIVE: We systematically reviewed the literature to identify comparative studies of core treatments (exercise, education, or weight management), adjunct treatments (e.g. electrotherapeutical modalities, bracing), or multimodal treatments (core plus other treatments), for treating osteoarthritis (OA) complaints, published between 1 March 2022 and 1 March 2023. DESIGN: We searched three electronic databases for peer-reviewed comparative studies evaluating core treatments, adjunct treatments, or multimodal treatments for OA affecting any joint, in comparison to other OA treatments...
December 2023: Osteoarthritis and Cartilage
https://read.qxmd.com/read/37593689/cohort-study-of-short-term-outcomes-after-acl-reconstruction-using-autograft-with-internal-brace-reinforcement-versus-isolated-autograft-demonstrating-no-significant-difference
#14
JOURNAL ARTICLE
Rahul Mohan, Tariq Adam Kwaees, Terin Thomas, Ravi Pydisetty
BACKGROUND: The gold standard treatment for Anterior Cruciate Ligament injury is reconstruction (ACL-R). Graft failure is the concern and ensuring a durable initial graft with rapid integration is crucial. Graft augmentation with implantable devices (internal brace reinforcement) is a technique purported to reduce the risk of rupture and hasten recovery. Few studies have examined these techniques, in particular when compared to non-augmented grafts. This study assesses the short-term outcome of ACL-R using augmented and non-augmented hamstring tendon autografts...
September 2023: Journal of Orthopaedics
https://read.qxmd.com/read/37556084/smoking-and-secondary-acl-rupture-are-detrimental-to-knee-health-post-acl-injury-a-bayesian-analysis
#15
JOURNAL ARTICLE
Micah Nicholls, Thorvaldur Ingvarsson, Stephanie Filbay, Stefan Lohmander, Kristin Briem
PURPOSE: To identify potential prognostic factors for patient-reported outcomes in an Icelandic cohort of ACL injured subjects. METHODS: All knee MRI reports written in Iceland between the years 2001 to 2011 were read to identify individuals with a possible ACL injury. These individuals were contacted and asked to complete an online questionnaire regarding their injury and current knee related health. The questionnaire collected information on years since surgery, injury circumstance, brace use, physiotherapy, ACL surgery, second ACL injury and current smoking status...
August 9, 2023: Journal of Experimental Orthopaedics
https://read.qxmd.com/read/37548031/return-to-sports-after-acl-augmentation-with-anterolateral-reconstruction-alr-harvesting-gracilis-only-compared-with-acl-reconstruction-with-alr-harvesting-both-hamstring-tendons
#16
JOURNAL ARTICLE
Jean-Marie Fayard, Constant Foissey, Victor Pacoret, Hichem Abid, Thais Dutra Vieira, Ayman Gabr, Mathieu Thaunat
BACKGROUND: Anterior cruciate ligament (ACL) repair (ACL-Rp) is known to be a valuable alternative to ACL reconstruction (ACL-Rc) in selected indications. The majority of the ACL-Rp techniques recommend the use of a synthetic brace. The use of the gracilis allows both a biological internal brace and anterolateral ligament reconstruction (ALR). PURPOSE: The primary objective was to compare the early ability to return to sports between patients who underwent ACL-Rp using a gracilis autograft as an internal brace augmentation with ALR and patients who underwent the conventional ACL-Rc with ALR technique sacrificing both the gracilis and the semitendinosus...
September 2023: American Journal of Sports Medicine
https://read.qxmd.com/read/37547839/patient-reported-outcomes-and-muscle-strength-after-a-physiotherapy-led-exercise-and-support-brace-intervention-in-patients-with-acute-injury-of-the-posterior-cruciate-ligament-a-two-year-follow-up-study
#17
JOURNAL ARTICLE
Randi Gram Rasmussen, Julie Sandell Jacobsen, Birgitte Blaabjerg, Torsten Grønbæk Nielsen, Lene Lindberg Miller, Martin Lind
BACKGROUND: While outcomes of posterior cruciate ligament (PCL) injuries treated surgically are well described, prospective studies reporting outcomes of exercise interventions are lacking. PURPOSE: The purpose of this study was to investigate changes in patient-reported outcomes of a physiotherapy-led exercise and support brace intervention in patients with acute injury of the PCL over a two-year follow-up period. Furthermore, this study sought to investigate changes in isometric knee muscle strength over an eight-month follow-up period, and finally to report conversion to surgical reconstruction over a two-year follow-up period...
2023: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/37502199/reduced-incidence-of-revision-anterior-cruciate-ligament-reconstruction-with-internal-brace-augmentation
#18
JOURNAL ARTICLE
Adam V Daniel, Coen A Wijdicks, Patrick A Smith
BACKGROUND: Revision rates and outcome measures after anterior cruciate ligament reconstruction (ACLR) with suture tape as an internal brace is not well-documented because of the emerging nature of the technique. HYPOTHESIS: ACLR with internal bracing (IB) would lead to decreased revision ACLR compared with traditional ACLR while exhibiting comparable patient outcomes. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: A total of 200 patients were included in this study...
July 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/37358256/baseline-knee-osteoarthritis-radiographic-severity-as-a-predictor-of-symptom-response-to-diet-and-exercise-program-a-secondary-analysis
#19
JOURNAL ARTICLE
Thusharika D Dissanayaka, Leticia A Deveza, Gillian Heller, Sarah R Robbins, David J Hunter
OBJECTIVE: To investigate whether baseline joint space narrowing (JSN) predicted disease remission, knee pain, and physical function changes in persons with knee osteoarthritis (OA). METHODS: This study is a secondary analysis of a two-armed randomized controlled trial. Participants were aged ≥50 years (n = 171) with a body mass index ≥28 kg/m2 and radiographic medial tibiofemoral OA. Participants in the intervention group received diet and exercise programs and special treatment (cognitive behavioral therapy, knee brace, and muscle strengthening exercises) according to the disease remission...
June 26, 2023: International Journal of Rheumatic Diseases
https://read.qxmd.com/read/37316199/healing-of-acute-anterior-cruciate-ligament-rupture-on-mri-and-outcomes-following-non-surgical-management-with-the-cross-bracing-protocol
#20
JOURNAL ARTICLE
Stephanie R Filbay, Matthew Dowsett, Mohammad Chaker Jomaa, Jane Rooney, Rohan Sabharwal, Phil Lucas, Andrew Van Den Heever, James Kazaglis, Justin Merlino, Mick Moran, Maggie Allwright, Donald E K Kuah, Ra Durie, Greg Roger, Mervyn Cross, Tom Cross
OBJECTIVE: Investigate MRI evidence of anterior cruciate ligament (ACL) healing, patient-reported outcomes and knee laxity in patients with acute ACL rupture managed non-surgically with the Cross Bracing Protocol (CBP). METHODS: Eighty consecutive patients within 4 weeks of ACL rupture were managed with CBP (knee immobilisation at 90° flexion in brace for 4 weeks, followed by progressive increases in range-of-motion until brace removal at 12 weeks, and physiotherapist-supervised goal-oriented rehabilitation)...
June 14, 2023: British Journal of Sports Medicine
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