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https://www.readbyqxmd.com/read/29776815/strength-recovery-after-anterior-cruciate-ligament-reconstruction-with-quadriceps-tendon-versus-hamstring-tendon-autografts-in-soccer-players-a-randomized-controlled-trial
#1
Jose Luis Martin-Alguacil, Manuel Arroyo-Morales, Jose Luis Martín-Gomez, Isidro Manuel Monje-Cabrera, Juan F Abellán-Guillén, Francisco Esparza-Ros, Mario Lozano Lozano, Irene Cantarero-Villanueva
BACKGROUND: The comparison between HT and QT grafts in strength recovery and function after an ACLR is scarce in the literature. METHODS: A total of 56 participants were enrolled in this randomized controlled trial and placed into two groups: HT or QT. The hamstring/quadriceps (H/Q) ratio was the primary end-point measured with a Genu-3 dynamometer. Peak torque, functional assessment (Lysholm knee scoring scale and Cincinnati Knee Rating System), and anteroposterior laxity (KT-2000™ arthrometer) were also assessed...
May 15, 2018: Knee
https://www.readbyqxmd.com/read/29770879/no-difference-in-the-graft-shift-between-a-round-and-a-rounded-rectangular-femoral-tunnel-for-anterior-cruciate-ligament-reconstruction-an-experimental-study
#2
Yasushi Takata, Junsuke Nakase, Takeshi Oshima, Kengo Shimozaki, Kazuki Asai, Hiroyuki Tsuchiya
INTRODUCTION: We developed a novel technique of creating a rounded rectangular femoral bone tunnel for anatomical, single-bundle, autologous hamstring tendon anterior cruciate ligament (ACL) reconstruction. Although this tunnel has many advantages, its non-circular shape has raised concerns regarding excessive graft shift within the bone tunnel. This study aimed to compare the graft shift between round and rounded rectangular tunnels using a graft diameter tester for simulating the femoral bone tunnel...
May 16, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29767271/graft-failure-is-more-frequent-after-hamstring-than-patellar-tendon-autograft
#3
E Laboute, E James-Belin, P L Puig, P Trouve, E Verhaeghe
PURPOSE: The risk of graft failure after anterior cruciate ligament (ACL) reconstructions with hamstring or patellar tendon was evaluated in a French population of athletes. METHODS: Athletes who had undergone ACL autograft reconstruction and who received rehabilitation care at the European Center for Sports Rehabilitation (CERS; Capbreton, France) were screened for this prospective cohort study. Eligibility criteria included a simple hamstring autograft or patellar tendon autograft surgical technique...
May 16, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29752059/risk-factors-for-abnormal-anteroposterior-knee-laxity-after-primary-anterior-cruciate-ligament-reconstruction
#4
Riccardo Cristiani, Magnus Forssblad, Björn Engström, Gunnar Edman, Anders Stålman
PURPOSE: To identify preoperative and intraoperative factors associated with abnormal anterior knee laxity after primary anterior cruciate ligament (ACL) reconstruction. METHODS: A total of 5,462 patients who underwent primary ACL reconstruction at our institution from January 2000 to October 2015, with no associated ligament injuries, were included. Demographic data, information regarding graft used, concomitant meniscal surgery, and instrumented laxity were reviewed...
May 8, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29749751/visual-motor-control-of-drop-landing-after-anterior-cruciate-ligament-reconstruction
#5
Dustin R Grooms, Ajit Chaudhari, Stephen J Page, Deborah S Nichols-Larsen, James A Onate
CONTEXT:   Visual feedback is crucial in the control of human movement. When vision is obstructed, alterations in landing neuromuscular control may increase movements that place individuals at risk for injury. Anterior cruciate ligament (ACL) injury may further alter the motor-control response to alterations in visual feedback. The development of stroboscopic glasses that disrupt visual feedback without fully obscuring it has enabled researchers to assess visual-motor control during movements that simulate the dynamic demands of athletic activity...
May 11, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29741911/long-term-comparison-of-semitendinosus-and-gracilis-tendon-versus-patellar-tendon-autografts-for-anterior-cruciate-ligament-reconstruction-a-17-year-follow-up-of-a-randomized-controlled-trial
#6
Matjaz Sajovic, Domen Stropnik, Katja Skaza
BACKGROUND: Short-term and mid-term differences between hamstring and patellar tendon autografts for anterior cruciate ligament (ACL) reconstruction are well documented. Systematic reviews highlight the lack of long-term results between the two grafts. HYPOTHESIS: Seventeen years after ACL reconstruction, no difference will be found in functional outcome, quality of life, and graft failure between patients with patellar tendon (PT) or semitendinosus and gracilis tendon (STG) autografts; however, a significant difference will be seen in the prevalence of osteoarthritis...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29741400/anterolateral-ligament-reconstruction-protects-the-repaired-medial-meniscus-a-comparative-study-of-383-anterior-cruciate-ligament-reconstructions-from-the-santi-study-group-with-a-minimum-follow-up-of-2-years
#7
Bertrand Sonnery-Cottet, Adnan Saithna, William G Blakeney, Herve Ouanezar, Amrut Borade, Matt Daggett, Mathieu Thaunat, Jean-Marie Fayard, Jean Romain Delaloye
BACKGROUND: The prevalence of osteoarthritis after successful meniscal repair is significantly less than that after failed meniscal repair. PURPOSE: To determine whether the addition of anterolateral ligament reconstruction (ALLR) confers a protective effect on medial meniscal repair performed at the time of anterior cruciate ligament reconstruction (ACLR). STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Retrospective analysis of prospectively collected data was performed to include all patients who had undergone primary ACLR with concomitant posterior horn medial meniscal repair through a posteromedial portal between January 2013 and August 2015...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29730208/the-effect-of-cartilage-fragments-on-femoral-tunnel-widening-after-anterior-cruciate-ligament-reconstruction-a-prospective-randomized-controlled-study
#8
Chi Zhang, Jun Pan, Jian-De Chen, Yi-Jun Zhang, Peng-Cheng Gu, Xiang-Jin Lin, You-Zhi Cai
PURPOSE: To analyze the effect of cartilage fragments on tunnel widening and tendon-bone integration at 2 years' follow-up after anterior cruciate ligament reconstruction (ACLR). METHODS: A prospective randomized controlled study was performed in 116 patients who underwent ACLR with autologous hamstring tendons augmented with cartilage fragments (study group, n = 56) or without any augmentation (control group, n = 60). All patients were followed up for 25.6 months (range, 24-28 months), and the International Knee Documentation Committee score, Lysholm score, and visual analog scale score were determined...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29729759/editorial-commentary-when-is-too-small-too-small-allograft-augmentation-of-autologous-hamstring-grafts-during-anterior-cruciate-ligament-reconstruction
#9
EDITORIAL
Kyle R Duchman, William E Garrett
Soft tissue allograft augmentation of small hamstring autografts, so-called hybrid grafts, has been proposed as an option during anterior cruciate ligament reconstruction (ACL-R). However, notable concerns exist with both small autograft use and allograft use during ACL-R, particularly in young, active patients. We currently choose to augment hamstring autografts with diameters <8.0 mm, adding only enough allograft to create a hybrid graft with an overall diameter no larger than 8.5 mm. Based on the available evidence, surgeons continue to seek the tipping point where the benefit of additional allograft tissue exceeds the consequence of its use...
May 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29728834/graft-sources-do-not-affect-to-the-outcome-of-transtibial-posterior-cruciate-ligament-reconstruction-a-systematic-review
#10
Yong Seuk Lee, Seung Hoon Lee, O-Sung Lee
INTRODUCTION: Despite numerous published reports on posterior cruciate ligament (PCL) reconstruction in the past 30 years, the ideal graft source remains unclear, and few objective scientific data have been published that thoroughly evaluate the long-term outcomes according to the graft source. We, therefore, conducted a systematic review of available high-quality comparative studies that evaluated clinical and objective stability testing to compare the different graft sources for PCL reconstruction...
May 4, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29724252/synthetic-versus-autologous-reconstruction-syn-var-of-the-medial-patellofemoral-ligament-a-study-protocol-for-a-randomised-controlled-trial
#11
Adam Tucker, Sam McMahon, Bronwyn McArdle, Bridgeen Rutherford, Danny Acton
BACKGROUND: Recurrent patellar instability incidence is 5.8/100,000 population, and recurrent dislocations are reported in the range of 15-80%. Recurrent instability is multifactorial and can be associated with disorder of limb alignment, osseous development, congruity of the patella in the trochlea and soft tissue static and dynamic constraints. The multifactorial aetiology makes management challenging, and a lack studies in a heterogeneous population with robust clinical outcomes compounds this further...
May 3, 2018: Trials
https://www.readbyqxmd.com/read/29722768/acl-allograft-advantages-and-when-to-use
#12
Matthew J Brown, Thomas Carter
It is commonly recommended to reconstruct a torn anterior cruciate ligament in active patients; however, there is no consensus concerning the tissue source to use for the reconstruction. Bone-patellar tendon-bone and hamstring (semitendinosis +/- gracilis) autografts are most commonly used, with allografts being another option. Each tissue has its pros and cons, with allografts often cited as having higher failure rates. However, review of the literature comparing autografts and allografts have showed similar outcomes in age-matched adult populations...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29705749/quadriceps-tendon-autograft-for-arthroscopic-knee-ligament-reconstruction-use-it-now-use-it-often
#13
REVIEW
Andrew J Sheean, Volker Musahl, Harris S Slone, John W Xerogeanes, Danko Milinkovic, Christian Fink, Christian Hoser
Traditional bone-patellar tendon-bone and hamstring tendon ACL grafts are not without limitations. A growing body of anatomic, biomechanical and clinical data has demonstrated the utility of quadriceps tendon autograft in arthroscopic knee ligament reconstruction. The quadriceps tendon autograft provides a robust volume of tissue that can be reliably harvested, mitigating the likelihood of variably sized grafts and obviating the necessity of allograft augmentation. Modern, minimally invasive harvest techniques offer the advantages of low rates of donor site morbidity and residual extensor mechanism strength deficits...
April 28, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29682311/acl-reconstruction-with-hamstring-tendon-autograft-and-accelerated-brace-free-rehabilitation-a-systematic-review-of-clinical-outcomes
#14
Rob P A Janssen, Nicky van Melick, Jan B A van Mourik, Max Reijman, Lodewijk W van Rhijn
Objective: To investigate the clinical outcomes after hamstring tendon autograft ACL reconstruction (ACLR) with accelerated, brace-free rehabilitation. Design: Systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Data sources: Embase, MEDLINE Ovid, Web of Science, Cochrane CENTRAL and Google scholar from 1 January 1974 to 31 January 2017. Eligibility criteria for selecting studies: Study designs reporting outcomes in adults after arthroscopic, primary ACLR with hamstring autograft and accelerated, brace-free rehabilitation...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29679209/quadriceps-tendon-autograft-medial-patellofemoral-ligament-reconstruction
#15
REVIEW
Christian Fink, Robert Steensen, Peter Gföller, Robert Lawton
PURPOSE: Critically evaluate the published literature related to quadriceps tendon (QT) medial patellofemoral ligament (MPFL) reconstruction. RECENT FINDINGS: Hamstring tendon (HT) MPFL reconstruction techniques have been shown to successfully restore patella stability, but complications including patella fracture are reported. Quadriceps tendon (QT) reconstruction techniques with an intact graft pedicle on the patella side have the advantage that patella bone tunnel drilling and fixation are no longer needed, reducing risk of patella fracture...
April 20, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29665604/-foreign-material-free-anterior-cruciate-ligament-repair-with-hamstring-graft-felmet-technique
#16
Marc Chmielnicki, Wolfram Siebert, Axel Prokop
Rupture of the anterior cruciate ligament (ACL) is a common sports injury. Shear forces can damage the articular cartilage and lead to early osteoarthritis. Ligamentary stabilisation of the knee is necessary. Today, arthroscopic ACL repair is a standard knee procedure. Transplant fixation is often performed using implants, e.g. interference screws. The foreign material-free procedure using the Felmet technique enables biological, mechanically stable fixation of the hamstring tendon graft. We demonstrate the surgical technique, including meniscus suture and a video case study...
April 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29657850/hamstring-autograft-size-importance-in-anterior-cruciate-ligament-repair-surgery
#17
Francisco Figueroa, David Figueroa, João Espregueira-Mendes
Graft size in hamstring autograft anterior cruciate ligament (ACL) surgery is an important factor directly related to failure. Most of the evidence in the field suggests that the size of the graft in hamstring autograft ACL reconstruction matters when the surgeon is trying to avoid failures.The exact graft diameter needed to avoid failures is not absolutely clear and could depend on other factors, but newer studies suggest than even increases of 0.5 mm up to a graft size of 10 mm are beneficial for the patient...
March 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29628380/quadriceps-tendon-autograft-in-anterior-cruciate-ligament-reconstruction-a-systematic-review
#18
REVIEW
Eoghan T Hurley, Manuel Calvo-Gurry, Dan Withers, Shane K Farrington, Ray Moran, Cathal J Moran
PURPOSE: To systematically review the current evidence to ascertain whether quadriceps tendon autograft (QT) is a viable option in anterior cruciate ligament reconstruction. METHODS: A literature review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Cohort studies comparing QT with bone-patellar tendon-bone autograft (BPTB) or hamstring tendon autograft (HT) were included. Clinical outcomes were compared, with all statistical analyses performed using IBM SPSS Statistics for Windows, version 22...
April 5, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29628379/quadriceps-tendon-autograft-for-primary-anterior-cruciate-ligament-reconstruction-a-systematic-review-of-comparative-studies-with-minimum-two-year-follow-up
#19
REVIEW
John W Belk, Matthew J Kraeutler, Hayden A Marshall, Jesse A Goodrich, Eric C McCarty
PURPOSE: To systematically review the literature in an effort to compare outcomes of patients undergoing primary anterior cruciate ligament reconstruction (ACLR) with a quadriceps tendon (QT) autograft versus a bone-patellar tendon-bone (BPTB) or hamstring tendon (HT) autograft. METHODS: A systematic review was performed by searching PubMed, the Cochrane Library, and Embase to locate studies (Level of Evidence I-III) comparing the clinical outcomes of the QT autograft versus the BPTB or HT autograft in patients undergoing primary ACLR...
April 5, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29618144/five-strand-hamstring-autograft-in-primary-anterior-cruciate-ligament-reconstruction
#20
Lingaraj Krishna, Xin Yang Tan, Acksen Thangaraja, Francis K L Wong
The purpose of this study was to describe our surgical technique of using five-strand hamstring autograft with interference screw fixation in primary anterior cruciate ligament (ACL) reconstruction and to report the early postoperative outcomes of this technique. Patients who underwent primary ACL reconstruction using five-strand hamstring autografts with interference screw fixation between December 2014 and June 2016 were included in this study. The five-strand configuration was used in these patients because the four-strand configuration produced a graft diameter of less than 8 mm...
April 4, 2018: Journal of Knee Surgery
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