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All-inside anterior cruciate ligament

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https://www.readbyqxmd.com/read/28580250/combined-all-inside-anterior-cruciate-ligament-reconstruction-and-minimally-invasive-posterolateral-corner-reconstruction-using-ipsilateral-semitendinosus-and-gracilis-autograft
#1
Zakk M Borton, Sam K Yasen, Edward M Britton, Samuel R Heaton, Harry C Palmer, Adrian J Wilson
The anterior cruciate ligament (ACL) is the most commonly injured knee ligament, particularly among adolescents and young adults. Unrecognized posterolateral laxity is understood as a major cause of ACL reconstruction failure, and concomitant injury to the posterolateral corner (PLC) is prevalent and underdetected. We advocate screening all ACL-deficient knees for PLC injury and present a technique combining minimally invasive PLC reconstruction with anatomic all-inside ACL reconstruction. The combined procedure uses only the ipsilateral hamstring tendons representing a major surgical advantage over traditional management approaches...
April 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28580242/anatomic-femoral-and-tibial-tunnel-placement-during-anterior-cruciate-ligament-reconstruction-anteromedial-portal-all-inside-and-outside-in-techniques
#2
Jeremy M Burnham, Chaitu S Malempati, Aaron Carpiaux, Mary Lloyd Ireland, Darren L Johnson
Tunnel malposition is one of the most common technical reasons for anterior cruciate ligament reconstruction failure. Small changes in tunnel placement can result in significant differences in outcome. More anatomic placement of the tunnels can lead to greater knee stability and a more accurate reproduction of native knee kinematics. This Technical Note describes 2 tibial tunnel-independent methods to obtain anatomic femoral tunnel placement. The all-inside anteromedial portal technique requires only minimal surgical incisions but allows precise femoral tunnel placement...
April 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28437550/use-of-magnetic-resonance-imaging-to-predict-quadrupled-semitendinosus-graft-diameter-in-all-inside-anterior-cruciate-ligament-reconstruction
#3
Joseph Serino, Ryan Murray, Evan H Argintar
This study was conducted to evaluate whether preoperative magnetic resonance imaging (MRI) measurements of the cross-sectional area and length of the semitendinosus tendon correlated with graft diameter. The goal of the study was to identify tendons at risk for requiring graft augmentation. The records of 140 consecutive patients undergoing anterior cruciate ligament (ACL) reconstruction between 2013 and 2016 were examined retrospectively. The study included 39 patients who underwent all-inside ACL reconstruction with a semitendinosus autograft...
April 24, 2017: Orthopedics
https://www.readbyqxmd.com/read/28409108/hamstring-graft-biological-preparation-for-anterior-cruciate-ligament-reconstruction
#4
Nuno Camelo Barbosa, Francisco Guerra-Pinto, Claudia Cabeleira, Pedro Beja da Costa
The all-inside anterior cruciate ligament reconstruction (ACLR) success depends on biologic integration of the graft in the bone tunnel. Sutures wrapping the tendon in the bone tunnel may affect tendon-bone healing in shorter bone tunnels. To achieve better graft integration, we propose a variation of the graft link suture technique wherein the graft is linked chain-like to the femoral and tibial TightRope (Arthrex), which increases the tendon-bone contact area by eliminating sutures from the noose of the graft and thus may allow better graft integration...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28298056/outcomes-after-biologically-augmented-isolated-meniscal-repair-with-marrow-venting-are-comparable-with-those-after-meniscal-repair-with-concomitant-anterior-cruciate-ligament-reconstruction
#5
Chase S Dean, Jorge Chahla, Lauren M Matheny, Justin J Mitchell, Robert F LaPrade
BACKGROUND: Meniscal repair in the setting of anterior cruciate ligament (ACL) reconstruction has demonstrated superior outcomes compared with isolated meniscal repair. Limited evidence exists for the effects of biological augmentation in isolated meniscal repair, particularly as compared with meniscal repair with concomitant ACL reconstruction. Purpose/Hypothesis: The purpose of this study was to compare the outcomes and survivorship of meniscal repair in 2 cohorts of patients: meniscal repair with biological augmentation using a marrow venting procedure (MVP) of the intercondylar notch, and meniscal repair with concomitant ACL reconstruction...
May 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28241715/-a-prospective-randomized-control-trial-of-arthroscopic-surgery-for-stable-ramp-lesion-of-the-medial-meniscus
#6
X Liu, H Feng, L Hong, H Zhang
Objective: To evaluate the necessity of arthroscopic suture repair for the stable ramp lesion. Methods: From August 2008 to April 2012, 91 patients of consecutive cases were diagnosed as anterior cruciate ligament (ACL) injury associated with stable ramp lesion in Department of Sports Medicine Service of Beijing Jishuitan Hospital. All of the diagnosis was confirmed during arthroscopic surgeries. The patients were randomized into suture repair group and control group. The ACL was reconstructed using auto grafts of hamstring...
March 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/28224069/allograft-anterior-cruciate-ligament-reconstruction-utilizing-internal-brace-augmentation
#7
Patrick A Smith, Jordan A Bley
Anterior cruciate ligament (ACL) tears are among the most common sports-related injuries. Although studies have reported reliable outcomes with allograft tissue, several studies have shown a higher failure rate in younger patients. Although ACL graft augmentation has been met with varying levels of success, internal bracing of an allograft represents a promising area in ACL reconstruction. The purpose of this article is to detail allograft preparation involving a collagen-coated, ultrahigh-molecular-weight polyethylene/polyester suture tape as an internal brace augmentation for ACL reconstruction using the all-inside ACL GraftLink Technique (Arthrex, Naples, FL)...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28224063/the-8-strand-hamstring-autograft-in-anterior-cruciate-ligament-reconstruction
#8
Kunbo Park, Christopher M Brusalis, Theodore J Ganley
Growing participation in youth athletics has resulted in increased numbers of anterior cruciate ligament (ACL) injuries in skeletally immature patients. Use of autogenous graft material has been associated with improved graft survival. However, pediatric patients sometimes possess hamstring tendons that produce smaller-diameter grafts than those prepared with adult autogenous materials. Smaller-diameter grafts may predispose younger patients to graft failure. We describe a technique that increases the diameter of the ACL construct through the use of an 8-strand autologous hamstring tendon graft...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28219088/single-bundle-versus-double-bundle-anterior-cruciate-ligament-reconstruction-a-prospective-randomized-controlled-trial-with-6-year-follow-up
#9
Paolo Adravanti, Francesco Dini, Laura de Girolamo, Massimo Cattani, Michele Attilio Rosa
Single-bundle (SB) anterior cruciate ligament (ACL) reconstruction is increasingly used in a large number of patients and it allows obtaining very good clinical and subjective results; however, functional tests show a persistent rotational instability. Biomechanical studies seem to indicate that double-bundle (DB) ACL reconstruction allows to obtain increased anterior and rotational stability compared with SB. The aim of this prospective randomized controlled study was to compare the clinical outcome and the possible osteoarthritic evolution of patients treated either with a SB (freehand transtibial femoral tunnel) or with a DB technique (outside-in for posterolateral femoral tunnel/inside-out for anteromedial femoral tunnel) at a final follow-up of 6 years...
February 20, 2017: Journal of Knee Surgery
https://www.readbyqxmd.com/read/28160932/editorial-commentary-in-2016-divergence-goes-beyond-the-united-states-2-party-system-interference-screw-divergence-in-anterior-cruciate-ligament-reconstruction-of-the-knee-revisited
#10
EDITORIAL
Mark J Lemos
As a result of emerging technology and techniques developed for anterior cruciate ligament (ACL) reconstruction, it is important to evaluate all aspects of the new procedures. One of these hot topics is retrograde drilling, which leads to inside-out ACL interference screw divergence from ACL sockets created from outside-in. In this paper, the authors look at screw divergence in the femoral tunnel for bone-patella-bone reconstructions performed with an outside-in retrograde drill. The screws are inserted through a separate accessory anterior medial portal, and therefore there is concern on whether or not there is significant divergence compromising their fixation...
February 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28149730/quadruple-bundle-semitendinosus-gracilis-graft-technique-for-all-inside-anterior-cruciate-ligament-reconstruction
#11
Michael Kern, David Love, Eric J Cotter, William Postma
Hamstring tendon autograft has been shown to be an excellent option for anterior cruciate ligament (ACL) reconstruction. Adequate graft size can usually be achieved through either a double-bundle technique of semitendinosus and gracilis tendons or a quadruple-bundle technique using a single tendon. To minimize failure rates that result from graft insufficiency, a minimum graft thickness of 8 mm is recommended for reconstruction. However, certain patients possess small native hamstring tendons that do not allow for recommended graft thickness using either of these traditional techniques...
December 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28149714/all-anterior-approach-for-arthroscopic-posterior-cruciate-ligament-reconstruction-with-remnant-preservation
#12
Tianwu Chen, Shaohua Liu, Jiwu Chen
We describe the all-anterior approach for arthroscopic posterior cruciate ligament (PCL) reconstruction with remnant preservation. In this technique, PCL is reconstructed through 3 anterior portals: anterolateral portal, anteromedial portal, and inferior anterolateral portal, whereas the PCL remnant is preserved with great possibility. With the PCL elevator and wire catcher (Smith & Nephew), a self-made wire loop is introduced into the joint through the tibial tunnel, and is used to pass the graft in an all-inside-out fashion...
December 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28050454/a-comparative-study-of-the-results-of-the-anatomic-medial-portal-and-all-inside-arthroscopic-acl-reconstruction
#13
Kumar Shantanu, Sudhir Shyam Kushwaha, Deepak Kumar, Vineet Kumar, Shailendra Singh, Vineet Sharma
INTRODUCTION: Many techniques of graft placement in Arthroscopic Anterior Cruciate Ligament (ACL) reconstruction is available now-a-days, like trans-tibial, anatomical accessory medial portal and anatomical all-inside technique. AIM: To compare the improvement in clinical status of patients treated by anatomic accessory medial portal and all-inside arthroscopic ACL reconstruction technique pre-operatively post-operatively using International Knee Documentation Comittee (IKDC) Subjective Knee Scores, Lysholm Knee Score, Knee Society Score, Lachman test, Visual Analog Score (VAS) in both the groups...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28028568/arthroscopic-all-inside-ramp-lesion-repair-using-the-posterolateral-transseptal-portal-view
#14
Sohrab Keyhani, Jin Hwan Ahn, René Verdonk, Mehran Soleymanha, Mohammadreza Abbasian
PURPOSE: The purpose of this study was to evaluate and describe the clinical results and outcomes of a novel method for all-inside suture repair of medial meniscus ramp lesions through posteromedial and posterolateral transseptal portals during anterior cruciate ligament (ACL) reconstruction. Further, this investigation compared the posterolateral view to the notch view for diagnosis and repair. METHODS: Between 2011 and 2014, 166 patients had ramp lesions concomitantly with ACL injury; 128 patients (107 men and 21 women) were enrolled in the study after qualification...
February 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28027452/all-inside-all-epiphyseal-anterior-cruciate-ligament-reconstruction-in-skeletally-immature-athletes-return-to-sport-incidence-of-second-surgery-and-2-year-clinical-outcomes
#15
Frank A Cordasco, Stephanie Watson Mayer, Daniel W Green
BACKGROUND: Anterior cruciate ligament (ACL) injuries in skeletally immature athletes are increasing. PURPOSE: To evaluate the 2-year clinical outcomes of all-inside, all-epiphyseal ACL reconstruction in skeletally immature athletes with 3 to 6 years of remaining growth, with a focus on return to sport and the incidence of second surgery. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Twenty-three skeletally immature athletes were prospectively evaluated after all-epiphyseal ACL reconstruction utilizing a hamstring autograft...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28024306/a-canine-arthroscopic-anterior-cruciate-ligament-reconstruction-model-for-study-of-synthetic-augmentation-of-tendon-allografts
#16
James L Cook, Pat Smith, James P Stannard, Ferris Pfeiffer, Keiichi Kuroki, Chantelle C Bozynski, Cristi Cook
Novel graft types, fixation methods, and means for augmenting anterior cruciate ligament (ACL) reconstructions require preclinical validation prior to safe and effective clinical application. The objective of this study was to describe and validate a translational canine model for all-inside arthroscopic complete ACL reconstruction using a quadriceps tendon allograft with internal brace (QTIB). With institutional approval, adult research hounds underwent complete transection of the native ACL followed by all-inside ACL reconstruction using the novel QTIB construct with suspensory fixation (n = 10)...
December 26, 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/27909674/minimally-invasive-quadriceps-tendon-harvest-and-graft-preparation-for-all-inside-anterior-cruciate-ligament-reconstruction
#17
Harris S Slone, William B Ashford, John W Xerogeanes
The quadriceps tendon is an infrequently used graft option for anterior cruciate ligament reconstruction despite favorable clinical results in the literature with low donor site morbidity. It is a versatile graft that can be harvested with bone or as a soft tissue graft alone. In addition, it can be used for anatomic, double-bundle, transtibial, and all-inside reconstructions. The unique characteristics of the quadriceps tendon allow for the ability to harvest a single-bundle large-diameter graft and minimize disruption of normal anatomy, which makes the quadriceps tendon an excellent choice for all-inside techniques...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27842953/corrigendum-to-pain-evaluation-after-all-inside-anterior-cruciate-ligament-reconstruction-and-short-term-functional-results-of-a-prospective-randomized-study-knee-21-2014-102-106
#18
Horea Benea, Henri d'Astorg, Shahnaz Klouche, Thomas Bauer, Gheorghe Tomoaia, Philippe Hardy
No abstract text is available yet for this article.
November 11, 2016: Knee
https://www.readbyqxmd.com/read/27817976/return-to-sport-activity-after-anterior-cruciate-ligament-reconstruction-in-skeletally-immature-athletes-with-manual-drilling-original-all-inside-reconstruction-at-8-years-follow-up
#19
Giacomo Placella, Matteo Bartoli, Marco Peruzzi, Andrea Speziali, Valerio Pace, Giuliano Cerulli
OBJECTIVE: Anterior cruciate ligament (ACL) tears are common injuries in adolescent athletes, especially in those who bear high stress on their knees due to shearing forces. The goal of the surgical procedures in skeletally immature patients is to restore joint stability avoiding the adverse effects on the growth process. The aim of this study was to verify the return of the skeletally immature professional athletes to sports in the long-term, following ACL reconstruction with the original all-inside technique and with manual drilling...
December 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27811515/anterior-cruciate-ligament-reconstruction-in-pediatric-and-adolescent-patients-using-quadriceps-tendon-autograft
#20
Jay Albright, Ariel Kiyomi Lepon, Stephanie Mayer
Many techniques for reconstruction of pediatric and adolescent anterior cruciate ligament (ACL) ruptures have been described, yet the best technique to reproduce normal kinematics of the knee while causing minimal growth disturbance is not definitively determined. We describe a technique which adapts the Allen Anderson technique for all-inside, all-epiphyseal, anatomic ACL reconstruction. However, this technique uses a novel quadriceps tendon-patellar bone-autograft to provide the best-possible patient outcomes...
December 2016: Sports Medicine and Arthroscopy Review
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