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https://www.readbyqxmd.com/read/29233184/effects-of-angelicae-pubescentis-and-loranthi-decotion-on-repairing-knee-joint-cartilages-in-rats
#1
Shun Lyu, Bin Ji, Wenwu Gao, Xianqi Chen, Xiaotao Xie, Junjie Zhou
BACKGROUND: Knee osteoarthritis (KOA) is a common orthopedics disease and its pathological changes at early stage are the damage and loss of articular cartilage. Traditional Chinese medicine (TCM) prescription contains multiple components and has the unique advantages of the diversity of targets.We compared the traditional Chinese medical formulae (Angelicae Pubescentis and Loranthi decotion, APLD, or Duhuo Jisheng) with a western medicine (glucosamine sulfate, GS) to treat the rat arthritis models, and tracked the outcomes...
December 12, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29212413/a-lower-extremity-strength-based-profile-of-ncaa-division-i-women-s-basketball-and-gymnastics-athletes-implications-for-knee-joint-injury-risk-assessment
#2
Brennan J Thompson, Curtis S Cazier, Eadric Bressel, Dennis G Dolny
This study aimed to provide a comprehensive strength-based physiological profile of women's NCAA Division I basketball and gymnastic athletes; and to make sport-specific comparisons for various strength characteristics of the knee flexor and extensor muscles. A focus on antagonist muscle balance (hamstrings-to-quadriceps ratios, H:Q) was used to elucidate vulnerabilities in these at-risk female athletes. Fourteen NCAA Division I women's basketball and 13 gymnastics athletes performed strength testing of the knee extensors and flexors...
December 7, 2017: Journal of Sports Sciences
https://www.readbyqxmd.com/read/29209808/minimal-influence-of-the-anterolateral-knee-ligament-on-anterior-and-rotational-laxity-of-the-knee-a-cadaveric-study
#3
Jean-Yves Jenny, Benjamin Puliero, Gilles Schockmel, Sébastien Harnoist, Philippe Clavert
Knee laxity may be impacted by rupture of the anterolateral knee ligament (ALL). The goal of this study was to measure tibial translation and rotation as a function of the status of the ALL and the anterior cruciate ligament (ACL). Five pairs of fresh frozen cadaver specimens were analyzed. The knee was positioned in 20° flexion. Calibrated posteroanterior forces and internal/external torques were successively applied. Anterior tibial translation and total internal/external tibial rotation were measured with a navigation system...
December 5, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29209517/clinical-course-and-recommendations-for-patients-after-anterior-cruciate-ligament-injury-and-subsequent-reconstruction-a-narrative-review
#4
Alli Gokeler, Bart Dingenen, Caroline Mouton, Romain Seil
Almost all athletes who have suffered an anterior cruciate ligament (ACL) injury expect a full return to sports at the same pre-injury level after ACL reconstruction (ACLR). Detailed patient information on the reasonable outcomes of the surgery may be essential to improve patient satisfaction.Pre-operative rehabilitation before ACLR should be considered as an addition to the standard of care to maximise functional outcomes after ACLR.We propose an optimised criterion-based rehabilitation programme within a biopsychosocial framework...
October 2017: EFORT Open Reviews
https://www.readbyqxmd.com/read/29203380/periarticular-injection-versus-femoral-nerve-block-for-pain-relief-after-anterior-cruciate-ligament-reconstruction-a-randomized-controlled-trial
#5
Kenji Kurosaka, Sachiyuki Tsukada, Hiroshi Nakayama, Tomoya Iseki, Ryo Kanto, Ryo Sugama, Shinichi Yoshiya
PURPOSE: To compare the effectiveness and safety of periarticular injection (PI) with those of femoral nerve block (FNB) after anterior cruciate ligament (ACL) reconstruction. METHODS: A total of 129 patients scheduled for ACL reconstruction were randomly assigned to receive PI or FNB. Other perioperative interventions were identical for all patients. The primary outcome was the postoperative pain score 24 hours after surgery, which was measured using a 100-mm visual analog scale (VAS)...
December 1, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29201295/a-comparative-study-of-clinical-outcomes-and-second-look-arthroscopic-findings-between-remnant-preserving-tibialis-tendon-allograft-and-hamstring-tendon-autograft-in-anterior-cruciate-ligament-reconstruction-matched-pair-design
#6
You Keun Kim, Jong Hyun Ahn, Jae Doo Yoo
Background: This study aimed to compare stability, functional outcome, and second-look arthroscopic findings after anterior cruciate ligament reconstruction between remnant-preserving tibialis tendon allograft and remnant-sacrificing hamstring tendon autograft. Methods: We matched two groups (remnant-preserving tibialis tendon allograft group and hamstring tendon autograft group) in terms of demographic characteristics, associated injury, and knee characteristics...
December 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29200071/evidence-basis-for-regional-anesthesia-in-ambulatory-anterior-cruciate-ligament-reconstruction-part-iii-local-instillation-analgesia-a-systematic-review-and-meta-analysis
#7
Eric M Yung, Richard Brull, Eric Albrecht, Girish P Joshi, Faraj W Abdallah
BACKGROUND: Local infiltration analgesia offers effective postoperative analgesia after knee arthroplasty, but the role of its counterpart, local instillation analgesia (LIA), in anterior cruciate ligament reconstruction (ACLR) is unclear. This systematic review and meta-analysis evaluates the analgesic benefits of LIA for outpatient ACLR. METHODS: We sought randomized controlled trials investigating the analgesic effects of LIA versus control in adults having outpatient ACLR and receiving multimodal analgesia (excluding nerve blocks, which are examined in parts I and II of this project)...
November 30, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29198590/clinical-outcomes-of-single-anteromedial-bundle-biologic-augmentation-sambba-technique-for-anterior-cruciate-ligament-reconstruction-with-consideration-of-tibial-remnant-size
#8
Hervé Ouanezar, William G Blakeney, Levi Reina Fernandes, Amrut Borade, Charles Latrobe, Eduardo Frois Temponi, Bertrand Sonnery-Cottet
PURPOSE: The primary aim of this study was to evaluate the functional outcomes, knee stability, complications, and reoperations associated with anatomic anterior cruciate ligament (ACL) reconstruction using the single anteromedial bundle biological augmentation (SAMBBA) technique in a consecutive series of 128 patients with a minimum follow-up of 24 months. A secondary aim was to compare larger preserved ACL remnants with smaller preserved remnants. METHODS: Patients who underwent primary anatomic ACL reconstruction using the SAMBBA technique from July 2013 to October 2014 were analyzed...
November 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29198357/editorial-commentary-hamstring-autograft-with-preserved-insertions-versus-free-hamstring-autograft-in-knee-anterior-cruciate-ligament-reconstruction-clinically-the-same-but-statistically-different
#9
EDITORIAL
Mark P Cote
There is considerable debate over the ideal graft for anterior cruciate ligament (ACL) reconstruction in athletes. The use of a hamstring autograft with preserved insertions is an approach to ACL reconstruction that may lead to earlier healing and less morbidity in comparison to a free hamstring autograft. When compared in a randomized trial, statistically significant but clinically irrelevant differences in clinical outcome and instrumented laxity were observed. These contradictory findings highlight the importance of examining the results from many vantage points and further demonstrate the misleading conclusions that may result from reliance on P values...
December 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29198356/editorial-commentary-the-acrid-bioscrew-in-anterior-cruciate-ligament-reconstruction-of-the-knee
#10
EDITORIAL
Leo A Pinczewski, Lucy J Salmon
Bioresorbable screws have been widely adopted for graft fixation in knee anterior cruciate ligament (ACL) reconstruction on the promise of screw resorbtion and replacement by bone. When considering the value of bioresorbable screws, it is imperative to understand that the "A" in PGA and PLA, the base ingredient of all bioscrews, is for Acid. All resorb by a process of hydrolysis; the speed and extent of resorbtion is determined by both the acidity of the screw and the environment in which it is placed. Regrettably, the promise of reliable, predictable screw resorbtion and replacement by bone remains elusive, despite the addition of "osteoconductive" materials...
December 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29191469/role-of-anterolateral-reconstruction-in-patients-undergoing-anterior-cruciate-ligament-reconstruction
#11
REVIEW
C Lutz
There is renewed interest in anterolateral reconstruction (ALR) for patients undergoing anterior cruciate ligament (ACL) reconstruction. This is the result of isolated ACL reconstruction and double-bundle reconstruction providing inadequate control over the pivot shift, and recent anatomical and biomechanical studies on the anterolateral ligament (ALL) and its role in the knee's rotational stability.From a technical point of view, ALR can be performed either as a continuity of the intra-articular ACL reconstruction or an independent procedure...
November 27, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29189882/the-transportal-technique-shows-better-clinical-results-than-the-transtibial-techniques-for-single-bundle-anterior-cruciate-ligament-reconstruction
#12
Kyung-Han Ro, Hyun-Jung Kim, Dae-Hee Lee
PURPOSE: Although anatomical and independent drilling techniques, such as transportal (TP) technique, have become more popular in anterior cruciate ligament (ACL) reconstruction, the TP technique has not been shown to yield superior clinical or functional outcomes compared to the transtibial (TT) technique. The aim of the current meta-analysis was to compare clinical outcomes of the TP and TT techniques, as determined by patient-reported outcome scores and knee joint laxity tests. It was hypothesized that the TP and TT techniques of ACL reconstruction would yield similar patient-reported functional outcomes and similar results on knee joint laxity tests...
November 30, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29189538/what-s-new-in-pediatric-sports-conditions-of-the-knee
#13
Aristides I Cruz, Connor G Richmond, Marc A Tompkins, Ann Heyer, Kevin G Shea, Jennifer J Beck
BACKGROUND: Sports injuries are common in pediatric and adolescent patients and the evaluation and treatment of these injuries continues to evolve. The purpose of this review is to provide a comprehensive appraisal of the literature, highlighting recent updates on sports-related knee injuries in the pediatric athlete. We specifically examined literature on tibial spine fractures, osteochondritis dissecans (OCD) of the knee, and patellar instability. Because of the volume of literature on the subject, pediatric, and adolescent anterior cruciate ligament injuries were not included in this review...
November 16, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29189474/pediatric-acl-reconstruction-and-return-to-the-operating-room-revision-is-less-than-half-of-the-story
#14
Christopher J DeFrancesco, Eileen P Storey, John M Flynn, Theodore J Ganley
BACKGROUND: Although there are several causes of unplanned return to the operating room (RTOR) following pediatric anterior cruciate ligament (ACL) reconstruction (ACLR), prior outcomes studies focus primarily on the risk of graft failure. We sought to comprehensively describe indications for RTOR in pediatric primary ACLR patients, estimate associated rates of RTOR, and assess the impact of concomitant meniscal procedures on these rates. METHODS: This retrospective cohort study considered patients who underwent primary ACLR at an urban, pediatric tertiary care hospital between 2013 and 2015...
November 20, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29189335/outcomes-of-anterior-cruciate-ligament-reconstruction-in-obese-and-overweight-patients-a-systematic-review
#15
Kevin J DiSilvestro, Julio J Jauregui, Elizabeth Glazier, Denis Cherkalin, Craig H Bennett, Jonathan D Packer, Ralph Frank Henn
OBJECTIVE: To evaluate the mechanism of injury, outcomes, and complications of anterior cruciate ligament (ACL) reconstruction in overweight and obese patients. DATA SOURCES: MEDLINE, EMBASE, and OVID electronic libraries were systematically searched from inception to December, 2017 for any eligible articles using a combination of the phrases "anterior cruciate ligament," "ACL," "overweight," "obese," and "BMI." RESULTS: Studies that evaluated patients with primary ACL reconstruction, classified patients as overweight or obese, and reported a minimum of 1-year follow-up data were included...
November 20, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29188678/posterolateral-bundle-reconstruction-of-the-anterior-cruciate-ligament-to-restore-rotational-stability-of-the-knee
#16
G Vadalà, S Petrillo, F Buschini, R Papalia, V Denaro
Only 5-10% of partial tears of the anterior cruciate ligament (ACL) are symptomatic, especially in high demand individuals or in patients practicing sports requiring rotational motions.. A certain preoperative diagnosis of this condition is challenging and often needs the combination of clinical examination, magnetic resonance imaging (MRI) and knee-laxity tool measurements. However, the arthroscopic examination of the torn ACL bundle is the most important factor in decision-making. Evidence in various studies have shown that the preservation of the ACL remnant and its surgical augmentation can bring important advantages in terms of vascularity and proprioception, resulting in better outcomes...
October 2017: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/29188336/no-risk-of-arthrofibrosis-after-acute-anterior-cruciate-ligament-reconstruction
#17
Karl Eriksson, Christoffer von Essen, Sven Jönhagen, Björn Barenius
PURPOSE: To compare acute ACL reconstruction (ACLR) within 8 days of injury with delayed reconstruction after normalized range of motion (ROM), 6-10 weeks after injury. It was hypothesized that acute ACL reconstruction with modern techniques is safe and can be beneficial in terms of patient-reported outcomes and range of motion. METHODS: Sample size calculation indicated 64 patients would be required to find a 5° difference in ROM at 3 months. Seventy patients with high recreational activity level, Tegner level 6 or more, were randomized to acute (within 8 days) or delayed (6-10 weeks) ACLR between 2006 and 2013...
November 29, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29183885/can-we-predict-the-clinical-outcome-of-arthroscopic-partial-meniscectomy-a-systematic-review
#18
REVIEW
Susanne M Eijgenraam, Max Reijman, Sita M A Bierma-Zeinstra, Daan T van Yperen, Duncan E Meuffels
NHS-PROSPERO REGISTRATION NUMBER: 42016048592 OBJECTIVE: In order to make a more evidence-based selection of patients who would benefit the most from arthroscopic partial meniscectomy (APM), knowledge of prognostic factors is essential. We conducted a systematic review of predictors for the clinical outcome following APM. DESIGN: Systematic review DATA SOURCES: Medline, Embase, Cochrane Central Register, Web of Science, SPORTDiscus, PubMed Publisher, Google Scholar INCLUSION CRITERIA: Report an association between factor(s) and clinical outcome; validated questionnaire; follow-up >1 year...
November 28, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29173560/extra-articular-tenodesis-in-combination-with-anterior-cruciate-ligament-reconstruction-an-overview
#19
REVIEW
Simone Cerciello, Cécile Batailler, Nader Darwich, Philippe Neyret
Anterior cruciate ligament (ACL) reconstruction is a successful procedure with high rates of return to sport. However, some patients experience persistent instability and graft failure. These adverse events have a significant impact, especially on high-level athletes. In an effort to improve outcomes for these patients, more attention is being paid to the anatomic structures at the anterolateral aspect of the knee. The anterolateral structures of the knee have been shown to play a major role in decreasing rotatory knee instability and forces across the ACL graft following reconstruction...
January 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29173126/racial-bias-in-sport-medical-staff-s-perceptions-of-others-pain
#20
James N Druckman, Sophie Trawalter, Ivonne Montes, Alexandria Fredendall, Noah Kanter, Allison Paige Rubenstein
Unequal treatment based on race is well documented in higher education and healthcare settings. In the present work, we examine racial bias at the intersection of these domains: racial bias in pain-related perceptions among National Collegiate Athletic Association (NCAA) Division 1 sport medical staff. Using experimental vignettes about a student-athlete who injured his/her anterior cruciate ligament (ACL), we find, like prior work, that respondents perceived Black (vs. White) targets as having higher initial pain tolerance...
November 27, 2017: Journal of Social Psychology
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