keyword
https://read.qxmd.com/read/32767880/-anterior-cruciate-ligament-reconstruction-with-femoral-tunnel-via-medial-portal-vs-trans-tibial
#1
E G Carriedo-Rico, P García-Morato-Jorreto
Anterior cruciate ligament injury (ACL) of the knee is a severe traumatic injury that greatly decreases the function and sometimes leaves very important sequelae for the young patient so surgery for ligament reconstruction is the suitable treatment, there are several techniques for the elaboration of tunnels with difference in the portals, the methods of fixation and the different grafts used and each one of the authors defend their techniques giving their advantages and disadvantages and possible complications associated...
November 2019: Acta Ortopédica Mexicana
https://read.qxmd.com/read/32767879/-comparative-study-of-anterior-cruciate-ligament-reconstruction-between-the-one-band-and-u-two-techniques
#2
E Berumen-Nafarrate, J Carmona-González, J J Tonche-Ramos, O Carmona-Máynez, A Aguirre-Madrid, V Moreno-Brito, I Leal-Berumen
INTRODUCTION: ACL injuries are found within the most common ligament injuries. This has led to the development of different surgical techniques to restore knee stability. MATERIAL Y METHODS: Clinical study, randomized, blind comparing ACL reconstruction techniques with One Band and «U-Two» using clinical scales and arthrometria with KT-1000 and Pivot Shift Meter. RESULTS: Of 36 patients, 52.94% was drawn for the One Band technique and 47...
November 2019: Acta Ortopédica Mexicana
https://read.qxmd.com/read/32767080/meniscal-ramp-lesions-should-be-considered-in-anterior-cruciate-ligament-injured-knees-especially-with-larger-instability-or-longer-delay-before-surgery
#3
Yasutaka Tashiro, Tatsuya Mori, Tsutomu Kawano, Toshihiro Oniduka, Justin W Arner, Freddie H Fu, Yukihide Iwamoto
PURPOSE: To determine the incidence of meniscal ramp lesions in an anterior cruciate ligament (ACL) injured knees and to clarify whether ramp lesions are related to chronic ACL deficiency and increased knee instability. METHODS: Consecutive ACL injured patients were evaluated arthroscopically for a ramp lesion via a trans-notch view and evidence of menisco-capsular injury was recorded. Other concomitant injuries to the knee were also noted. Incidence of meniscal ramp lesions, delay before surgery, and anterior-posterior stability was analyzed...
August 7, 2020: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/32767079/distal-avulsion-of-reconstituted-hamstring-tendons
#4
Nathanael Ahearn, David G Wood
PURPOSE: Hamstring tendon autograft (semitendinosus and gracilis) is the most commonly used graft in anterior cruciate ligament (ACL) reconstruction. Distal hamstring tendons avulsion is a rare condition, and this paper describes a previously unreported injury, local management of this rare injury pattern, and the existing literature regarding treatment options. METHODS: Two cases are presented of distal hamstring avulsion from the tibia of reconstituted tendons, together with additional 12 cases of distal hamstrings tendon avulsion...
August 7, 2020: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/32767078/excellent-medium-term-survival-of-an-all-inside-tensionable-knotted-suture-device-justifies-repair-of-most-meniscal-tears-encountered-during-reconstructive-knee-ligament-surgery
#5
A D Shearman, A J Foster, A J Wilson, M J Risebury, S K Yasen
PURPOSE: All-inside meniscal repair devices have evolved to allow surgeons to undertake complex repairs in a timely and efficient manner. This is advantageous in active patients, where meniscus preservation is critical in preserving joint function and stability. The aim of the study was to evaluate the failure rate of all-inside meniscal repair performed in patients undergoing reconstructive ligament surgery using a particular meniscal repair device. METHODS: Patients were identified using a single-site prospectively maintained patient registry...
August 7, 2020: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/32767052/clinical-outcomes-after-anterior-cruciate-ligament-injury-panther-symposium-acl-injury-clinical-outcomes-consensus-group
#6
REVIEW
Eleonor Svantesson, Eric Hamrin Senorski, Kate E Webster, Jón Karlsson, Theresa Diermeier, Benjamin B Rothrauff, Sean J Meredith, Thomas Rauer, James J Irrgang, Kurt P Spindler, C Benjamin Ma, Volker Musahl
PURPOSE: A stringent outcome assessment is a key aspect for establishing evidence-based clinical guidelines for anterior cruciate ligament (ACL) injury treatment. The aim of this consensus statement was to establish what data should be reported when conducting an ACL outcome study, what specific outcome measurements should be used and at what follow-up time those outcomes should be assessed. METHODS: To establish a standardized approach to assessment of clinical outcome after ACL treatment, a consensus meeting including a multidisciplinary group of ACL experts was held at the ACL Consensus Meeting Panther Symposium, Pittsburgh, PA; USA, in June 2019...
August 6, 2020: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/32766404/the-prevalence-zone-and-type-of-the-meniscus-tear-in-patients-with-anterior-cruciate-ligament-acl-injury-does-delayed-acl-reconstruction-affects-the-meniscal-injury
#7
Sohrab Keyhani, Ali Akbar Esmailiejah, Mohamad Sajad Mirhoseini, Seyyed-Mohsen Hosseininejad, Naser Ghanbari
Background: Meniscus tear is a common finding in patients with anterior cruciate ligament (ACL) injury and may affect the natural history of the injury and the outcomes of treatment. In the current study, the characteristics of meniscus tears in patients who underwent arthroscopic ACL reconstruction were investigated. Methods: The hospital records of 1022 patients were reviewed. The measured variables included the presence of meniscus tear, ramp and root injury, the zone of injury based on the Cooper classification, and the type of tear...
May 2020: Archives of Bone and Joint Surgery
https://read.qxmd.com/read/32761692/rapid-single-scan-ramped-hybrid-encoding-for-bicomponent-t2-mapping-in-a-human-knee-joint-a-feasibility-study
#8
Hyungseok Jang, Alan B McMillan, Yajun Ma, Saeed Jerban, Eric Y Chang, Jiang Du, Richard Kijowski
The purpose of this study is to determine the feasibility of using a single scan ramped hybrid-encoding (RHE) method for rapid bicomponent T2* analysis of the human knee joint. The proposed method utilizes RHE to acquire ultrashort echo time (UTE) and subsequent gradient echo images at 16 different echo times ranging between 40 μs and 30 ms in a single scan. In the proposed RHE technique, UTE imaging was followed by acquisition of 14 gradient recalled echo images, where an additional UTE image was obtained within the first readout by oversampling single point imaging (SPI) encoding...
August 5, 2020: NMR in Biomedicine
https://read.qxmd.com/read/32761277/truncated-pyramid-shape-simulation-for-the-measurement-of-femoral-intercondylar-notch-volume-can-detect-the-volume-difference-between-acl-injured-and-intact-subjects
#9
Takanori Iriuchishima, Bunsei Goto, Freddie H Fu
PURPOSE: The purpose of this study was to measure the femoral intercondylar notch volume using a truncated-pyramid shape simulation and compare this volume between anterior cruciate ligament (ACL) injured and intact subjects. METHODS: Forty-seven subjects diagnosed with ACL tear by MRI (22 male and 25 female: median age 26: range 15-49), and 41 subjects in which knee MRI was performed and no ACL injury detected (20 males and 21 females: median age 27: range 16-49), were included in this study...
August 5, 2020: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/32759692/acute-effects-of-acl-injury-prevention-warm-up-and-soccer-specific-fatigue-protocol-on-dynamic-knee-valgus-in-youth-male-soccer-players
#10
Marco Andrés García-Luna, Juan Manuel Cortell-Tormo, Miguel García-Jaén, Manuel Ortega-Navarro, Juan Tortosa-Martínez
Childhood anterior cruciate ligament (ACL) injuries-which can pose a major risk to a child's sporting career-have been on the rise in the last few decades. Dynamic knee valgus (DKV) has been linked to an increased risk of ACL injury. Therefore, the aim of this study was to analyze the acute effects of an ACL injury prevention protocol (ACL-IPP) and a soccer-specific fatigue protocol (SSFP) on DKV in youth male soccer players. The research hypothesis was that DKV would be reduced by the ACL-IPP and increased by the SSFP...
August 4, 2020: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/32759615/relationship-of-graft-type-and-vancomycin-presoaking-to-rate-of-infection-in-anterior-cruciate-ligament-reconstruction-a-meta-analysis-of-198-studies-with-68-453-grafts
#11
Kenan Kuršumović, Charalambos Panayiotou Charalambous
BACKGROUND: Infection is a devastating complication in anterior cruciate ligament reconstruction (ACLR) surgery. Given the rarity of infection, pooling individual studies via meta-analysis can allow more meaningful evaluation of factors influencing infection rates. We aimed to determine the relationship of graft type and vancomycin graft presoaking to bacterial infection rates following ACLR. METHODS: A systematic literature search was conducted on PubMed, Ovid MEDLINE, Embase, and CENTRAL (Cochrane Register of Controlled Trials)...
July 2020: JBJS Reviews
https://read.qxmd.com/read/32756207/hamstring-autograft-versus-patellar-tendon-autograft-for-anterior-cruciate-ligament-reconstruction-which-graft-has-a-higher-contralateral-anterior-cruciate-ligament-injury-rate-a-meta-analysis-of-5561-patients-following-the-prisma-guidelines
#12
Peng Zhou, Jun-Cai Liu, Xiang-Tian Deng, Zhong Li
BACKGROUND: Contralateral anterior cruciate ligament (CACL) injury is one of the devastating complications after anterior cruciate ligament (ACL) reconstruction. Whether the risk of CACL tear is related to graft selection remains controversial due to contradictory results in studies. There are no meta-analyses to compare which graft has a higher CACL injury rate. Hence, this meta-analysis was conducted to compare the incidence of the CACL injury after ACL reconstruction with bone-patellar tendon-bone (BPTB) autografts compared with hamstring (HT) autografts...
July 31, 2020: Medicine (Baltimore)
https://read.qxmd.com/read/32755180/mri-criteria-for-ramp-lesions-of-the-knee-in-children-with-anterior-cruciate-ligament-tears
#13
Jie C Nguyen, Joshua T Bram, J Todd R Lawrence, Shijie Hong, Tomasina M Leska, Theodore J Ganley, Victor Ho-Fung
OBJECTIVE: The purpose of this study was to investigate the performance of MRI criteria for identifying meniscal ramp lesions in children with concomitant anterior cruciate ligament (ACL) tear using arthroscopy as the reference standard. METHODS & MATERIALS: This IRB-approved, HIPAA-compliant retrospective study included 85 children who had a pre-operative MRI and underwent arthroscopically-guided primary ACL reconstruction between February 1, 2017 and December 31, 2019. Blinded to arthroscopic findings, two radiologists reviewed all MRI examinations and reached consensus on the presence or absence of an effusion and various findings within the medial and lateral tibiofemoral joints...
July 15, 2020: AJR. American Journal of Roentgenology
https://read.qxmd.com/read/32754625/effect-of-sex-on-anterior-cruciate-ligament-injury-related-biomechanics-during-the-cutting-maneuver-in-preadolescent-athletes
#14
Milos Petrovic, Haraldur B Sigurðsson, Hjálmar J Sigurðsson, Thorarinn Sveinsson, Kristín Briem
Background: There are 2 movement patterns associated with an anterior cruciate ligament (ACL) injury: dynamic valgus and stiff landing. Although sex-dependent differences have been identified for adults, less is known for preadolescent athletes regarding movement patterns known to load the ACL. Hypothesis: We hypothesized that girls would demonstrate greater vertical ground reaction forces and knee valgus angles. We further hypothesized that the exercise intervention would affect girls more than boys and that this would primarily be demonstrated in less sagittal plane excursions, increased vertical ground reaction forces and knee valgus moments for girls than for boys...
July 2020: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/32754624/clinical-outcomes-after-anterior-cruciate-ligament-injury-panther-symposium-acl-injury-clinical-outcomes-consensus-group
#15
Eleonor Svantesson, Eric Hamrin Senorski, Kate E Webster, Jón Karlsson, Theresa Diermeier, Benjamin B Rothrauff, Sean J Meredith, Thomas Rauer, James J Irrgang, Kurt P Spindler, C Benjamin Ma, Volker Musahl, The Panther Symposium Acl Injury Clinical Outcomes Consensus Group, Freddie H Fu, Olufemi R Ayeni, Francesco Della Villa, Stefano Della Villa, Scott Dye, Mario Ferretti, Alan Getgood, Timo Järvelä, Christopher C Kaeding, Ryosuke Kuroda, Bryson Lesniak, Robert G Marx, Gregory B Maletis, Leo Pinczewski, Anil Ranawat, Bruce Reider, Romain Seil, Carola van Eck, Brian R Wolf, Patrick Yung, Stefano Zaffagnini, Ming Hao Zheng
A stringent outcome assessment is a key aspect of establishing evidence-based clinical guidelines for anterior cruciate ligament (ACL) injury treatment. To establish a standardized assessment of clinical outcome after ACL treatment, a consensus meeting including a multidisciplinary group of ACL experts was held at the ACL Consensus Meeting Panther Symposium, Pittsburgh, Pennsylvania, USA, in June 2019. The aim was to establish a consensus on what data should be reported when conducting an ACL outcome study, what specific outcome measurements should be used, and at what follow-up time those outcomes should be assessed...
July 2020: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/32753357/knee-laxity-in-anterolateral-complex-injuries-versus-medial-meniscus-posterior-horn-injuries-in-anterior-cruciate-ligament-injured-knees-a-cadaveric-study
#16
Ji Hyun Ahn, In Jun Koh, Michelle H McGarry, Nilay A Patel, Charles C Lin, Thay Q Lee, Byeongyeong Ryu
INTRODUCTION: There is considerable debate regarding the function of anterolateral knee structures, including the anterolateral ligament (ALL) and anterolateral capsule, as knee stabilizers in anterior cruciate ligament (ACL) injured knees. Medial meniscus posterior horn (MMPH) injuries have also been associated with increased knee laxity in ACL injured knees. The purpose of this cadaveric biomechanical study was to compare the effects of the anterolateral complex (ALC) injury and meniscectomy of MMPH on knee laxity in ACL injured knees...
August 1, 2020: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/32749809/-preventing-anterior-cruciate-ligament-injury-in-children-is-effective
#17
Belle L van Meer, J Zwerver, Duncan E Meuffels
An anterior cruciate ligament (ACL) injury in children is a devastating injury. After an ACL injury 1 in 3 children obtain a second injury of the ipsilateral or contralateral ACL. Children who suffer an ACL injury also have a ten times higher risk of osteoarthritis. Preventative training programmes can decrease the risk of acute knee injuries in young sportspeople; however, implementation of these prevention programmes is challenging, so it is important to inform associations, clubs, youth trainers and parents about the added value of these programmes...
June 4, 2020: Nederlands Tijdschrift Voor Geneeskunde
https://read.qxmd.com/read/32747068/editorial-commentary-patellar-tendon-or-hamstring-which-kind-of-anterior-cruciate-ligament-patient-are-you
#18
EDITORIAL
John Wilson Belk, Eric McCarty
The role of graft selection on clinical and functional outcomes following anterior cruciate ligament (ACL) reconstruction has gained significant attention in the orthopaedic sports medicine community in recent years. Bone-patellar tendon-bone (BPTB) and semitendinosus/gracilis hamstring tendon (HT) autografts are 2 of the most commonly used grafts, given their low failure rates, predictable outcomes, and ability to incorporate appropriately at the graft site. However, multiple studies have recently shown each of these graft options to have some potentially less-desirable characteristics in regards to outcomes in specific patient populations...
August 2020: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://read.qxmd.com/read/32745225/confirmation-of-femoral-button-deployment-under-direct-visualization-during-acl-reconstruction-is-not-beneficial
#19
Sueen Sohn, In Jun Koh, Man Soo Kim, Yong In
The purpose of this study was to determine whether direct visualization of adjustable-loop cortical suspensory button deployment onto the lateral femur increases the cortical contact rate of the button, thereby improving clinical outcomes after anterior cruciate ligament (ACL) reconstruction. Sixty-five single-bundle anteromedial portal ACL reconstructions using an adjustable-loop button were retrospectively divided into 2 groups according to use of the blind pulling technique (control group; 32 patients) or the direct visualization technique (visualization group; 33 patients) when confirming deployment of the button...
August 3, 2020: Orthopedics
https://read.qxmd.com/read/32743012/epidemiology-of-anterior-cruciate-ligament-injury-on-natural-grass-versus-artificial-turf-in-soccer-10-year-data-from-the-national-collegiate-athletic-association-injury-surveillance-system
#20
Mark Howard, Samantha Solaru, Hyunwoo P Kang, Ioanna K Bolia, George F R Hatch, James E Tibone, Seth C Gamradt, Alexander E Weber
Background: Anterior cruciate ligament (ACL) injury is prevalent among National Collegiate Athletic Association (NCAA) soccer players. Controversy remains regarding the effect of the surface type on the rate of ACL injury in soccer players, considering differences in sex, type of athletic exposure, and level of competition. Hypothesis: Natural grass surfaces would be associated with decreased ACL injury rate in NCAA soccer players. Sex, type of athletic exposure (match vs practice), and level of competition (Division I-III) would affect the relationship between playing surface and ACL injury rates...
July 2020: Orthopaedic Journal of Sports Medicine
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