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Posterior ligament reconstruction

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https://www.readbyqxmd.com/read/28810991/posterior-cruciate-ligament-injuries-associated-with-military-survival-swim-training
#1
Michael S Crowell, John S Mason, Matthew A Posner, Chad A Haley
OBJECTIVES: Posterior cruciate ligament (PCL) injuries are relatively common injuries associated with athletic activities and high-energy trauma. Posterolateral corner (PLC) injuries frequently accompany injury to the PCL. Diagnosis can be challenging and requires a comprehensive history and physical examination. Patients frequently report vague, nonspecific symptoms and the mechanism of injury is often useful in localizing injured structures. Two of the more common mechanisms for PCL injury include a direct blow to the proximal anterior tibia with the knee flexed, as well as a significant knee hyperextension injury...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28808736/the-role-of-isolated-posterior-cruciate-ligament-reconstruction-in-knees-with-combined-posterior-cruciate-ligament-and-posterolateral-complex-injury
#2
REVIEW
Dong-Yeong Lee, Young-Jin Park, Dong-Hee Kim, Hyun-Jung Kim, Dae-Cheol Nam, Jin-Sung Park, Sun-Chul Hwang
PURPOSE: This is a meta-analysis comparing biomechanical outcomes to determine whether an isolated posterior cruciate ligament (PCL) reconstruction can restore normal knee kinematics in a combined PCL/posterolateral complex (PLC) injury and whether double-bundle (DB) PCL reconstruction is superior in controlling posterior and rotational laxity compared with single-bundle (SB) PCL reconstruction in a PCL/PLC-deficient knee. METHODS: A number of electronic databases were searched for relevant articles published through August 2016 that compared biomechanical outcomes of PCL reconstruction in patients who underwent reconstruction for combined PCL/PLC deficiencies...
August 14, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28801704/no-clinical-differences-between-anteromedial-portal-and-transtibial-technique-for-femoral-tunnel-positioning-in-anterior-cruciate-ligament-reconstruction-a-prospective-randomized-controlled-trial
#3
Peter MacDonald, Chris Kim, Sheila McRae, Jeff Leiter, Ryan Khan, Daniel Whelan
PURPOSE: The anteromedial (AMP) portal technique was introduced to position the femoral tunnel in anterior cruciate ligament (ACL) reconstruction to more closely replicate the original ACL footprint compared to the transtibial (TT) approach. Few randomized trials have evaluated differences in these techniques with respect to clinical outcomes. The purpose of this study was to determine if there are any differences in clinical outcome between the AMP and TT approaches. METHODS: This is a single-blinded, prospective, randomized controlled trial...
August 11, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28800853/the-anterolateral-ligament-anatomic-implications-for-its-reconstruction
#4
Neri Thomas, Palpacuer Fabien, Testa Rodolphe, Bergandi Florian, Boyer Bertrand, Farizon Frederic, Philippot Remi
BACKGROUND: The purpose of this study was to define the best anatomic parameters with which to perform an accurate anterolateral ligament (ALL) reconstruction. These parameters were anatomical insertions, allowing favorable isometry, length variation during flexion, and anthropometric predictors of ALL lengths. METHODS: A total of 84 fresh-frozen cadaver knees were dissected to analyze the ALL, focusing on its femoral insertion. The ALL length was measured in different degrees of flexion (extension, 30°, 60°, and 90° of flexion) and rotation (neutral, internal or external rotation)...
August 8, 2017: Knee
https://www.readbyqxmd.com/read/28779804/what-to-do-with-the-spring-ligament
#5
REVIEW
Brian Steginsky, Anand Vora
The spring ligament complex is an important static restraint of the medial longitudinal arch of the foot and its failure has been associated with progressive flatfoot deformity. Reconstruction of the spring ligament complex is most appropriate in stage II posterior tibial tendon dysfunction, before severe peritalar subluxation and rigid deformity develops. Although an understanding of the spring ligament complex and its contribution to medial arch stability has grown, there is no unanimously accepted surgical technique that has consistently demonstrated satisfactory outcomes...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28770510/the-posterior-bundle-of-the-elbow-medial-collateral-ligament-biomechanical-study-and-proposal-for-a-new-reconstruction-surgical-technique
#6
A Sard, E Dutto, R Rotini, S Vanni, S Pastorelli, B Battiston
BACKGROUND: The medial collateral ligament (MCL) is one of the primary elbows stabilizers. It is composed of an anterior bundle (AB), a posterior bundle (PB) and a transverse bundle. In elbow dislocations, until today MCL reconstruction has addressed the AB only. The purpose of this paper is to understand the biomechanical role of the PB of the MCL and to propose a new surgical technique for the simultaneous reconstruction of the anterior and posterior bundles, preventing the risk of recurrent posterior dislocation or posteromedial rotational instability (PMRI)...
August 2, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28759600/anatomic-tunnel-placement-can-be-achieved-with-a-modification-to-transtibial-technique-in-single-bundle-anterior-cruciate-ligament-reconstruction-a-cadaver-study
#7
Joon Kyu Lee, Sahnghoon Lee, Ki Tae Kim, Myung Chul Lee
Placing the tunnels in the anatomic positions is important for successful restoration of knee function after anterior cruciate ligament reconstruction (ACLR). It has been shown that it is difficult to place the tunnels in the anatomic position using the transtibial technique. The purpose of this study was to evaluate the effect of each step of our modified transtibial technique (mTT) on the positioning of the femoral tunnel so as to assess whether the mTT could achieve anatomic placements of the tunnels without tibial tunnel expansion...
2017: PloS One
https://www.readbyqxmd.com/read/28756467/no-difference-in-graft-healing-or-clinical-outcome-between-trans-portal-and-outside-in-techniques-after-anterior-cruciate-ligament-reconstruction
#8
Jae-Ang Sim, Jong-Min Kim, SahngHoon Lee, Eun-Kyoo Song, Jong-Keun Seon
PURPOSE: The purpose of this study was to compare femoral tunnel geometry including tunnel position, length, and graft bending angle between trans-portal and outside-in techniques in anterior cruciate ligament (ACL) reconstruction and discover whether such differences in tunnel geometry could influence graft healing or clinical outcome. METHODS: Sixty-four patients with anatomical single-bundle ACL reconstruction performed with either trans-portal technique (32 patients, one centre) or outside-in technique (32 patients, the other centre) were included in this retrospective study...
July 29, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28754264/surgical-management-of-posterior-knee-dislocation-associated-with-extensor-apparatus-rupture
#9
Chang-Cheng Liu, Xing Gao, Ming Xu, Zhi-Gang Kong
OBJECTIVE: The purpose of this study was to report the clinical and functional results of patients who underwent surgical management for posterior knee dislocation associated with extensor apparatus rupture. INTRODUCTION: Posterior knee dislocations associated with extensor apparatus ruptures are defined as rare but complicated injuries, which are difficult to return to the level of activity prior to the injury. The study demonstrated a hypothesis that good knee stability and early gain of range of motion could be achieved with deliberate design of the treatment protocol and proper application of the instruments...
July 25, 2017: Knee
https://www.readbyqxmd.com/read/28748492/calcium-phosphate-hybridized-tendon-grafts-reduce-femoral-bone-tunnel-enlargement-in-anatomic-single-bundle-acl-reconstruction
#10
Hirotaka Mutsuzaki, Tomonori Kinugasa, Kotaro Ikeda, Masataka Sakane
PURPOSE: This study aimed to clarify the effect of calcium phosphate (CaP)-hybridized tendon grafting versus unhybridized tendon grafting on the morphological changes to the bone tunnels at the aperture 1 year after anatomic single-bundle anterior cruciate ligament (ACL) reconstruction. METHODS: Seventy-three patients were randomized to undergo the CaP (n = 37) or the conventional method (n = 36). All patients underwent computed tomography (CT) evaluation 1 week and 1 year post-operatively...
July 26, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28712026/posterior-cruciate-ligament-is-twisted-and-flat-structure-new-prospective-on-anatomical-morphology
#11
Tomohiro Kato, Robert Śmigielski, Yunshen Ge, Urszula Zdanowicz, Bogdan Ciszek, Mitsuo Ochi
PURPOSE: This cadaveric study aimed to elucidate PCL morphology by observing the anatomical relationship with other structures and the fibre layers of the PCL in cross section for remnant preserving PCL reconstruction. METHODS: Seventeen fresh-frozen cadaveric knees were studied, using the clock-face method to analyse the anatomical relationship between the PCL and Humphrey's ligament. The width and thickness of the PCL, Humphrey's and Wrisberg's ligaments were measured...
July 15, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28710510/surgical-reconstruction-is-a-cost-efficient-treatment-option-for-isolated-pcl-injuries
#12
Christian Owesen, Eline Aas, Asbjørn Årøen
PURPOSE AND HYPOTHESIS: The main purpose of the study is to put focus on the costs related to treating posterior cruciate ligament (PCL) injuries and the possible implications of chosen treatment strategy to the respective institutions and society. METHODS: Costs of treating PCL injuries nonoperatively and for both single-bundle (SB) and double-bundle (DB) reconstruction were estimated. These costs were translated into equivalent quality-adjusted life years (QALY) given a threshold value of Euro (€) 70,000 per QALY...
July 14, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28706828/accurate-positioning-of-femoral-and-tibial-tunnels-in-single-bundle-anterior-cruciate-ligament-reconstruction-using-the-indigenously-made-bernard-and-hurtle-grid-on-a-transparency-sheet-and-c-arm
#13
Sudeep Kumar, Anup Kumar, Ravi Kumar
Many factors determine the outcome of the anterior cruciate ligament reconstruction surgery. The single most important factor, also well within the control of a surgeon, is tunnel placement. It is difficult to accurately determine the center of the anterior cruciate ligament foot print, and many a times it is also difficult to accurately define the intercondylar and bifurcate ridge. This makes determination of the accurate entry point of the guidewire difficult. We have printed our indigenously formed grid (equidistant boxes) on an old-fashioned transparency sheet...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28706813/all-inside-bicruciate-ligament-reconstruction-technique-a-focus-on-graft-tensioning-sequence
#14
Mathieu Thaunat, Gilles Clowez, Colin G Murphy, Antoine Desseaux, Tales Guimaraes, Jean Marie Fayard, Bertrand Sonnery-Cottet
Bicruciate ligament (BCL) reconstructions are challenging procedures. One of the main operative goals is to stabilize the knee in the correct anterior-posterior position. We present an all-inside arthroscopic BCL reconstruction technique using hamstring tendon grafts. Ipsilateral semitendinosus (ST) and gracilis tendons are used for TriLink (Arthrex, Naples, FL) double-bundle posterior cruciate ligament (PCL) reconstruction and contralateral ST tendon is used for GraftLink (Arthrex) single-bundle anterior cruciate ligament (ACL) reconstruction...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28698804/the-knee-meniscus-management-of-traumatic-tears-and-degenerative-lesions
#15
Philippe Beaufils, Roland Becker, Sebastian Kopf, Ollivier Matthieu, Nicolas Pujol
Meniscectomy is one of the most popular orthopaedic procedures, but long-term results are not entirely satisfactory and the concept of meniscal preservation has therefore progressed over the years. However, the meniscectomy rate remains too high even though robust scientific publications indicate the value of meniscal repair or non-removal in traumatic tears and non-operative treatment rather than meniscectomy in degenerative meniscal lesionsIn traumatic tears, the first-line choice is repair or non-removal...
May 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28682908/comparison-of-autograft-and-allograft-tendons-in-posterior-cruciate-ligament-reconstruction-a-meta-analysis
#16
REVIEW
Peng Tian, Wen-Qing Hu, Zhi-Jun Li, Xiao-Lei Sun, Xin-Long Ma
BACKGROUND: The purpose of this meta-analysis of randomized controlled trials (RCTs) and non-RCTs was to compare the clinical outcomes of autograft versus allograft tendons in patients who underwent posterior cruciate ligament (PCL) reconstruction. METHODS: We conducted a search of PubMed, EMBASE, The Cochrane Library, and Web of Science databases for RCTs and non-RCTs comparing autograft and allograft tendons in PCL reconstruction up to August 2016. The outcomes were Lysholm knee function score, postoperative objective and subjective International Knee Documentation Committee Score (IKDCS), Tegner activity scale, and knee posterior stability...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28680891/is-the-grafted-tendon-shifted-anteriorly-in-the-femoral-tunnel-at-the-postremodeling-phase-after-anterior-cruciate-ligament-reconstruction-a-clinical-mri-study
#17
Jun Onodera, Kazunori Yasuda, Tetsuro Masuda, Yoshie Tanabe, Nobuto Kitamura, Tomonori Yagi, Eiji Kondo
BACKGROUND: Based on previous in vitro studies, it has been commonly believed that during anterior cruciate ligament (ACL) reconstruction with hamstring tendon, the grafted tendon is shifted anteriorly in the tunnel permanently after the graft is anchored to the tunnel wall. However, this has not been proven by in vivo studies. HYPOTHESIS: At 1 year after anatomic double-bundle ACL reconstruction, the grafted tendons may not be shifted anteriorly in the femoral tunnel but anchored to the bony wall at the center of the tunnel...
June 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28678124/an-in-vivo-simulation-of-isometry-of-the-anterolateral-aspect-of-the-healthy-knee
#18
Willem A Kernkamp, Samuel K Van de Velde, Tsung-Yuan Tsai, Ewoud R A van Arkel, Peter D Asnis, Rob G H H Nelissen, Robert F LaPrade, Bertram Zarins, Guoan Li
BACKGROUND: To assess the isometry of theoretical lateral extra-articular reconstruction (LER), we evaluated theoretical grafts attached to various points on the lateral femoral condylar area and to either Gerdy's tubercle or the anatomic attachment site of the anterolateral ligament to the tibia. METHODS: In 18 subjects, healthy knees with no history of either injury or surgery involving the lower extremity were studied. The subjects performed a sit-to-stand motion (from approximately 90° of flexion to full extension), and each knee was studied using magnetic resonance and dual fluoroscopic imaging techniques...
July 5, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28669642/compound-posterior-cruciate-ligament-and-popliteal-artery-injury-due-to-dog-bite-a-case-report
#19
Yashwant Singh Tanwar, Atin Jaiswal, Hitesh Lal, Ashok Rajput
Injuries due to dog bites are a common occurrence and are mostly trivial. Severe dog bite injuries requiring hospitalization and complex reconstructive procedures are more common in children. We present the case of a five year old child with popliteal artery thrombosis and compound Posterior Cruciate ligament injury due to a dog bite. The child was managed by immediate thrombectomy, meticulous debridement and knee spanning external fixation followed by Skin Grafting. At one year post surgery range of motion was 10-110°, with no distal neurovascular deficit and no sign of instability...
June 29, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28660229/lateral-meniscus-posterior-root-and-meniscofemoral-ligaments-as-stabilizing-structures-in-the-acl-deficient-knee-a-biomechanical-study
#20
Jonathan M Frank, Gilbert Moatshe, Alex W Brady, Grant J Dornan, Ashley Coggins, Kyle J Muckenhirn, Erik L Slette, Jacob D Mikula, Robert F LaPrade
BACKGROUND: The biomechanical effects of lateral meniscal posterior root tears with and without meniscofemoral ligament (MFL) tears in anterior cruciate ligament (ACL)-deficient knees have not been studied in detail. PURPOSE: To determine the biomechanical effects of the lateral meniscus (LM) posterior root tear in ACL-intact and ACL-deficient knees. In addition, the biomechanical effects of disrupting the MFLs in ACL-deficient knees with meniscal root tears were evaluated...
June 2017: Orthopaedic Journal of Sports Medicine
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