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https://www.readbyqxmd.com/read/29610972/combined-reconstruction-of-the-anterolateral-ligament-in-chronic-acl-injuries-leads-to-better-clinical-outcomes-than-isolated-acl-reconstruction
#1
Camilo Partezani Helito, Danilo Bordini Camargo, Marcel Faraco Sobrado, Marcelo Batista Bonadio, Pedro Nogueira Giglio, José Ricardo Pécora, Gilberto Luis Camanho, Marco Kawamura Demange
PURPOSE: To evaluate the results of combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction in patients with chronic ACL injury. It was hypothesized that patients who underwent combined ACL and ALL reconstruction would exhibit less residual laxity and better clinical outcomes. METHODS: Two groups of patients were evaluated and compared retrospectively. Both groups consisted only of patients with chronic (more than 12 months) ACL injuries...
April 2, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29600218/arthroscopic-fixation-of-tibial-spine-avulsion-in-skeletally-immature-the-technique
#2
Skand Sinha, Durgashankar Meena, Ananta K Naik, M Selvamari, Rajendra K Arya
Introduction: Tibial spine avulsion fracture is more frequent in children than adults. Various methods of fixation have been mentioned, but concern remains about crossing the tibial physis. We present a technique of arthroscopic fixation with non-absorbable suture. Case Report: A total of 10 skeletally immature patients with tibial spine avulsion of Meyers and McKeever Type 2 and 3 were included in the study. The knee was arthroscopically cleared of hematoma. The avulsed tibial insertion of anterior cruciate ligament was reduced and held in place with tibial guide...
November 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29576645/anterior-cruciate-ligament-reconstruction-with-tibial-attachment-preserving-hamstring-graft-without-implant-on-tibial-side
#3
Skand Sinha, Ananta Kumar Naik, Mridul Maheshwari, Sumedh Sandanshiv, Durgashankar Meena, Rajendra K Arya
Background: Tibial attachment preserving hamstring graft could prevent potential problems of free graft in anterior cruciate ligament (ACL) reconstruction such as pull out before graft-tunnel healing or rupture before ligamentization. Different implants have been reportedly used for tibial side fixation with this technique. We investigated short-term outcome of ACL reconstruction (ACLR) with tibial attachment sparing hamstring graft without implant on the tibial side by outside in technique...
March 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29532113/anterior-cruciate-ligament-reconstruction-in-patients-older-than-fifty-years-a-comparison-with-a-younger-age-group
#4
Raffaele Iorio, Ferdinando Iannotti, Antonio Ponzo, Lorenzo Proietti, Andrea Redler, Fabio Conteduca, Andrea Ferretti
PURPOSE: To evaluate functional and radiological results in patients older than 50 years who underwent an anatomic anterior cruciate ligament (ACL) reconstruction with semitendinosus and gracilis tendons and to compare these results with those of patients younger than 40 years. METHODS: Thirty-six patients over the age of 50 years with a diagnosis of ACL complete lesion and 36 consecutive patients under 40 years were included in this prospective study. Follow-up included clinical evaluation using Lysholm, IKDC, and Tegner scores and a KT-1000 arthrometric evaluation...
March 12, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29514365/one-stage-arthroscopic-reduction-combined-with-multiligament-reconstruction-or-repair-for-irreducible-posterolateral-knee-dislocation-a-retrospective-case-series-with-minimum-2-year-follow-up
#5
Zhuo Hongwu, Jian Li
The purpose of this study was to evaluate the clinical outcomes after arthroscopic management of irreducible posterolateral knee dislocation. Twenty-one patients with irreducible posterolateral knee dislocation were treated in our institution from January 2009 to May 2014. Inclusion criteria were as follows: (1) patients who underwent one-stage arthroscopic reduction combined with multiligament reconstruction or repair and (2) patients with a minimum 2-year follow-up. Knee stability was assessed using physical examination and side-to-side differences (SSD) determined with a KT-1000 arthrometer and Telos stress device...
March 7, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29455502/-case-control-study-on-the-effect-of-meniscus-shaping-on-knee-function-after-anterior-cruciate-ligament-reconstruction
#6
Li-Feng Fu, Jin-Tao Hu, Zheng Wang, Xin Chen
OBJECTIVE: To observe the effect of the meniscus shaping on the knee function and stability after anterior cruciate ligament reconstruction(ACLR). METHODS: A total of 64 ACLR patients were included from January 2013 to January 2015. The control group was the ACLR patients with intact meniscus, in which 24 males and 6 females. The mean age was(32.8±5.5) years old(ranged, 22 to 43 years old). The injury side was left on 17 cases and right on 13 cases. The mean follow-up time was(15...
August 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29455501/-case-control-study-on-the-effect-of-core-strength-training-on-the-function-of-anterior-cruciate-ligament-reconstruction
#7
Bin Wu, Song Zheng, Zhen-Hai Cai, Yue-Li Wang, Ming Zeng
OBJECTIVE: To observe the effect of core strength training on knee joint function and postural stability after anterior cruciate ligament reconstruction (ACLR). METHODS: A total of 80 ACLR patients were randomly allocated into conventional rehabilitation training group and core strength training group from May 2013 to May 2015 with 40 patients in each group. The patients in conventional rehabilitation training group underwent conventional ACLR rehabilitation training, in which 28 males and 12 females...
August 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29451342/deleterious-effect-of-anti-angiotensin-ii-type-1-receptor-antibodies-detected-pretransplant-on-kidney-graft-outcomes-is-both-proper-and-synergistic-with-donor-specific-anti-hla-antibodies
#8
Jorge Malheiro, Sandra Tafulo, Leonídio Dias, La Salete Martins, Isabel Fonseca, Idalina Beirão, António Castro-Henriques, António Cabrita
AIM: Both donor-specific antibodies (DSA) and anti-angiotensin II type 1 receptor antibodies (AT1R-abs) have been associated with poor graft outcomes after kidney transplantation (KT). We aimed to understand the impact of pretransplant AT1R-abs with or without concomitant DSA on KT outcomes. METHODS: Seventy-six patients transplanted in 2009 were studied. DSA (MFI>1000) and/or AT1R-abs (>10UI) were detected by solid-phase assays in pre-KT sera. Multivariable Cox regression models were used to determine independent predictors of outcomes: acute rejection (AR) and graft failure...
February 16, 2018: Nephrology
https://www.readbyqxmd.com/read/29443537/a-randomized-clinical-trial-to-evaluate-attached-hamstring-anterior-cruciate-ligament-graft-maturity-with-magnetic-resonance-imaging
#9
Shaohua Liu, Hong Li, Hongyue Tao, Yaying Sun, Shiyi Chen, Jiwu Chen
BACKGROUND: The hamstring tendons are commonly harvested for anterior cruciate ligament (ACL) reconstruction with detachment of the tibial insertion. Retaining the insertion may help to preserve vascularity and viability of the graft and bypass the stages of avascular necrosis and revascularization, which might be beneficial to graft maturity. PURPOSE: To investigate and compare graft maturity by magnetic resonance imaging (MRI) after ACL reconstruction with preservation or detachment of hamstring tendon tibial insertion at up to 2 years...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29438635/twenty-year-follow-up-study-comparing-operative-versus-nonoperative-treatment-of-anterior-cruciate-ligament-ruptures-in-high-level-athletes
#10
Daan T van Yperen, Max Reijman, Eline M van Es, Sita M A Bierma-Zeinstra, Duncan E Meuffels
BACKGROUND: An anterior cruciate ligament (ACL) rupture has major consequences at midterm follow-up, with an increasing chance of developing an old knee in a young patient. The long-term (≥20 years) effects of the operative and nonoperative treatment of ACL ruptures are still unclear. PURPOSE: To compare the long-term treatment outcomes of operative versus nonoperative treatment of ACL ruptures in high-level athletes. STUDY DESIGN: Cohort study; Level of evidence, 2...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29421837/all-inside-single-bundle-reconstruction-of-the-anterior-cruciate-ligament-with-the-anterior-half-of-the-peroneus-longus-tendon-compared-to-the-semitendinosus-tendon-a-two-year-follow-up-study
#11
Mingguang Bi, Chen Zhao, Shuijun Zhang, Bin Yao, Zheping Hong, Qing Bi
The anterior half of the peroneus longus tendon (AHPLT) has been reported to be acceptable for ligament reconstruction with respect to strength and safety. However, there is little information regarding the clinical outcomes after using the AHPLT compared with other autograft tendons. A prospective randomized controlled study was performed to compare the results of 62 cases of all-inside anatomical single-bundle anterior cruciate ligament (ACL) reconstruction using the AHPLT and 62 cases using semitendinosus graft with an average of 30...
February 8, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29380050/tibial-tunnel-placement-in-anatomic-anterior-cruciate-ligament-reconstruction-a-comparison-study-of-outcomes-between-patient-specific-drill-template-versus-conventional-arthroscopic-techniques
#12
Meisong Zhu, Sijing Li, Zexin Su, Xiaoqi Zhou, Peng Peng, Jianyi Li, Jinping Wang, Lijun Lin
INTRODUCTION: Accurate anatomic graft tunnel positioning is essential for the successful application of anatomic anterior cruciate ligament (ACL) reconstruction. The accurate insertion of the tibial tunnel (TT) remains challenging. Here, we explored a novel strategy of patient-specific drill template (PDT) for the placement of TT in ACL reconstruction and assessed its efficacy and accuracy. MATERIALS AND METHODS: TT placement was randomized and performed by use of the PDT technique in 40 patients (PDT group) and the conventional arthroscopic technique in 38 patients (Arthroscopic group)...
January 27, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29287949/comparison-of-clinical-outcomes-after-anterior-cruciate-ligament-reconstruction-using-a-hybrid-graft-versus-a-hamstring-autograft
#13
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/29244525/20-year-outcomes-of-anterior-cruciate-ligament-reconstruction-with-hamstring-tendon-autograft-the-catastrophic-effect-of-age-and-posterior-tibial-slope
#14
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...
March 2018: American Journal of Sports Medicine
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
#15
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/29159673/double-bundle-anterior-cruciate-ligament-reconstruction-is-better-than-single-bundle-reconstruction-in-terms-of-objective-assessment-but-not-in-terms-of-subjective-score
#16
Faisal Ahmed Hashem El-Sherief, Wael Abdelkarim Aldahshan, Yaser Elsayed Wahd, Ashraf Mohamed Abdelaziz, Hany Abdel Gawwad Soliman, Tohamy Goda Hassan, Hassan Fathy Elbehairy, Adel Hamed Awadallah
PURPOSE: A comparison of clinical outcomes between double-bundle (DB) and single-bundle (SB) anterior cruciate ligament (ACL) reconstruction for patients with ACL injury. METHODS: Sixty patients were treated with either SB (n = 30) or DB (n = 30) ACL reconstruction between 2011 and 2012. The hamstring tendons were autografted with suspensory fixation on the femoral side, while a bio-absorbable interference screw was used for fixation on the tibial side. These patients were evaluated using Lysholm score, International Knee Documentation Committee (IKDC) forms (both objective and subjective), Lachman test, pivot shift test, and KT 1000 arthrometer...
November 20, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29138919/low-re-rupture-rate-with-bptb-autograft-and-semitendinosus-gracilis-autograft-with-preserved-insertions-in-acl-reconstruction-surgery-in-sports-persons
#17
Ravi Gupta, Munish Sood, Anubhav Malhotra, Gladson David Masih, Anil Kapoor, Mukta Raghav, Mehar Dhillon
PURPOSE: To compare the results of bone-patellar tendon-bone graft (BPTB), semitendinosus-gracilis graft with preserved insertions (STGPI) and semitendinosus-gracilis-free graft (STGF) in terms of graft failure, objective mechanical stability, functional outcome, and return to sports in elite and recreational sports persons. It was hypothesized that the STGPI graft provided superior outcome as compared to the other two grafts. METHODS: Two hundred and forty-nine elite and recreational players who underwent ACL reconstruction surgery, with BPTB graft (N = 80), STGPI graft (N = 85), and STGF graft (N = 84) with a minimum follow-up of 2 years, were assessed using clinical tests, knee arthrometer (KT 1000™), single-leg hop test, Lysholm knee score, Tegner's activity scale, and return to sports...
November 14, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29114625/revision-anterior-cruciate-ligament-reconstruction-with-contralateral-hamstring-tendon-grafts-6-years-follow-up
#18
Claudio Legnani, Stefania Zini, Enrico Borgo, Alberto Ventura
Purpose  The purpose of this study was to retrospectively evaluate the clinical outcome of revision anterior cruciate ligament (ACL) reconstruction with contralateral hamstring tendon autografts, specifically with regard to patient satisfaction, return to preinjury activity level, and postoperative functional outcomes. Methods  Between 2004 and 2011, 23 patients underwent revision ACL reconstruction with contralateral autogenous hamstring tendon grafts and were retrospectively reviewed at an average follow-up of 6...
March 2017: Joints
https://www.readbyqxmd.com/read/29067474/restoring-tibiofemoral-alignment-during-acl-reconstruction-results-in-better-knee-biomechanics
#19
Frantzeska Zampeli, Ioannis Terzidis, João Espregueira-Mendes, Jim-Dimitris Georgoulis, Manfred Bernard, Evangelos Pappas, Anastasios D Georgoulis
PURPOSE: Anterior cruciate ligament (ACL) reconstruction (ACLR) aims to restore normal knee joint function, stability and biomechanics and in the long term avoid joint degeneration. The purpose of this study is to present the anatomic single bundle (SB) ACLR that emphasizes intraoperative correction of tibiofemoral subluxation that occurs after ACL injury. It was hypothesized that this technique leads to optimal outcomes and better restoration of pathological tibiofemoral joint movement that results from ACL deficiency (ACLD)...
October 24, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29065270/medial-meniscus-resection-increases-and-medial-meniscus-repair-preserves-anterior-knee-laxity-a-cohort-study-of-4497-patients-with-primary-anterior-cruciate-ligament-reconstruction
#20
Riccardo Cristiani, Erik Rönnblad, Björn Engström, Magnus Forssblad, Anders Stålman
BACKGROUND: There are still controversies regarding the effects on knee laxity of additional meniscus resection or repair in the setting of anterior cruciate ligament reconstruction (ACLR). Hypothesis/Purpose: The purpose was to determine the effects on knee laxity of resection or repair of medial meniscus (MM) or lateral meniscus (LM) injuries in the ACLR knee. The hypothesis was that patients with an additional meniscus resection would have significantly increased postoperative knee laxity versus that of an isolated ACLR, whereas patients with meniscus repair would have laxity comparable to that of an isolated ACLR...
February 2018: American Journal of Sports Medicine
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