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https://www.readbyqxmd.com/read/29337596/the-influence-of-graft-fixation-methods-on-revision-rates-after-primary-anterior-cruciate-ligament-reconstruction
#1
Niclas H Eysturoy, Kåre Amtoft Nissen, Torsten Nielsen, Martin Lind
BACKGROUND: The method of graft fixation in primary anterior cruciate ligament (ACL) reconstruction is important for initial stability of the graft. Poor graft fixation can result in failure of the reconstruction. The effect of ACL graft fixation principles and fixation implant combinations on the risk of revision after ACL reconstruction is not well understood. PURPOSE: The study aimed to compare the risk of revision among 4 categories of femoral fixation divided by their principle of function using a hamstring tendon (HT) graft only...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29319735/tibial-tunnel-enlargement-and-joint-instability-after-anterior-cruciate-ligament-reconstruction-a-prospective-comparison-between-autograft-and-allograft
#2
Qiang Zhang, Guangliang Hao, Mingyong Gu, Xuecheng Cao
PURPOSE: To investigate tibial tunnel widening and knee instability after ACL reconstruction with hamstring autograft or irradiated soft tissue allograft. METHODS: Eight-two patients were divided into two groups: autograft group and allograft group. Radiographic and clinical evaluations were performed. RESULTS: Seventy patients were followed up with median of 36.3 months (range 36-38 months). Tibial tunnel widening was at or greater than 30% for nine patients in the autograft group and 15 patients in the allograft group (P = 0...
December 2017: Acta Cirúrgica Brasileira
https://www.readbyqxmd.com/read/29318179/preoperative-ultrasonography-is-unreliable-in-predicting-hamstring-tendon-graft-diameter-for-acl-reconstruction
#3
Amit M Momaya, Clint Beicker, Paul Siffri, Michael J Kissenberth, Jeffrey Backes, Lane Bailey, Gabriel J Rulewicz, Jennifer M Mercuri, E Carlisle Shealy, John M Tokish, Charles A Thigpen
Background: Hamstring autograft size <8 mm has been shown to be a predictor for failure after anterior cruciate ligament (ACL) reconstruction. The ability to predict graft size preoperatively is helpful in counseling patients about the possible need for graft augmentation. Purpose: To determine whether preoperative ultrasound (US) measurements of hamstring tendons can predict intraoperative graft diameter during ACL reconstruction. Study Design: Cohort study (diagnosis); Level of evidence, 2...
January 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29299655/medial-patellofemoral-ligament-reconstruction-in-children-do-osseous-abnormalities-matter
#4
Sebastien Pesenti, Matthieu Ollivier, Jean-Charles Escudier, Mathieu Cermolacce, Alexandre Baud, Franck Launay, Jean-Luc Jouve, Elie Choufani
PURPOSE: Management of post-traumatic patellar instability in children with osseous abnormalities is challenging because of the presence of an open physis. The aim of our study was to compare the rate of recurrence after isolated reconstruction of the medial patellofemoral ligament (MPFL) in children with or without osseous abnormalities. METHODS: The medical records of 25 children (27 knees) with recurrent patellar dislocation were reviewed. Each child underwent an isolated reconstruction of the MPFL using a hamstring graft...
January 4, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29298454/risk-factors-for-contralateral-acl-injury-a-single-institution-case-control-study
#5
Todd P Pierce, Kimona Issa, Kaitlin Cassidy, Anthony Festa, Vincent K McInerney, Anthony J Scillia
Our purpose was to evaluate if there is any association between requiring contralateral anterior cruciate ligament (ACL) reconstruction and various: (1) demographics, (2) patient characteristics, and (3) surgery-specific factors. A prospectively collected database at a single institution was queried to find all patients who underwent primary ACL reconstruction between 2012 and 2014. We identified 312 primary ACL reconstruction patients with a mean age of 24 years and a mean follow-up of 3 years (range, 2-5 years)...
January 3, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29287949/comparison-of-clinical-outcomes-after-anterior-cruciate-ligament-reconstruction-using-a-hybrid-graft-versus-a-hamstring-autograft
#6
Hong-De Wang, Shi-Jun Gao, Ying-Ze Zhang
PURPOSE: This study aimed to compare the clinical outcomes of patients who underwent anterior cruciate ligament (ACL) reconstruction with a hybrid graft versus an autograft after 3 years of follow-up. METHODS: Among 57 patients with an ACL injury who underwent ACL reconstruction, 28 patients received a hybrid graft (gracilis and semitendinosus tendon autograft plus a soft tissue allograft) and 29 patients received an autograft (gracilis and semitendinosus tendon autograft)...
December 26, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29287523/knee-isokinetic-performance-following-anterior-cruciate-ligament-reconstruction-patellar-tendon-versus-hamstrings-graft
#7
Felipe Machado, Pedro Debieux, Camila Cohen Kaleka, Diego Astur, Maria Stella Peccin, Moisés Cohen
OBJECTIVE: To compare knee isokinetic performance six months after reconstruction of the anterior cruciate ligament using grafts from either the patellar tendon or the hamstrings among patients who underwent the same rehabilitation protocol. METHODS: Thirty-four patients were evaluated (17 with grafts from the patellar tendon and 17 with grafts from the hamstrings). Operated and non-operated knees were compared with regards to the variables of peak torque, work and the hamstring/quadriceps relationship at velocities of 60º/s and 180º/s and power of 180º/s after six months of surgery...
December 19, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29284176/bone-patellar-tendon-bone-autograft-versus-hamstring-tendon-autograft-for-anatomical-anterior-cruciate-ligament-reconstruction-with-three-dimensional-validation-of-femoral-and-tibial-tunnel-positions
#8
Shuji Taketomi, Hiroshi Inui, Ryota Yamagami, Nobuyuki Shirakawa, Kohei Kawaguchi, Takumi Nakagawa, Sakae Tanaka
The purpose of this retrospective study was to first compare the clinical outcome of anatomical double-bundle (DB) anterior cruciate ligament reconstruction (ACLR) with hamstring tendon (HT) autografts and anatomical rectangular tunnel ACLR with bone-patellar tendon-bone (BPTB) autografts. Secondly, we aimed to demonstrate the quantitative locations of the femoral and tibial tunnel apertures using postoperative three-dimensional computed tomography (3D CT).Twenty-five patients underwent anatomical rectangular tunnel ACLR using BPTB grafts (Group B) and 23 patients underwent anatomical DB ACLR using HT grafts (Group H)...
December 28, 2017: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29244525/20-year-outcomes-of-anterior-cruciate-ligament-reconstruction-with-hamstring-tendon-autograft-the-catastrophic-effect-of-age-and-posterior-tibial-slope
#9
Lucy J Salmon, Emma Heath, Hawar Akrawi, Justin P Roe, James Linklater, Leo A Pinczewski
BACKGROUND: No well-controlled studies have compared the long-term outcome of anterior cruciate ligament (ACL) reconstruction with hamstring tendon autograft between adolescents and adults. Increased posterior tibial slopes (PTSs) have been reported in the ACL-injured versus controls, but the effect of PTS on the outcome after reconstruction is relatively unexplored. PURPOSE: To compare the prospective longitudinal outcome of "isolated" ACL ruptures treated with anatomic endoscopic ACL reconstruction using hamstring tendon autograft over 20 years in adolescent and adult cohorts and to examine factors for repeat ACL injury...
December 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29243827/one-incision-versus-two-incision-techniques-for-arthroscopically-assisted-anterior-cruciate-ligament-reconstruction-in-adults
#10
REVIEW
Fernando C Rezende, Vinícius Y Moraes, Carlos Es Franciozi, Pedro Debieux, Marcus V Luzo, João Carlos Belloti
BACKGROUND: Anterior cruciate ligament (ACL) tears are serious knee injuries that are frequently treated surgically in the form of arthroscopically assisted reconstruction with grafts from the patella or hamstrings tendons. We reviewed the evidence for the choice of arthroscopically assisted ACL reconstruction technique in terms of whether it should involve one incision (femoral tunnel drilled from inside the knee joint under arthroscopic visualisation) or two incisions (femoral tunnel drilled from outside to inside the knee joint)...
December 15, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29232750/-a-novel-technique-for-the-preparation-of-a-3-or-5-stranded-hamstring-graft-for-individualised-single-bundle-acl-or-pcl-reconstruction
#11
Philip Peter Rößler, Karl-Friedrich Schüttler, Turgay Efe
Objective Development of a preparation technique for hamstring tendons to ensure a maximum of intraoperative flexibility during individualised cruciate ligament surgery. Indications Primary ACL- and PCL-reconstruction as well as cases of later revision. Method Three- or five-stranded grafts can be obtained with the use of semitendinosus and gracilis tendons with fiber tape enforcement and use of a conventional femoral cortical suspensory fixation device. Fibre tape and knotting style ensure free motion of the continous loop...
December 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
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
#12
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/29198357/editorial-commentary-hamstring-autograft-with-preserved-insertions-versus-free-hamstring-autograft-in-knee-anterior-cruciate-ligament-reconstruction-clinically-the-same-but-statistically-different
#13
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/29181559/compensation-after-treatment-for-anterior-cruciate-ligament-injuries-a-review-of-compensation-claims-in-norway-from-2005-to-2015
#14
Per-Henrik Randsborg, Ida Rashida Kahn Bukholm, Rune Bruhn Jakobsen
PURPOSE: To assess the most common reasons for complaints following anterior cruciate ligament (ACL) injuries reported to the Norwegian System of Patient Injury Compensation (NPE), and to view these complaints in light of the ACL reconstructions (ACL-Rs) reported to the Norwegian Knee Ligament Registry (NKLR). METHOD: Data from the NPE and the NKLR were collected for the study period (2005-2015). The age and gender and type of complaint and reason for granted compensation were collected from the NPE, while the graft choice and total number of ACL-R were collected from the NKLR...
November 27, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29171322/graft-fixation-influences-revision-risk-after-acl-reconstruction-with-hamstring-tendon-autografts
#15
Andreas Persson, Tone Gifstad, Martin Lind, Lars Engebretsen, Knut Fjeldsgaard, Jon Olav Drogset, Magnus Forssblad, Birgitte Espehaug, Asle B Kjellsen, Jonas M Fevang
Background and purpose - A large number of fixation methods of hamstring tendon autograft (HT) are available for anterior cruciate ligament reconstruction (ACLR). Some studies report an association between fixation method and the risk of revision ACLR. We compared the risk of revision of various femoral and tibial fixation methods used for HT in Scandinavia 2004-2011. Materials and methods - A register-based study of 38,666 patients undergoing primary ACLRs with HT, with 1,042 revision ACLRs. The overall median follow-up time was 2...
November 24, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/29167416/second-look-arthroscopic-evaluation-and-clinical-outcomes-of-anatomic-anterior-cruciate-ligament-reconstruction-with-autograft-and-hybrid-graft-a-retrospective-study
#16
Hongtao Xu, Jiangtao Dong, Dongmei Xin, Jian Zhang, Kai Kang, Shijun Gao
BACKGROUND Graft choice is very controversial. This study compared the second-look evaluation and clinical outcomes of anatomic ACL-R using a thin autograft versus a thick hybrid graft. MATERIAL AND METHODS Sixty-eight patients who had received ACL-R with hamstring autograft or autograft-allograft hybrid graft accepted second-look arthroscopy were grouped (autograft: n=31, age: 32.8±8.9, Male/Female: 16/15, and hybrid graft: n=37, age: 33.9±8.4, Male/Female: 27/10). Patients were evaluated with the functional score and KT-1000 test before reconstruction...
November 23, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29164167/single-leg-hop-test-performance-and-isokinetic-knee-strength-after-anterior-cruciate-ligament-reconstruction-in-athletes
#17
Ted Sueyoshi, Akihiro Nakahata, Gen Emoto, Tomoki Yuasa
Background: Isokinetic strength and hop tests are commonly used to assess athletes' readiness to return to sport after knee surgery. Purpose/Hypothesis: The purpose of this study was to investigate the results of single-leg hop and isokinetic knee strength testing in athletes who underwent anterior cruciate ligament reconstruction (ACLR) upon returning to sport participation as well as to study the correlation between these 2 test batteries. The secondary purpose was to compare the test results by graft type (patellar tendon or hamstring)...
November 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29163995/delayed-tibial-osteomyelitis-after-anterior-cruciate-ligament-reconstruction-with-hamstrings-autograft-and-bioabsorbable-interference-screw-a-case-report-and-review-of-the-literature
#18
Kevin S Weiss, Justin M Weatherall, Jen Eick, James R Ross
Osteomyelitis following arthroscopically assisted anterior cruciate ligament (ACL) reconstruction has rarely been reported in the literature. We report a case of a 20-year-old female who had delayed tibial osteomyelitis and a pretibial cyst with culture-positive, oxacillin sensitive Staphylococcus epidermidis 15 months after an ACL reconstruction with hamstring autograft. Soft tissue fixation within the tibial tunnel was with a poly-L-D-lactic acid (PLDLA) bioabsorbable interference screw. The patient underwent surgical treatment with curettage, debridement, hardware removal, and bone grafting of the tibial tunnel followed by a course of intravenous antibiotics...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29140169/relationship-between-physical-therapy-characteristics-surgical-procedure-and-clinical-outcomes-in-patients-after-acl-reconstruction
#19
Ian J Dempsey, Grant E Norte, Matthew Hall, John Goetschius, Lindsay V Slater, Jourdan M Cancienne, Brian C Werner, David R Diduch, Joseph M Hart
CONTEXT: Post-operative rehabilitation is critical to optimize outcomes after anterior cruciate ligament reconstruction (ACLR). However, the relationship between physical therapy (PT) and clinical outcomes is unclear. OBJECTIVE: To describe PT characteristics following ACLR, and assess the relationships between PT characteristics, surgical procedure, and clinical outcomes. DESIGN: Cross-sectional. SETTING: Laboratory...
November 15, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29125817/do-peak-torque-angles-of-muscles-change-following-anterior-cruciate-ligament-reconstruction-using-hamstring-or-patellar-tendon-graft
#20
Hayri Baran Yosmaoğlu, Gül Baltacı, Emel Sönmezer, Hamza Özer, Deha Doğan
OBJECTIVES: This study aims to compare the effects of anterior cruciate ligament (ACL) reconstruction using autogenous hamstring or patellar tendon graft on the peak torque angle. PATIENTS AND METHODS: The study included 132 patients (103 males, 29 females; mean age 29±9 year) who were performed ACL reconstruction with autogenous hamstring or patellar tendon graft. The peak torque angles in the quadriceps and hamstring muscles were recorded using an isokinetic dynamometer...
December 2017: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
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