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https://www.readbyqxmd.com/read/28255567/an-ecological-study-of-anterior-cruciate-ligament-reconstruction-part-2-functional-performance-tests-correlate-with-return-to-sport-outcomes
#1
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 anterior cruciate ligament (ACL) reconstruction in active populations. PURPOSE: To investigate prospectively the relationship between functional performance test results at 24 weeks postoperative and return-to-sport activity (Tegner activity score) at 12 and 24 months, respectively, after synthetic (ligament advanced reinforcement system [LARS]) and autograft (doubled semitendinosus/gracilis [2ST/2GR]) ACL reconstructions...
February 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28251262/one-stage-revision-acl-reconstruction-after-primary-acl-double-bundle-reconstruction-is-bone-patella-tendon-bone-autograft-reliable
#2
Tomohiro Tomihara, Yusuke Hashimoto, Masatoshi Taniuchi, Junsei Takigami, Changhun Han, Nagakazu Shimada
PURPOSE: The purpose of this study is to assess the results of revision anterior cruciate ligament (ACL) reconstruction after the failure of primary ACL double bundle reconstruction (ACL-DBR). METHODS: Twenty-two knees in 22 patients (group R) that underwent ACL revision surgery using bone-patellar tendon-bone (BTB) autograft after the failure of primary ACL-DBR were included in this study. Intraoperative findings and postoperative knee laxity and clinical outcomes in group R were assessed...
March 1, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28224443/report-of-the-clinical-and-functional-primary-outcomes-in-men-of-the-acl-sports-trial-similar-outcomes-in-men-receiving-secondary-prevention-with-and-without-perturbation-training-1-and-2-years-after-acl-reconstruction
#3
Amelia J H Arundale, Kathleen Cummer, Jacob J Capin, Ryan Zarzycki, Lynn Snyder-Mackler
BACKGROUND: Athletes often are cleared to return to activities 6 months after anterior cruciate ligament (ACL) reconstruction; however, knee function measures continue to improve up to 2 years after surgery. Interventions beyond standard care may facilitate successful return to preinjury activities and improve functional outcomes. Perturbation training has been used in nonoperative ACL injury and preoperative ACL reconstruction rehabilitation, but has not been examined in postoperative ACL reconstruction rehabilitation, specifically return to sport rehabilitation...
February 21, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28224442/report-of-the-primary-outcomes-for-gait-mechanics-in-men-of-the-acl-sports-trial-secondary-prevention-with-and-without-perturbation-training-does-not-restore-gait-symmetry-in-men-1-or-2-years-after-acl-reconstruction
#4
Jacob John Capin, Ryan Zarzycki, Amelia Arundale, Kathleen Cummer, Lynn Snyder-Mackler
BACKGROUND: Movement asymmetries during walking are common after anterior cruciate ligament (ACL) injury and reconstruction and may influence the early development of posttraumatic osteoarthritis. Preoperative neuromuscular training (like perturbation training, which is neuromuscular training requiring selective muscle activation in response to surface perturbations) improves gait asymmetries and functional outcomes among people who are ACL-deficient, but the effect of postoperative perturbation training on gait mechanics after ACL reconstruction is unknown...
February 21, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28223305/eighty-three-per-cent-of-elite-athletes-return-to-preinjury-sport-after-anterior-cruciate-ligament-reconstruction-a-systematic-review-with-meta-analysis-of-return-to-sport-rates-graft-rupture-rates-and-performance-outcomes
#5
REVIEW
Courtney C H Lai, Clare L Ardern, Julian A Feller, Kate E Webster
OBJECTIVES: The primary objective was to calculate the rate of return to sport (RTS) following anterior cruciate ligament (ACL) reconstruction in elite athletes. Secondary objectives were to estimate the time taken to RTS, calculate rates of ACL graft rupture, evaluate postsurgical athletic performance and identify determinants of RTS. DESIGN: Pooled RTS and graft rupture rates were calculated using random effects proportion meta-analysis. Time to RTS, performance data and determinants of RTS were synthesised descriptively...
February 21, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28217573/return-to-sports-after-acl-reconstruction-a-new-functional-test-protocol
#6
Gian Nicola Bisciotti, Alessandro Quaglia, Andrea Belli, Giulia Carimati, Piero Volpi
BACKGROUND: In literature, there are lack of studies proposing clear and rationally designed test battery to be performed after an ACL reconstruction. METHODS: From 2006 to 2015, 80 football players were subjected, after ACL reconstruction, to a newly conceived test battery analyzing: Isometric and isokinetic force productionThe different phases during the jumpThe correct control of the landing phase after jumpThe control of valgus during landing after jump and cutting movements...
October 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28217571/returning-to-sport-after-anterior-cruciate-ligament-reconstruction-in-amateur-sports-men-a-retrospective-study
#7
Angela Notarnicola, Giuseppe Maccagnano, Federico Barletta, Leonardo Ascatigno, Leopoldo Astuto, Antonio Panella, Silvio Tafuri, Biagio Moretti
BACKGROUND: According to the literature, 95% of professional athletes return to their sport after anterior cruciate ligament (ACL) reconstruction surgery. The main objective of this study was to verify the return to sport after ACL reconstruction in a homogenous group of amateur sportsmen and sportswomen in a series of Italian patients. MATERIALS AND METHODS: We designed a retrospective study in which we analyzed the amateur sports patients operated for ACL reconstruction...
October 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28210653/biologic-approaches-for-the-treatment-of-partial-tears-of-the-anterior-cruciate-ligament-a-current-concepts-review
#8
Ignacio Dallo, Jorge Chahla, Justin J Mitchell, Cecilia Pascual-Garrido, John A Feagin, Robert F LaPrade
BACKGROUND: Anterior cruciate ligament reconstruction (ACLR) has been established as the gold standard for treatment of complete ruptures of the anterior cruciate ligament (ACL) in active, symptomatic individuals. In contrast, treatment of partial tears of the ACL remains controversial. Biologically augmented ACL-repair techniques are expanding in an attempt to regenerate and improve healing and outcomes of both the native ACL and the reconstructed graft tissue. PURPOSE: To review the biologic treatment options for partial tears of the ACL...
January 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28203600/do-muscle-strength-deficits-of-the-uninvolved-hip-and-knee-exist-in-young-athletes-before-anterior-cruciate-ligament-reconstruction
#9
Joseph Hannon, Sharon Wang-Price, Shiho Goto, J Craig Garrison, James M Bothwell
BACKGROUND: Muscle strength of the involved limb is known to be decreased after injury. Comparison with the uninvolved limb has become standard of practice to measure progress and for calculation of limb symmetry indices (LSIs) to determine readiness to return to sport. However, some literature suggests strength changes in the uninvolved limb also are present after lower extremity injury. PURPOSE: To examine the uninvolved limb strength in a population of adolescent athletes after an anterior cruciate ligament (ACL) injury and compare strength values with those of the dominant limb in a healthy control group...
January 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28197354/neuromuscular-coordination-deficit-persists-12-months-after-acl-reconstruction-but-can-be-modulated-by-6-weeks-of-kettlebell-training-a-case-study-in-women-s-elite-soccer
#10
Mette K Zebis, Christoffer H Andersen, Jesper Bencke, Christina Ørntoft, Connie Linnebjerg, Per Hölmich, Kristian Thorborg, Per Aagaard, Lars L Andersen
The aim of the present single-case study was to investigate the effect of 6 weeks' kettlebell training on the neuromuscular risk profile for ACL injury in a high-risk athlete returning to sport after ACL reconstruction. A female elite soccer player (age 21 years) with no previous history of ACL injury went through neuromuscular screening as measured by EMG preactivity of vastus lateralis and semitendinosus during a standardized sidecutting maneuver. Subsequently, the player experienced a noncontact ACL injury...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28194829/diffusion-tensor-imaging-of-the-anterior-cruciate-ligament-graft
#11
Pieter Van Dyck, Martijn Froeling, Eline De Smet, Pim Pullens, Michaël Torfs, Peter Verdonk, Jan Sijbers, Paul M Parizel, Ben Jeurissen
PURPOSE: A great need exists for objective biomarkers to assess graft healing following ACL reconstruction to guide the time of return to sports. The purpose of this study was to evaluate the feasibility and reliability of diffusion tensor imaging (DTI) to delineate the anterior cruciate ligament (ACL) graft and to investigate its diffusion properties using a clinical 3T scanner. MATERIALS AND METHODS: DTI of the knee (b = 0, 400, and 800 s/mm(2) , 10 diffusion directions, repeated 16 times for a total of 336 diffusion-weighted volumes) was performed at 3T in 17 patients between 3 and 7 months (mean, 4 months) following ACL reconstruction...
February 14, 2017: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/28154888/permanent-knee-sensorimotor-system-changes-following-acl-injury-and-surgery
#12
John Nyland, Collin Gamble, Tiffany Franklin, David N M Caborn
The cruciate ligaments are components of the knee capsuloligamentous system providing vital neurosensory and biomechanical function. Since most historical primary ACL repair attempts were unsuccessful, reconstruction has become the preferred surgery. However, an increased understanding of the efficacy of lesion-site scaffolding, innovative suturing methods and materials, and evolving use of biological healing mediators such as platelet-rich plasma and stem cells has prompted reconsideration of what was once believed to be impossible...
February 2, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28151693/anterolateral-ligament-reconstruction-is-associated-with-significantly-reduced-acl-graft-rupture-rates-at-a-minimum-follow-up-of-2-years
#13
Bertrand Sonnery-Cottet, Adnan Saithna, Maxime Cavalier, Charles Kajetanek, Eduardo Frois Temponi, Matt Daggett, Camilo Partezani Helito, Mathieu Thaunat
BACKGROUND: Graft failure and low rates of return to sport are major concerns after anterior cruciate ligament (ACL) reconstruction, particularly in a population at risk. PURPOSE: To evaluate the association between reconstruction techniques and subsequent graft rupture and return-to-sport rates in patients aged 16 to 30 years participating in pivoting sports. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: A prospective study of patients undergoing primary ACL reconstruction with a bone-patellar tendon-bone (B-PT-B) graft, quadrupled hamstring tendon (4HT) graft, or hamstring tendon graft combined with anterolateral ligament reconstruction (HT+ALL) was conducted by the Scientific ACL NeTwork International (SANTI) Study Group...
February 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28146394/functional-performance-among-active-female-soccer-players-after-unilateral-primary-anterior-cruciate-ligament-reconstruction-compared-with-knee-healthy-controls
#14
Anne Fältström, Martin Hägglund, Joanna Kvist
BACKGROUND: Good functional performance with limb symmetry is believed to be important to minimize the risk of injury after a return to pivoting and contact sports after anterior cruciate ligament reconstruction (ACLR). PURPOSE: This study aimed to investigate any side-to-side limb differences in functional performance and movement asymmetries in female soccer players with a primary unilateral anterior cruciate ligament (ACL)-reconstructed knee and to compare these players with knee-healthy controls from the same soccer teams...
February 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28116102/self-determined-motivation-in-rehabilitating-professional-rugby-union-players
#15
Fraser Carson, Remco C J Polman
BACKGROUND: The aim of the present study was to explore the views of professional rugby union players during the early rehabilitation, late rehabilitation and return to play stages, following anterior cruciate ligament (ACL) injury. METHODS: A qualitative dominant, mixed methodological approach was utilized with five players who had suffered an ACL injury requiring reconstructive surgery. A longitudinal approach, concurrent with each player's rehabilitation, consisting of twice monthly interviews, a self-report diary and three established questionnaires (MOS-Social Support Survey, Sherbourne & Stewart, 1991; Sport Climate Questionnaire, Deci & Ryan, n...
2017: BMC Sports Science, Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28107551/knee-function-among-elite-handball-and-football-players-1-6%C3%A2-years-after-anterior-cruciate-ligament-injury
#16
G Myklebust, R Bahr, A Nilstad, K Steffen
The aim of the study was to describe objective and self-reported knee function for athletes who have returned to elite handball and football play after an ACL injury, comparing these to non-injured players at the same level. A total of 414 handball and 444 football players completed baseline tests from 2007 through 2014, examining lower extremity strength, dynamic balance, knee laxity, and knee function (KOOS questionnaire). Measures were compared between injured and non-injured legs and between injured legs and legs of controls...
January 20, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28095091/factors-informing-fear-of-reinjury-after-anterior-cruciate-ligament-reconstruction
#17
Cheryl A Ross, Amanda Clifford, Quinette A Louw
OBJECTIVE: Fear of reinjury is associated with cessation of sport after anterior cruciate ligament (ACL) reconstruction despite normal postoperative knee function. The objective of this study is to describe factors informing athletes' experience of fear of reinjury post ACL reconstruction, in athletes who cited fear as the sole reason for not returning to their pre-injury level of sport. DESIGN: Mixed-methods study design of qualitative and a preliminary quantitative component...
February 2017: Physiotherapy Theory and Practice
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
#18
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
#19
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...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28054146/revision-anterior-cruciate-ligament-reconstruction-with-ipsi-or-contralateral-hamstring-tendon-grafts
#20
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
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