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https://www.readbyqxmd.com/read/28078610/optimization-of-the-return-to-sport-paradigm-after-anterior-cruciate-ligament-reconstruction-a-critical-step-back-to-move-forward
#1
REVIEW
Bart Dingenen, Alli Gokeler
Athletes who have sustained an anterior cruciate ligament (ACL) injury often opt for an ACL reconstruction (ACLR) with the goal and expectation to resume sports. Unfortunately, the proportion of athletes successfully returning to sport is relatively low, while the rate of second ACL injury has been reported to exceed 20% after clearance to return to sport, especially within younger athletic populations. Despite the development of return-to-sport guidelines over recent years, there are still more questions than answers on the most optimal return-to-sport criteria after ACLR...
January 11, 2017: Sports Medicine
https://www.readbyqxmd.com/read/28056178/is-there-any-benefit-in-anterior-cruciate-ligament-reconstruction-in-patients-older-than-60-years
#2
Cécile Toanen, Guillaume Demey, Panagiotis G Ntagiopoulos, Paolo Ferrua, David Dejour
BACKGROUND: Results of anterior cruciate ligament (ACL) reconstruction are traditionally excellent in younger and nonarthritic patients. During the past few decades, people older than 60 years have become more active than ever, with more demanding physical lifestyles. An increase also has been noted in active patients with diagnosed ACL injuries. More patients are requesting treatment for ACL deficiency in hopes of returning to preinjury levels of activity. PURPOSE: The aims of this study were to evaluate the results of ACL reconstruction in patients older than 60 years in terms of functional recovery, return to sports, and postoperative incidence of osteoarthritis and to compare their results with published results of different age groups...
December 1, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28054146/revision-anterior-cruciate-ligament-reconstruction-with-ipsi-or-contralateral-hamstring-tendon-grafts
#3
Claudio Legnani, Giuseppe Peretti, Enrico Borgo, Stefania Zini, Alberto Ventura
OBJECTIVES: With the increasing number of primary anterior cruciate ligament (ACL) reconstructions, the need for revision ACL surgery has risen over the past few years. The purpose of the present study is to retrospectively compare the clinical outcome of ipsilateral versus contralateral hamstring tendon autografts for ACL revision surgery, specifically with regard to patient satisfaction, post-operative functional outcomes, and return to sports. METHODS: Between 2004 and 2011, 64 patients underwent ACL revision surgery...
January 4, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28050535/anterior-cruciate-ligament-and-meniscal-injuries-in-sports-incidence-time-of-practice-until-injury-and-limitations-caused-after-trauma
#4
Diego Costa Astur, Marcos Xerez, João Rozas, Pedro Vargas Debieux, Carlos Eduardo Franciozi, Moises Cohen
OBJECTIVE: To analyze the incidence of ACL and meniscal injuries in a population of recreational and elite athletes from Brazil and the relation of these injuries with their sports activities. METHODS: This was a prospective observational study of 240 patients with ACL and/or meniscal injuries submitted to surgical treatment. Data of patients and sport modality, as well as Tegner score were registered in the first clinical evaluation. The patients were divided into three groups: (1) isolated rupture of the ACL; (2) ACL injury associated with meniscal injury; (3) isolated menisci injury...
November 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28031496/arthroscopic-transphyseal-anterior-cruciate-ligament-reconstruction-in-adolescent-athletes
#5
Luca Dei Giudici, Roberto Fabbrini, Luca Garro, Serena Arima, Antonio Gigante, Agostino Tucciarone
PURPOSE: To evaluate the 5-year outcome of arthroscopic transphyseal anterior cruciate ligament (ACL) reconstruction in 19 adolescent athletes. METHODS: 14 male and 5 female adolescent athletes aged 12 to 16 (mean, 13.9) years with Tanner stage 2 or 3 open physes underwent arthroscopic transphyseal ACL reconstruction by a single surgeon and were followed up for 5 years. Patients were evaluated using the numerical rating score (NRS) for pain, knee osteoarthritis outcome score (KOOS), International Knee Documentation Committee (IKDC) score, Tegner Activity Scale, and Lysholm Score, as well as the leg length discrepancy, femorotibial alignment, varus or valgus deformities, active and passive knee range of motion...
December 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28027452/all-inside-all-epiphyseal-anterior-cruciate-ligament-reconstruction-in-skeletally-immature-athletes
#6
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...
December 1, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27904796/functional-hop-tests-and-tuck-jump-assessment-scores-between-female-division-i-collegiate-athletes-participating-in-high-versus-low-acl-injury-prone-sports-a-cross-sectional-analysis
#7
Philipp Hoog, Meghan Warren, Craig A Smith, Nicole J Chimera
BACKGROUND: Although functional tests including the single leg hop (SLH), triple hop (TH), cross over hop (COH) for distance, and the tuck jump assessment (TJA) are used for return to play (RTP) criteria for post anterior cruciate ligament (ACL) injury, sport-specific baseline measurements are limited. PURPOSE: The purpose of this study was to examine differences in SLH, TH, and COH distance and limb symmetry index (LSI), as well as total scores, number of jumps, and individual flaws of the TJA in 97 injury-free Division I (DI) collegiate female student athletes participating in ACL injury prone vs...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27903590/anterior-cruciate-ligament-derived-stem-cells-transduced-with-bmp2-accelerate-graft-bone-integration-after-acl-reconstruction
#8
Yohei Kawakami, Koji Takayama, Tomoyuki Matsumoto, Ying Tang, Bing Wang, Yutaka Mifune, James H Cummins, Ryan J Warth, Ryosuke Kuroda, Masahiro Kurosaka, Freddie H Fu, Johnny Huard
BACKGROUND: Strong graft-bone integration is a prerequisite for successful graft remodeling after reconstruction of the anterior cruciate ligament (ACL) using soft tissue grafts. Novel strategies to accelerate soft tissue graft-bone integration are needed to reduce the need for bone-tendon-bone graft harvest, reduce patient convalescence, facilitate rehabilitation, and reduce total recovery time after ACL reconstruction. HYPOTHESIS: The application of ACL-derived stem cells with enhanced expression of bone morphogenetic protein 2 (BMP2) onto soft tissue grafts in the form of cell sheets will both accelerate and improve the quality of graft-bone integration after ACL reconstruction in a rat model...
November 30, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27900339/an-ecological-study-of-anterior-cruciate-ligament-reconstruction-part-1-clinical-tests-do-not-correlate-with-return-to-sport-outcomes
#9
Timothy M McGrath, Gordon Waddington, Jennie M Scarvell, Nick Ball, Rob Creer, Kevin Woods, Damian Smith, Roger Adams
BACKGROUND: Additional high-quality prospective studies are needed to better define the objective criteria used in relation to return-to-sport decisions after synthetic (ligament advanced reinforcement system [LARS]) and autograft (hamstring tendon [2ST/2GR]) anterior cruciate ligament (ACL) reconstruction in active populations. PURPOSE: To prospectively investigate and describe the recovery of objective clinical outcomes after autograft (2ST/2GR) and synthetic (LARS) ACL reconstructions, as well as to investigate the relationship between these clinimetric test outcomes and return-to-sport activity (Tegner activity scale [TAS] score) at 12 and 24 months postoperatively...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27900267/depression-and-psychiatric-disease-associated-with-outcomes-after-anterior-cruciate-ligament-reconstruction
#10
REVIEW
Hao-Hua Wu, Max Liu, Joshua S Dines, John D Kelly, Grant H Garcia
While most patients with an anterior cruciate ligament (ACL) injury indicate satisfaction with surgical intervention, a significant proportion still do not return to pre-injury level of function or sport. Psychiatric comorbidities, such as depression, have recently been associated with poor clinical outcomes after ACL reconstruction (ACLR). To date, no article has yet examined how depression affects ACLR outcomes and how potential screening and intervention for psychological distress may affect postoperative activity level...
November 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/27873020/beneficial-and-limiting-factors-for-return-to-work-following-anterior-cruciate-ligament-reconstruction-a-retrospective-cohort-study
#11
Judith A M Groot, Freerk J Jonkers, Arthur J Kievit, P Paul F M Kuijer, Marco J M Hoozemans
PURPOSE: Evidence-based advice for return to work (RTW) after anterior cruciate ligament (ACL) reconstruction is not available. Therefore, the objectives of this study were to determine when patients achieve full RTW, and to explore the beneficial and limiting factors for fully RTW after ACL reconstruction. METHODS: A retrospective cohort study was performed after ACL reconstruction among 185 patients in one hospital. Data from patient files and a questionnaire were used to explore whether patient-, injury-, surgery-, sports-, work- and rehabilitation-related factors are beneficial or limiting for fully RTW after ACL reconstruction, using a backward stepwise logistic regression analysis...
November 21, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27859527/gait-mechanics-and-second-acl-rupture-implications-for-delaying-return-to-sport
#12
Jacob J Capin, Ashutosh Khandha, Ryan Zarzycki, Kurt Manal, Thomas S Buchanan, Lynn Snyder-Mackler
Second anterior cruciate ligament rupture is a common and devastating injury among young women who return to sport after ACL reconstruction, but it is inadequately understood. The purpose of this study was to compare gait biomechanics and return-to-sport time frames in a matched cohort of young female athletes who, after primary ACLR, returned to sport without re-injury or sustained a second ACL injury. Approximately 6 months after primary reconstruction, 14 young women (age 16 ± 2 years) involved in jumping, cutting, and pivoting sports underwent motion analysis testing after physical therapy and impairment resolution...
November 9, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27855310/between-leg-differences-in-challenging-single-limb-balance-performance-one-year-following-anterior-cruciate-ligament-reconstruction
#13
Anna L Hatton, Kay M Crossley, Ross A Clark, Timothy S Whitehead, Hayden G Morris, Adam G Culvenor
Following anterior cruciate ligament (ACL) rupture, reconstructive surgery (ALCR) is often performed to mechanically stabilise the knee, however functional deficits often persist long after surgery. Impaired single-limb standing balance has been observed in the ACLR limb compared to healthy individuals. However, it remains inconclusive as to whether these same balance deficits exist between the injured and contralateral uninjured limbs, during challenging balance tasks, and at a time when patients are permitted to return to sport...
November 11, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27837221/femoral-avulsion-fracture-of-acl-proximal-attachment-in-male-scuba-diver-case-report-and-review-of-the-literature
#14
Sebastian Zabierek, Krzysztof Nowak, Marcin Domzalski
Femoral ACL avulsion fractures were not well described in the literature, and there were only several reports describing mostly immature patients. A case of 50-year-old man with ACL femoral attachment avulsion fracture after pivoting knee injury during skiing was presented. The bony attachment was reduced and fixed arthroscopically with screws. Four months after surgery, patient was allowed to return to full sport activity with full range of motion. He was able to perform a one-leg-hop test without limitation, and the strength of quadriceps muscle was comparable to contralateral side...
November 11, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27824795/effect-of-academic-grade-level-on-return-to-athletic-competition-after-anterior-cruciate-ligament-reconstruction
#15
Matthew Bauer, Brian T Feeley, Robert A Gallo
BACKGROUND: After anterior cruciate ligament (ACL) reconstruction, 63% to 87% of high school athletes return to competition. Although physical and psychological factors are known contributors for failure to return to play, little attention has been paid to effect of academic grade level. Our purpose was to determine the influence of effect of academic grade level on return to competitive play. The primary hypothesis is that high school seniors who undergo ACL reconstruction or knee arthroscopy will be less likely to return to competitive play at 1 year than those in grades 9 to 11...
November 7, 2016: Journal of Pediatric Orthopedics
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
#16
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...
November 3, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27815015/arthroscopic-anterior-cruciate-ligament-repair-for-proximal-anterior-cruciate-ligament-tears-in-skeletally-immature-patients-surgical-technique-and-preliminary-results
#17
Marco Bigoni, Diego Gaddi, Massimo Gorla, Daniele Munegato, Marco Pungitore, Massimiliano Piatti, Marco Turati
BACKGROUND: Anterior cruciate ligament (ACL) tears in children are increasingly common and present difficult treatment decisions due to the risk of growth disturbance. Although open primary ACL repair was abandoned in the historical literature, recent studies have suggested that there is a role for arthroscopic primary repair in patients with proximal tears. METHODS: This is a retrospective review of five consecutive patients aged 9.2years (range 8 to 10) who underwent suture anchor ACL reinsertion...
November 2, 2016: Knee
https://www.readbyqxmd.com/read/27811515/anterior-cruciate-ligament-reconstruction-in-pediatric-and-adolescent-patients-using-quadriceps-tendon-autograft
#18
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
https://www.readbyqxmd.com/read/27778041/acute-acl-reconstruction-in-patients-over-40-years-of-age
#19
Guido Wierer, Armin Runer, Christian Hoser, Elmar Herbst, Peter Gföller, Christian Fink
PURPOSE: The purpose of this study is to compare the clinical outcome of ACL reconstructions in patients older than 40 years of age to younger subjects. It has been hypothesized that patients older than 40 years of age achieve comparable clinical outcomes following acute ACL reconstruction using a hamstring tendon autograft than younger patients. METHODS: Patients with an isolated ACL tear without any concomitant injuries and subsequent ACL reconstruction within 48 h from injury were included in this prospective study...
October 24, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27771170/integrating-social-media-and-anterior-cruciate-ligament-surgery-an-analysis-of-patient-surgeon-and-hospital-use
#20
Prem N Ramkumar, Ton La, Evan Fisch, Peter D Fabricant, Alexander E White, Kristofer J Jones, Samuel A Taylor
PURPOSE: The purpose of this observational study of social media in sports medicine was to investigate and analyze the presence and shared content of anterior cruciate ligament (ACL) patients, sports surgeons, and top orthopaedic hospitals on popular social media streams. METHODS: A search of 2 public domains (Instagram and Twitter) was performed over a 6-month period. ACL surgery ("#aclsurgery") was selected for the Instagram-based patient analysis after exclusion of veterinary ACL operations...
October 19, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
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