A strong ligament of the knee that originates from the posteromedial portion of the lateral condyle of the femur, passes anteriorly and inferiorly between the condyles, and attaches to the depression in front of the intercondylar eminence of the tibia.
Rebuilding of the ANTERIOR CRUCIATE LIGAMENT to restore functional stability of the knee. AUTOGRAFTING or ALLOGRAFTING of tissues is often used.
Injuries to the knee or the knee joint.
Fixation of the ANTERIOR CRUCIATE LIGAMENT, during surgical reconstruction, by the use of a bone-patellar tendon graft.
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
A band of fibrous tissue that attaches the apex of the PATELLA to the lower part of the tubercle of the TIBIA. The ligament is actually the caudal continuation of the common tendon of the QUADRICEPS FEMORIS. The patella is embedded in that tendon. As such, the patellar ligament can be thought of as connecting the quadriceps femoris tendon to the tibia, and therefore it is sometimes called the patellar tendon.
Fibrous bands or cords of CONNECTIVE TISSUE at the ends of SKELETAL MUSCLE FIBERS that serve to attach the MUSCLES to bones and other structures.
Endoscopic examination, therapy and surgery of the joint.
Lack of stability of a joint or joint prosthesis. Factors involved are intra-articular disease and integrity of extra-articular structures such as joint capsule, ligaments, and muscles.
A synovial hinge connection formed between the bones of the FEMUR; TIBIA; and PATELLA.
A strong ligament of the knee that originates from the anterolateral surface of the medial condyle of the femur, passes posteriorly and inferiorly between the condyles, and attaches to the posterior intercondylar area of the tibia.
Forcible or traumatic tear or break of an organ or other soft part of the body.
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
Fibrous cords of CONNECTIVE TISSUE that attach bones to each other and hold together the many types of joints in the body. Articular ligaments are strong, elastic, and allow movement in only specific directions, depending on the individual joint.
Surgical procedure by which a tendon is incised at its insertion and placed at an anatomical site distant from the original insertion. The tendon remains attached at the point of origin and takes over the function of a muscle inactivated by trauma or disease.
The second longest bone of the skeleton. It is located on the medial side of the lower leg, articulating with the FIBULA laterally, the TALUS distally, and the FEMUR proximally.
Shiny, flexible bands of fibrous tissue connecting together articular extremities of bones. They are pliant, tough, and inextensile.
The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES.
The interarticular fibrocartilages of the superior surface of the tibia.
Injuries incurred during participation in competitive or non-competitive sports.
The properties, processes, and behavior of biological systems under the action of mechanical forces.
The longest and largest bone of the skeleton, it is situated between the hip and the knee.
A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.
A region of the lower extremity immediately surrounding and including the KNEE JOINT.
A dead body, usually a human body.
The flat, triangular bone situated at the anterior part of the KNEE.
The quadriceps femoris. A collective name of the four-headed skeletal muscle of the thigh, comprised of the rectus femoris, vastus intermedius, vastus lateralis, and vastus medialis.
Measurements of joint flexibility (RANGE OF MOTION, ARTICULAR), usually by employing an angle-measuring device (arthrometer). Arthrometry is used to measure ligamentous laxity and stability. It is often used to evaluate the outcome of ANTERIOR CRUCIATE LIGAMENT replacement surgery.
Tissues, cells, or organs transplanted between genetically different individuals of the same species.
Transplantation of an individual's own tissue from one site to another site.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Carrying out of specific physical routines or procedures by one who is trained or skilled in physical activity. Performance is influenced by a combination of physiological, psychological, and socio-cultural factors.
The physical state of supporting an applied load. This often refers to the weight-bearing bones or joints that support the body's weight, especially those in the spine, hip, knee, and foot.
A nerve originating in the lumbar spinal cord (usually L2 to L4) and traveling through the lumbar plexus to provide motor innervation to extensors of the thigh and sensory innervation to parts of the thigh, lower leg, and foot, and to the hip and knee joints.
The portion of the leg in humans and other animals found between the HIP and KNEE.
Motion of an object in which either one or more points on a line are fixed. It is also the motion of a particle about a fixed point. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)
Organs, tissues, or cells taken from the body for grafting into another area of the same body or into another individual.
Individuals who have developed skills, physical stamina and strength or participants in SPORTS or other physical activities.
A followup operation to examine the outcome of the previous surgery and other treatments, such as chemotherapy or radiation therapy.
Implants constructed of materials designed to be absorbed by the body without producing an immune response. They are usually composed of plastics and are frequently used in orthopedics and orthodontics.
The ligament that travels from the medial epicondyle of the FEMUR to the medial margin and medial surface of the TIBIA. The medial meniscus is attached to its deep surface.
Surgical reconstruction of a joint to relieve pain or restore motion.
The amount of force generated by MUSCLE CONTRACTION. Muscle strength can be measured during isometric, isotonic, or isokinetic contraction, either manually or using a device such as a MUSCLE STRENGTH DYNAMOMETER.
The grafting of bone from a donor site to a recipient site.
Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.
An anatomic severity scale based on the Abbreviated Injury Scale (AIS) and developed specifically to score multiple traumatic injuries. It has been used as a predictor of mortality.
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
Orthopedic appliances used to support, align, or hold parts of the body in correct position. (Dorland, 28th ed)
Noninflammatory degenerative disease of the knee joint consisting of three large categories: conditions that block normal synchronous movement, conditions that produce abnormal pathways of motion, and conditions that cause stress concentration resulting in changes to articular cartilage. (Crenshaw, Campbell's Operative Orthopaedics, 8th ed, p2019)
The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.
The maximum stress a material subjected to a stretching load can withstand without tearing. (McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed, p2001)
Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.
Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.
Nodular tumor-like lesions or mucoid flesh, arising from tendon sheaths, LIGAMENTS, or JOINT CAPSULE, especially of the hands, wrists, or feet. They are not true cysts as they lack epithelial wall. They are distinguished from SYNOVIAL CYSTS by the lack of communication with a joint cavity or the SYNOVIAL MEMBRANE.
In horses, cattle, and other quadrupeds, the joint between the femur and the tibia, corresponding to the human knee.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
The period following a surgical operation.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
The removal of foreign material and devitalized or contaminated tissue from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed. (Dorland, 27th ed)
A game in which a round inflated ball is advanced by kicking or propelling with any part of the body except the hands or arms. The object of the game is to place the ball in opposite goals.
A competitive team sport played on a rectangular court having a raised basket at each end.
The fibrous CONNECTIVE TISSUE surrounding the TOOTH ROOT, separating it from and attaching it to the alveolar bone (ALVEOLAR PROCESS).
Pain during the period after surgery.
A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area.
Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.
Slippage of the FEMUR off the TIBIA.
Fixation of the end of a tendon to a bone, often by suturing.
Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain.
Surgical procedures conducted with the aid of computers. This is most frequently used in orthopedic and laparoscopic surgery for implant placement and instrument guidance. Image-guided surgery interactively combines prior CT scans or MRI images with real-time video.
The process of generating three-dimensional images by electronic, photographic, or other methods. For example, three-dimensional images can be generated by assembling multiple tomographic images with the aid of a computer, while photographic 3-D images (HOLOGRAPHY) can be made by exposing film to the interference pattern created when two laser light sources shine on an object.
A protective layer of firm, flexible cartilage over the articulating ends of bones. It provides a smooth surface for joint movement, protecting the ends of long bones from wear at points of contact.
Displacement of the PATELLA from the femoral groove.
A number of ligaments on either side of, and serving as a radius of movement of, a joint having a hingelike movement. They occur at the elbow, knee, wrist, metacarpo- and metatarsophalangeal, proximal interphalangeal, and distal interphalangeal joints of the hands and feet. (Stedman, 25th ed)
Elements of limited time intervals, contributing to particular results or situations.
Two extensive fibrous bands running the length of the vertebral column. The anterior longitudinal ligament (ligamentum longitudinale anterius; lacertus medius) interconnects the anterior surfaces of the vertebral bodies; the posterior longitudinal ligament (ligamentum longitudinale posterius) interconnects the posterior surfaces. The commonest clinical consideration is OSSIFICATION OF POSTERIOR LONGITUDINAL LIGAMENT. (From Stedman, 25th ed)
A progressive, degenerative joint disease, the most common form of arthritis, especially in older persons. The disease is thought to result not from the aging process but from biochemical changes and biomechanical stresses affecting articular cartilage. In the foreign literature it is often called osteoarthrosis deformans.
Therapeutic modalities frequently used in PHYSICAL THERAPY SPECIALTY by PHYSICAL THERAPISTS or physiotherapists to promote, maintain, or restore the physical and physiological well-being of an individual.
The gliding joint formed by the outer extremity of the CLAVICLE and the inner margin of the acromion process of the SCAPULA.
A subtype of striated muscle, attached by TENDONS to the SKELETON. Skeletal muscles are innervated and their movement can be consciously controlled. They are also called voluntary muscles.
A regimen or plan of physical activities designed and prescribed for specific therapeutic goals. Its purpose is to restore normal musculoskeletal function or to reduce pain caused by diseases or injuries.
Fibrous, bony, cartilaginous and osteocartilaginous fragments in a synovial joint. Major causes are osteochondritis dissecans, synovial chondromatosis, osteophytes, fractured articular surfaces and damaged menisci.
Restoration of integrity to traumatized tissue.
The articulation between the articular surface of the PATELLA and the patellar surface of the FEMUR.
Bleeding into the joints. It may arise from trauma or spontaneously in patients with hemophilia.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
LATERAL LIGAMENTS of the ANKLE JOINT. It includes inferior tibiofibular ligaments.
A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.
The articulations between the CARPAL BONES and the METACARPAL BONES.
A carpal bone adjacent to the TRAPEZOID BONE.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
Transplantation between individuals of the same species. Usually refers to genetically disparate individuals in contradistinction to isogeneic transplantation for genetically identical individuals.

The effect of isolated popliteus tendon complex injury on graft force in anterior cruciate ligament reconstructed knees. (1/181)

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Remodelling of human hamstring autografts after anterior cruciate ligament reconstruction. (2/181)

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Factors that influence the intra-articular rupture pattern of the ACL graft following single-bundle reconstruction. (3/181)

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Advances in the three-portal technique for anatomical single- or double-bundle ACL reconstruction. (4/181)

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VEGF receptor mRNA expression by ACL fibroblasts is associated with functional healing of the ACL. (5/181)

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Systematic review on cadaveric studies of anatomic anterior cruciate ligament reconstruction. (6/181)

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In vitro and intraoperative laxities after single-bundle and double-bundle anterior cruciate ligament reconstructions. (7/181)

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Intra-articular findings in primary and revision anterior cruciate ligament reconstruction surgery: a comparison of the MOON and MARS study groups. (8/181)

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Long-term studies after primary and revision Anterior Cruciate Ligament reconstruction using different types of autograft? with special emphasis on the clinical, radiographic, histological and ultrastructural results Mattias Lid?n Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy, University of Gothenburg, G?teborg, Sweden The aim of this study was to evaluate the long-term outcome after primary ACL reconstruction surgery using either BPTB or HT autografts and, in addition, ACL revision surgery using re-harvested patellar tendon autografts. Clinical and standard radiographic assessments were made of both the primary ACL-reconstructed knees and the patients who underwent ACL revision surgery using re-harvested patellar tendon autografts. Furthermore, in the revised knees, the patellar tendon underwent radiographic evaluations using MRI two and ten years after the index operation and histological and ultrastructural evaluations using a light and transmission ...
Background: When anterior cruciate ligament (ACL) reconstruction fails, a revision procedure may be performed to improve knee function, correct instability, and allow return to activities. The results of revision ACL reconstruction have been reported to produce good but inferior patient-reported and objective outcomes compared with primary ACL reconstruction, but the degree to which this is the case varies widely among published studies and may be influenced by heterogeneity of patients, techniques, and endpoints assessed. For those reasons, a systematic review may provide important insights. Questions/purposes: In a systematic review, we asked: (1) What is the proportion of revision ACL reconstruction cumulative failures defined as rerupture or objective failure using prespecified clinical criteria at mean followup of at least 5 years? (2) What are the most common complications of revision ACL reconstruction? Methods: A systematic review was performed by searching PubMed/Medline, EMBASE, and ...
Anterior cruciate ligament (ACL) injuries are common in young athletes. The management of ACL injuries has evolved considerably in the past 50 years. Historically, ACL tears were managed via isolated lateral extra-articular tenodesis (LET) to control anterior laxity. The use of isolated extra-articular reconstruction decreased after single-bundle intra-articular ACL reconstruction techniques were introduced. Double-bundle ACL reconstruction was developed to further control rotational laxity. Recently, single-bundle ACL reconstruction in combination with LET has emerged as a method to decrease rotatory laxity in high-risk athletes. Although LET usually is recommended during revision ACL surgery, LET also is considered an adjunct to primary ACL reconstruction in patients with certain risk factors, such as age younger than 18 years, a grade II pivot shift, underlying hyperlaxity, or intention to return to high-demand cutting/pivoting sports activity. This video discusses the case presentation of a 13-year
Anterior cruciate ligament (ACL) reconstruction is one of the most common orthopaedic procedures performed among young, active and healthy individuals.. The double-bundle ACL reconstruction technique was developed to improve both the anatomical and biomechanical properties of the knee after the reconstruction, due to the restoration of both of the bundles of the ACL: the anteromedial (AM) and the posterolateral (PL) bundle.. Their different insertion sites and tension patterns during knee motion, were supposed to resemble the native ACL more closely than the traditional single-bundle reconstruction. Although many laboratory studies support these findings, clinical studies are less convincing. Large, high-quality studies, with focus on the patient´s subjective outcome has been requested in order to decide if double-bundle reconstruction technique should continue to be an option for the ACL injured patients. This study was designed to compare the double-bundle to the single-bundle ACL ...
Published Articles:. Brophy RH, Wright RW, David TS, et al. Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction. Am J Sports Med 2012. MARS Group. Intra-articular findings in primary and revision anterior cruciate ligament reconstruction surgery: a comparison of the MOON and MARS study groups. Am J Sports Med 2011; 39: 1889-93. MARS Group. Descriptive epidemiology of the Multicenter ACL Revision Study (MARS) cohort. Am J Sports Med 2010; 38: 1979-86. David TS, Bravo H, Scobercea R. Arthroscopic visualization of subscapularis tendon lesions. Orthopedics ...
Investigators found significant improvements from preoperative measures at 24.8-month follow-up for both mean side-to-side differences and Lysholm scores in patients who underwent double-bundle ACL reconstruction using a special drill pin guide and reamer, along with a laser-guided device to facilitate a transtibial approach.Investigators followed 24 patients with a mean age 31 years. Bone tunnel
Arthroscopic ACL reconstruction is performed by Dr. Haissam Elzaim in Mission, Edinburg and McAllen. Learn more about knee arthroscopic surgery.
Bernardoni E, Frank RM, Veera SS, Griffin JW, Waterman BR, Shewman E, Cole BJ, Romeo AA, Verma NN. Biomechanical Analysis of All-Suture Anchor Fixation for Rotator Cuff Repair. American Orthopaedic Society for Sports Medicine San Diego 2018.. Serbin AP, Griffin JW, Bonner KF. Single Stage Revision Anterior Cruciate Ligament Reconstruction Using Fast-Setting Bone Graft Substitutes. Virginia Orthopaedic Society 2018.. Carstensen SE, Burrus MT, Cancienne JM, Kurkis G, Griffin JW, Diduch DR. Manipulation Under Anesthesia and Lysis of Adhesions Affords Similar Flexion as those Without Stiffness After SulcusDeepening Trochleoplasty: A Prospective Study. Podium Presentation American Academy of Orthopaedic Surgeons 2018. New Orleans LA.. Berman DC, Rogers KM, Griffin JW, Bonner KF. Gender Disparity Between Absolute Versus Relative Size of Chondral Defects: An MRI Analysis. Virginia Orthopaedic Society 2018.. Griffin JW, Basques B, Leroux TS, Frank RM, Verma NN, Romeo, AA. Thirty and Ninety-Day ...
0005]The present invention is directed to methods of anterior cruciate ligament reconstruction fixation. First, a tibial tunnel (or tunnels) located between an anterior tibial surface and the tibial plateau and a femoral tunnel (or tunnels) in close proximity to the tibial tunnel are formed. The creation of tibial and demoral tunnels are familiar to those skilled in the art. Next, a plurality of supplemental femoral tunnels to provide a basis for suture material fixation of graft tissue/material over cortical bone as replacement or compliment to implants; forming a plurality of supplemental tibial and femoral tunnels connecting with the tibial and femoral tunnels, respectively, to provide a basis for suture material fixation of graft tissue/material over cortical bone as replacement or compliment to implants. Inserting the first end of a strand of suture material through the tibial and femoral tunnels then through each supplemental femoral tunnel. The other end of each of each strand of suture ...
Due to it being tangential to the distal femoral axis, the anteromedial portal presents significant risk of causing iatrogenic damage, and of producing tunnels that are too short for optimal osseointegration. Flexible reamers were developed to eliminate the need for knee hyperflexion and offer better-controlled orientation of the femoral tunnel. We aimed to compare the anteversion and length of femoral tunnels drilled using flexible reamers to those drilled using rigid reamers. Between May 2012 and December 2013, all patients receiving ACL reconstruction performed by one surgeon were operated on using either a rigid or a flexible reamer from the same supplier (Versi-Tomic® system, Stryker, Kalamazoo, Michigan). The height of each patient was recorded, and the length and anteversion of the femoral tunnels were measured intra-operatively and on true lateral radiographs, respectively. Thirty-seven patients underwent operations using the rigid instrumentation, and 43 using the flexible instrumentation.
Kellgren-Lawrence Grade 3 or greater, or (3) weight loading line less than 25% and Kellgren-Lawrence Grade 2 medial tibiofemoral OA plus subtotal or total...
Knee Surgery: Primary and revision total knee replacement, unicompartmental knee replacement, patellofemoral replacement.. Soft tissue knee surgery: ACL reconstruction using hamstrings/patellar tendon, revision ACL reconstruction, MPFL reconstruction, lateral and posterolateral ligament reconstruction, arthroscopic meniscal repair.. Foot Surgery: Forefoot surgery including SCARF/ chevron osteotomy of the hallux, weil osteotomy of the lesser toes, 1st MTPJ arthrodesis, lapidus procedure.. ...
UKKOR was launched from Basingstoke last August. Mr Wilson and his colleagues Mike Risebury, Matt Dawson, Chris Wilson ​and David Elson launched the first National Registry for Osteotomy surgery worldwide UKKOR as a collaboration. It already has over 60 consultants entering data and will generate fantastic information about all aspects of Osteotomy surgery as the data is entered and examined ...
In November 2013 the Orthopaedic Sports Medicine Community was awakened by a media hype around a new ligament in the knee joint, found in Belgium by Steven Claes, which was previously unknown to surgeons performing arthroscopic ACL reconstruction . North American surgeons buffered the media, showing this new named ALL ligament was an anatomic structure that was found on anatomic sections. Old studies from a French surgeon (1879), Segond, showed that the avulsion fracture, named Segond fracture, was attached to a strong capsulair structure. This structure seems to be the same as the new named ALL ligament. New ligaments could mean new indications and new surgical techniques, which was already seen with the hype of the double bundle ACL reconstruction. Many researches used CAOS to scientifically show the advantages and limitations of DB techniques. In 2009, A Pearle (New York, USA) produced 10 papers using CAOS technology in relation to the new interest in biomechanics and reconstruction ...
A quick primer on what ACL surgery is: Once the ACL is torn it does not repair itself. Thus, a graft is used to form a new ligament. This graft is put in place where the ACL should be. If you decide to have ACL surgery, one of the next steps is to decide which…
A physician discuses new research showing despite the prolonged ACL surgery recovery, women may be at higher risk of knee arthritis after knee ACL surgery.
This was a prospective, multicenter, randomized, open-label, phase IV trial to compare the efficacy of supplementation with plasma proteins, hydrolyzed collagen (CH), a complex of HA-CS (HC-15), and vitamin C combined with a standard rehabilitation protocol versus the standard rehabilitation protocol only after arthroscopically-assisted functional ACL reconstruction with hamstrings ...
Answer: You should certainly have more than 90 degrees bend in your knee following a successful ACL reconstruction. Not knowing your rehab protocol or if there were surgical complications makes it difficult to offer detailed advice, however you should definitely seek the opinion of the surgeon who performed the operation.. Submitted 6 years 16 weeks ago by JordanM ...
Michael G. Baraga, MD (Miami, FL), performs an ACL reconstruction using a QuadLink™ presutured allograft, a TightRope® II BTB implant preloaded with FiberTape® suture to perform the InternalBrace™ technique, and a TightRope II open ABS implant. ...
During ACL reconstruction, anesthesia is administered through an IV. As this segment of the eMedTV library explains, this general anesthesia puts you to sleep so that you are not aware of any pain, pressure, or movement during the surgery.
Ellibs Ebookstore - Ebook: Controversies in the Technical Aspects of ACL Reconstruction - Author: Marx, Robert G. (#editor) - Price: 259,15€
Having ACL surgery is a big commitment. It is a painful procedure with a long-anticipated recovery. As your surgeons, we know all of you have one goal in mind…
Having ACL surgery is a big commitment. It is a painful procedure with a long-anticipated recovery. As your surgeons, we know all of you have one goal in mind…
My ACL surgery was December 23rd at 7:30am. I figured Id write a little about my experience. The most nerve wracking part was walking into this big ass operating room. There are 5 people there, all for you, and one chair in the middle of the room, just for you. I felt like I was walking…
My 6 yr old black lab just had ACL surgery on Thursday and Im looking for advice. I bought a sling to lift his back end and cut the sleeve off of a l
This media is available to current ISAKOS Members only. ISAKOS Members can log in to access all Global Link content. Non-Members can join ISAKOS today to gain full access to Global Link and all of the other ISAKOS Member benefits. ...
Seventeen meta-analyses were identified comparing BPTB versus HT for ACLR. The majority of meta-analyses were published in 2011 (5; 29 %), and North America was the most common continent of publication (6; 35 %). The three most commonly reported outcomes were stability (82 %), complications (76 %), and function (return to sport, IKDC score) (71 %). The median number of satisfactorily reported items in the Users Guide was three out of seven (IQR 2-4). The median number of satisfactorily reported items in PRISMA for the meta-analyses was 20 out of 27 (IQR 19-22).. CONCLUSION ...
very interesting thread! It feels great to get out on the water again doesnt it? I just got to finally wade again after having my acl surgery. also wh
The IUPHAR/BPS Guide to Pharmacology. AS70 ligand page. Quantitative data and detailed annnotation of the targets of licensed and experimental drugs.
TY - JOUR. T1 - Effects of neuromuscular electrical stimulation after anterior cruciate ligament reconstruction on quadriceps strength, function, and patient-oriented outcomes. T2 - A systematic review. AU - Kim, Min. AU - Croy, Ted. AU - Hertel, Jay. AU - Saliba, Susan. PY - 2010/1/1. Y1 - 2010/1/1. N2 - Study Design: Systematic Literature review. Objective: To perform a systematic review of randomized controlled trials assessing the effects of neuromuscular electrical stimulation (NMES) on quadriceps strength, functional performance, and self-reported function after anterior cruciate ligament reconstruction. Background: Conflicting evidence exists regarding the effectiveness of NMES following anterior cruciate ligament reconstruction. Methods: Searches were performed for randomized controlled trials using electronic databases from 1966 through October 2008. Methodological quality was assessed using the Physiotherapy Evidence Database Scale. Between- group effect sizes and 95% confidence ...
TY - JOUR. T1 - Graft tensioning practices in anterior cruciate ligament reconstruction amongst orthopaedic surgeons in Australia. T2 - a national survey. AU - Kirwan, Garry W. AU - Bourke, Michael G. AU - Chipchase, Lucinda. AU - Dalton, Philip A. AU - Russell, Trevor G. PY - 2015/12. Y1 - 2015/12. N2 - PURPOSE: The application of graft tension during anterior cruciate ligament reconstruction is considered an important feature of ACLR. However, wide variation exists in relation to graft tensioning practice limiting the ability to determine the best approach. Thus, the primary aim of this study was to describe current clinical practice amongst Australian orthopaedic surgeons with respect to graft tensioning and explore influencing factors.MATERIALS AND METHODS: A survey was developed to address the aims of the study and pilot testing was completed to confirm validity and reliability. The survey population was defined as Australian orthopaedic surgeons, associated with the Australian Orthopaedic ...
Experimental and numerical analysis of screw fixation in anterior cruciate ligament reconstruction - -This paper reports the results of an experimental and finite element analysis of tibial screw fixation in hamstring ACL reconstruction. The mechanical properties of the bone and tendon graft are obtained from experiments using porcine/calf bones and tendon. The results of the numerical study are compared with those from mechanical testing. Analysis shows that the model may be used to establish the optimum placement of the tunnel in anterior cruciate ligament reconstruction by predicting mechanical parameters such as stress, strain and displacement at regions in the tunnel wall.
Background: The ACL is the primary restrain to anterior translation of the tibia on the femur. The present study was conducted to assess cases of anterior cruciate ligament reconstruction surgery in adult patients.Subjects and Methods:The present study was conducted on 72 patients who underwent anterior cruciate ligament reconstruction surgery. Risk factors were recorded. Results:Out of 72 patients, males were 48 and females were 24. Out of 72 patients, infection was present in 10 males and 4 females. Risk factors for ACL surgery was BPTB graft in 3, STG graft in 5 cases. Obesity was seen in 11, smoking in 6, and diabetes mellitus in 4. The difference was significant (P, 0.05).Conclusion: ACL injury is common among sports person. Risk factors reported were diabetes mellitus, smoking and obesity.. ...
View details of top anterior cruciate ligament reconstruction hospitals in Bangalore. Get guidance from medical experts to select best anterior cruciate ligament reconstruction hospital in Bangalore
OBJECTIVE To determine the effect of graft choice (allograft, bone-patellar tendon-bone autograft, or hamstring autograft) on deep tissue infections following anterior cruciate ligament (ACL) reconstructions. DESIGN Retrospective cohort study. SETTING AND POPULATION Patients from 6 US health plans who underwent ACL reconstruction from January 1, 2000, through December 31, 2008. METHODS We identified ACL reconstructions and potential postoperative infections using claims data. A hierarchical stratified sampling strategy was used to identify patients for medical record review to confirm ACL reconstructions and to determine allograft vs autograft tissue implanted, clinical characteristics, and infection status. We estimated infection rates overall and by graft type. We used logistic regression to assess the association between infections and patients demographic characteristics, comorbidities, and choice of graft. RESULTS On review of 1,452 medical records, we found 55 deep wound infections. With ...
TY - JOUR. T1 - Anatomic anterior cruciate ligament double-bundle reconstruction using 2 tibial and 2 femoral tunnels. AU - Ferretti, Mario. AU - Zelle, Boris A.. AU - Chhabra, Anikar. AU - Fu, Freddie H.. PY - 2005/9/1. Y1 - 2005/9/1. N2 - Over the last decade, anterior cruciate ligament (ACL) reconstruction has been continuously improved. Although the current outcomes of the single-bundle ACL reconstruction are good, there remains significant room for improvement. A high percentage of patients do not return to their previous level of activity, and progressive cartilage degeneration continues to be a common problem after ACL injury. The evaluation of the 3-dimensional in vivo kinematics of the knee joint after single-bundle ACL reconstruction has demonstrated good restoration of the anteroposterior stability, whereas the rotational stability cannot be restored. Similarly, biomechanical studies in cadavers reveal that anatomic double-bundle ACL reconstruction restores the rotational knee ...
0005]Single tunnel single bundle anterior cruciate ligament reconstruction (STSBACLR) has long been established as a method of anterior cruciate ligament (ACL) reconstruction. A variety of graft choices are available to surgeons during ACL reconstruction. These choices include autogenous patellar or quadriceps tendon with bone blocks, or hamstring tendons. In addition, changed here tendon allografts (from donors) may be used. The main portion of the ACL which needs to be reconstructed is the anterolateral bundles. Arthroscopic assisted or open ACL reconstructions involve removing the remaining native ACL and drilling a tunnel at the anatomic attachment site of the anterolateral or posterior medial bundle at the anterolateral wall of the intercondylar notch. This tunnel is drilled in line with the roof of the notch and about 1-3 mm from the posterior articular surface of the lateral femoral condyle. The tibial attachment site is then prepared by identifying the normal attachment site of the ACL ...
TY - JOUR. T1 - Anterior cruciate ligament reconstruction. T2 - A literature review of the anatomy, biomechanics, surgical considerations, and clinical outcomes. AU - Beasley, Leslie S.. AU - Weiland, Daniel E.. AU - Vidal, Armando F.. AU - Chhabra, Anikar. AU - Herzka, Andrea S.. AU - Feng, Matthew T.. AU - West, Robin V.. PY - 2005/1. Y1 - 2005/1. N2 - Anterior cruciate ligament (ACL) ruptures are some of the most common knee injuries seen by sports medicine physicians. However, given the complex anatomy and function of the ACL, reconstruction of this ligament is anything but straightforward. The last decade has seen much advancement in ACL reconstruction, with an improved knowledge of the biology and biomechanics of graft incorporation, new choices for graft material and graft fixation devices, and more accelerated rehabilitation protocols. Although there are numerous studies in the literature on ACL reconstruction, there is yet to be a consensus among surgeons on the best graft choice and ...
Knee strength deficits after hamstring tendon and patellar tendon anterior cruciate ligament reconstruction. Knee bracing after ACL reconstruction: effects on postural control and proprioception
The hyperflexion required for femoral tunnel drilling in anterior cruciate ligament reconstruction can be challenging in patients with increased body habitus or musculature. Whilst allowing femoral tunnel creation without hyperflexion, additional benefits of flexible reamers have been proposed in terms of tunnel dimensions. The purpose of this study was to examine whether these theoretical benefits are seen in a clinical study ...
An anterior cruciate ligament reconstruction is an operation to replace a damaged anterior cruciate ligament with a ligament graft or a synthetic ligament.
Background. The anterior cruciate ligament (ACL) is a band of tough tissue inside the knee that helps stabilise the knee during movement. Rupture of the ACL is a common injury during some sporting activities, such as football and skiing. Anterior cruciate ligament injuries are often treated surgically. This usually involves keyhole (arthroscopic) ACL reconstruction, where the torn ACL is replaced by a piece of tendon (graft). The graft is usually extracted from another place near the patients affected knee. In ACL reconstruction, bone tunnels are drilled at the knee into the tibia (shin bone) and the femur (thigh bone) to place the ACL graft in almost the same position as the torn ACL.. This review compared two ACL reconstruction techniques: one-incision versus two-incision. The more common two-incision technique involves drilling the femoral (from the thigh bone) tunnel from outside to inside the knee joint with an incision made in the outward aspect of the thigh to reach the bone. In the ...
Introduction : Several studies have suggested that anterior cruciate ligament reconstruction (ACLR) without wound drainage has no impact on long-term follow-up. Aim: To investigate a prospective patient series as measured by the patient-administered disease-specific questionnaire Knee...
Background: Anterior cruciate ligament reconstructions (ACLRs) are frequently performed on young, active patients and can result in persistent knee symptoms and activity limitations that may affect health-related quality of life (HRQoL). To date, there has been no systematic review of HRQoL outcomes after ACLR. Purpose: The objectives of this study were to report HRQoL ≥5 years after ACLR, compare HRQoL outcomes with available population norms, and describe factors that may affect HRQoL in this population. Study Design: Systematic review. Methods: All studies reporting HRQoL ≥5 years after ACLR with hamstring or patellar tendon autografts were eligible for review. Common HRQoL outcomes were pooled using a random-effects meta-analysis and compared with published population norms. The Spearman rank correlation coefficient (r) was used to identify variables associated with HRQoL outcomes. Where insufficient data were available, outcomes were reported descriptively. Results: Fourteen studies ...
Successful anterior cruciate ligament reconstruction with a tendon graft necessitates solid healing of the tendon graft in the bone tunnel. Improvement of graft healing to bone is crucial for facilitating an early and aggressive rehabilitation and ensuring rapid return to pre-injury levels activity. Tendon graft healing in a bone tunnel requires bone ingrowth into the tendon. Indirect Sharpey fiber formation and direct fibrocartilage fixation confer different anchorage strength and interface properties at the tendon-bone interface. For enhancing tendon graft-to-bone healing, we introduce a strategy that includes the use of periosteum, hydrogel supplemented with periosteal progenitor cells and bone morphogenetic protein-2, and a periosteal progenitor cell sheet. Future studies include the use of cytokines, gene therapy, stem cells, platelet-rich plasma, and mechanical stress for tendon-to-bone healing. These strategies are currently under investigation, and will be applied in the clinical setting in the
A prospective study was performed on 30 patients who underwent an anterior cruciate ligament reconstruction with fresh-frozen patellar tendon allograft. An arthroscopic technique alone was used in 10 patients, and in the other 20 patients this was combined with a miniarthrotomy.. After a mean follow up of 35 months, the overall functional results were satisfactory in 85%. There were no cases of infection, disease transmission or tissue rejection. Fresh-frozen patellar tendon allografts are a good method of anterior cruciate reconstruction.. CITATION Int Orthop. 1994;18(4):210-4. ...
Background:The main goal of physiotherapy for patients with anterior cruciate ligament reconstruction (ACL-R) is to improve postural control and retain knee function. Therefore, clinicians need to use evaluative tools that assess postural changes during physiotherapy. To maximize the clinical utility of the results of these tools, the extracted measures should have appropriate psychometric properties of reliability, validity and responsiveness. No study has yet addressed responsiveness of postural measures in these patients. This study was designed to investigate the responsiveness and determine the minimal clinically important changes (MCIC) of static and dynamic postural measures in patients with (ACL-R) following physiotherapy. Methods: Static and dynamic postural measures were evaluated at first occasion and again after four weeks physiotherapy. The static measures consisted of center of pressure (COP) parameters while dynamic measures included the stability indices. Correlation analysis and ROC
Background:The main goal of physiotherapy for patients with anterior cruciate ligament reconstruction (ACL-R) is to improve postural control and retain knee function. Therefore, clinicians need to use evaluative tools that assess postural changes during physiotherapy. To maximize the clinical utility of the results of these tools, the extracted measures should have appropriate psychometric properties of reliability, validity and responsiveness. No study has yet addressed responsiveness of postural measures in these patients. This study was designed to investigate the responsiveness and determine the minimal clinically important changes (MCIC) of static and dynamic postural measures in patients with (ACL-R) following physiotherapy. Methods: Static and dynamic postural measures were evaluated at first occasion and again after four weeks physiotherapy. The static measures consisted of center of pressure (COP) parameters while dynamic measures included the stability indices. Correlation analysis and ROC
All-Inside Versus Inside-Out Meniscal Repair With Concurrent Anterior Cruciate Ligament Reconstruction: A Meta-regression Analysis .
Arthroscopy of the left knee was performed with the anterior cruciate ligament reconstruction. Removal of loose bodies. Medial femoral chondroplasty and
We aimed to evaluate clinical and radiological results after simultaneous open-wedge high tibial osteotomy (HTO) and anterior cruciate ligament (ACL) reconstruction in patients with ACL deficiency combined with medial uni-compartmental osteoarthritis (OA) and varus deformity. This retrospective study was performed using data collected from 2005 to 2011 on a total of 24 patients who were diagnosed with ACL injury and medial unicompartmental OA with varus deformity, and who subsequently underwent simultaneous open-wedge HTO and arthroscopic ACL reconstruction. The mean follow-up duration was 5.2 years. For clinical outcomes, we evaluated Lysholm score, Tegner activity score, range of motion, Lachmann test, and pivot-shift test, and for radiological outcomes, we evaluated the degree of varus deformity, progression of medial OA, tibial posterior slope, anterior instability, and postoperative complication. There were no limitations in range of motion found in any cases. Three patients showed progressive
If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patients written consent to publication and send them to the editorial office before submitting your response [Patient consent forms] ...
Ideal conditions for healing are mostly non-existent in one of the most common sports-related injury, the anterior cruciate ligament (ACL) tear.[1] Furthermore, there are still controversies in regards to the optimal management of a torn ACL and the optimal time for return to sports following ACL reconstruction.. At a mean of six months after ACL reconstruction, objective functional recovery of the knee was generally unsatisfactory and this seemed to be a risk factor for recurrent tears.[2] A systematic review and meta-analysis demonstrates that younger age and return to high level of activity are evident factors leading to recurrent ACL tears.[3] These combined data indicate that nearly one in four young athletic patients who sustain an ACL injury and return to high-risk sports will develop another ACL injury.[3]. The ACL reconstruction does not necessarily enable return to preinjury sports participation. By returning to pivoting sports after ACL reconstruction, athletes are also facing high ...
Radiographic enlargement of bone tunnels following anterior cruciate ligament (ACL) reconstruction has been recently introduced in the literature; however, the etiology and clinical relevance of this
During 2000-2015, the incidence of ACL reconstruction surgery increased in Australia in all age groups; the overall incidence was greatest among 15-24-year-olds. Consistent with other recent reports,1,3,17 the rate of growth in incidence was greatest among 5-14-year-old children.. Our calculated primary ACL reconstruction incidence of 77.4 per 100 000 population is the highest population-adjusted rate in the world; lower rates in comparable Organisation for Economic Cooperation and Development (OECD) nations include those for the United States (52), New Zealand (37), Denmark (38), Norway (34), and Sweden (32 per 100 000 population).7. We identified age and sex differences in the incidence of ACL reconstruction surgery, with the peak incidence in males being for a slightly older age group and 73% higher than the peak incidence in females. This is consistent with studies that have reported higher rates of ACL reconstruction in males,2,18,19 despite females being two to ten times more likely to ...
In athletes, anterior cruciate ligament (ACL) reconstruction is recommended after injury to restore the normal knee function and allow subsequent return to sport. Successful ACL reconstruction with patellar tendon (PT) and hamstring tendon (HT) grafts combined with a well-structured rehabilitation p …
PURPOSE:External loading of osteoarthritic and healthy knees correlates with current and future osteochondral tissue state. These relationships have not been examined following anterior cruciate ligament reconstruction. We hypothesised greater magnitude tibiofemoral contact forces were related to increased prevalence of osteochondral pathologies, and these relationships were exacerbated by concomitant meniscal injury. METHODS:This was a cross-sectional study of 100 individuals (29.7 ± 6.5 years, 78.1 ± 14.4 kg) examined 2-3 years following hamstring tendon anterior cruciate ligament reconstruction. Thirty-eight participants had concurrent meniscal pathology (30.6 ± 6.6 years, 83.3 ± 14.3 kg), which included treated and untreated meniscal injury, and 62 participants (29.8 ± 6.4 years, 74.9 ± 13.3 kg) were free of meniscal pathology. Magnetic resonance imaging of reconstructed knees was used to assess prevalence of tibiofemoral osteochondral pathologies (i.e., cartilage defects and bone ...
Objective: To compare 5-year change in femorotibial cartilage thickness in 121 young, active adults with an acute anterior cruciate ligament (ACL) tear randomized to a strategy of structured rehabilitation plus early ACL reconstruction (ACLR) or structured rehabilitation plus optional delayed ACLR. Design: 62 patients were randomized to early ACLR, 59 to optional delayed ACLR. Magnetic resonance imaging (MRI) was acquired within 4 weeks of injury, at two- and 5-years follow-up. Main outcome was 5-year change in overall femorotibial cartilage thickness. Secondary outcomes included the location-independent cartilage ChangeScore, summarizing thinning and thickening in 16 femorotibial subregions. An exploratory as-treated comparison was performed additionally. Results: Baseline and at least one follow-up MRI were available for 117 patients. Over 5 years, a comparable increase in overall femorotibial cartilage thickness was observed for patients randomized to early ACLR (n = 59) and patients ...
The position of the femoral tunnel in anterior cruciate ligament (ACL) reconstruction has been assessed on three dimensional CT (3D-CT) scan or in cadaveric study. However, these methods have some issues; 3D-CT scan has a concern on radiation exposure and cadaveric study is not easily available nor an in vivo test. The purpose of this study is to compare the position of the femoral tunnel aperture on conventional MRI and the outcomes after single bundle ACL reconstruction using free tendon Achilles allograft between transportal technique and transtibial technique in active young men ...
BACKGROUND:In many centres patients are routinely referred for physiotherapy after anterior cruciate ligament (ACL) reconstruction. However, to date the role and amount of supervised physiotherapy required has not been clearly established. OBJECTIVE:To establish whether there was any difference in outcome between a group of patients who attended physiotherapy regularly after ACL reconstruction and a group who attended only infrequently. METHODS:Ten patients who had attended physiotherapy infrequently (mean 1.9 visits) during the first six months after ACL reconstructive surgery were matched for age, sex, graft type, and activity level and occupation before injury with 10 patients who had attended physiotherapy regularly (mean 26.5 visits). Outcome was assessed at 12 months using the Cincinnati knee rating system and the IKDC form. RESULTS:Compared with the regular physiotherapy group, patients in the minimal physiotherapy group had fewer symptoms (mean Cincinnati symptom score 46.2 v 43.4, p = ...
Background: The goal of this study is to provide outcomes data for ACL reconstruction surgeries to a single physician/surgeon and the patient. Outcomes data collected and analyzed for a single physician will provide the surgeon with information that can be given to patients seeking ACL reconstruction surgery. This information will help the patient know what to expect in terms of recovery, infection rate, and failure rate. It will also aid the surgeon in identifying areas of strength and weakness in his practice. To accomplish this goal a database was created using Filemaker Pro 7 software that allows for data entry at the point of care and basic data analysis. The analyzed data will be given to ACL reconstruction surgery candidates likely in the form of a handout or pamphlet during the informed consent process. Hypothesis: Collection of subjective and objective data should allow for a better understanding of the post-operative outcomes of a single surgeon for ACL reconstruction surgery and improve the
Discussion. Revision ACLR can pose a variety of surgical challenges. Evaluation of patient risk factors, prior surgical technique, prior tunnel placement, tunnel osteolysis, prior grafts utilized and implanted hardware must be considered prior to performing a revision ACLR case. In addition, the knowledge and ability to perform multiple ACLR surgical techniques is necessary to achieve desired outcomes. The modified MacIntosh over-the-top technique is one procedure that can be used in difficult revision ACLRs. What other techniques would you use? References:. Melby 3rd A. 2001. Arthroscopic Anterior Cruciate Ligament Reconstruction: Over-the-Top Techniques, in: Chow, JC., ed., Advanced Arthroscopy, Springer-Verlag Inc., New York, p435-446. Ruffilli A. Orthopedics. 2015;38(7):e635-43.. Marcacci M. Knee Surg Sports Traumatol Arthrosc. 2012; 20:1404-1408. Matthew H. Blake, MD, is an orthopedic sports medicine fellow at the University of Kentucky Sports Medicine Program. Darren L. Johnson, MD, is ...
Athletes who have sustained an anterior cruciate ligament (ACL) injury often opt for an ACL reconstruction (ACLR) with the goal and expectation to resume sports. Unfortunately, the proportion of...
Anterior cruciate ligament (ACL) reconstruction is a common surgical procedure done to replace a torn ACL in the knee. The torn ligament is removed and replaced with a tissue graft using arthroscopy. Arthroscopy is a minimally invasive surgical procedure where a camera is inserted into the joint and surgeons view the joint area on a video monitor. For an inexperienced orthopaedic intern, it is difficult to understand the procedure happening inside the knee from the view on the video monitor. The visual goal of this sequential illustration was to show clearly and concisely how the tissue graft is placed into the knee. This image is an excerpt from the sequential illustration. It shows how the various sutures should be threading into the knee for tissue graft placement. The work was created for print in a surgical textbook and we were limited to using pen and ink.. ...
Injuries to the anterior cruciate ligament are common. Surgical reconstruction is more prevalent than ever. This review article discusses treatment of the patient following surgical reconstruction of the anterior cruciate ligament. Various phases of rehabilitation are discussed with emphasis on early return of passive motion, early weight bearing, bracing, kinetic chain exercises, neuromuscular electrical stimulation and accelerated rehabilitation. Although evidence exists for the treatment of the surgically reconstructed cruciate ligament, more is needed to better define specific timeframes for advancement. Evidence exists that many of these young individuals are not fully returning to unlimited high level activities. This review article presents some of the latest evidence regarding anterior cruciate ligament rehabilitation in an attempt to help the busy clinician understand and relate basic and clinical research to rehabilitation of a patient following reconstruction ...
Anterior cruciate ligament (ACL) ruptures are severe sport injuries associated with long absence from sport [ 11 , 20 , 31 ]. The best way to restore
Anatomy Research International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of basic and clinical anatomy.
Most anterior cruciate ligament (ACL) tears are replaced with a tissue graft. This graft acts as a scaffolding for a new ligament to grow on.
Anterior cruciate ligament is one of the most important ligaments inside human knee joint. Knee joint is the meeting point of thigh bone known as femur and shinbone known as tibia. Best treatment for this condition can be obtained from a knee injury doctor. Conservative medicines and physical therapy are useful only in
Sizer P, Sawyer S, Brismee J, Jones K*, Bruce J*, Slauterbeck J. The Effect of Microcurrent Stimulation on Postoperative Pain After Patellar Tendon-Bone Anterior Cruciate Ligament Reconstruction. Presented at the American Physical Therapy Association Annual Conference and Exposition, Indianapolis, Indiana; June, 2000.. PURPOSE: The purpose of this study was to determine the effectiveness of microcurrent electrical therapy in providing pain relief to a selected post-operative patient population.. SUBJECTS: Subjects were 19 females and 22 males (mean age of 21.1) who received arthroscopic bone-patellar tendon-bone anterior cruciate ligament (ACL) reconstruction.. METHODS AND MATERIALS: Subjects were randomly assigned to one of two treatment groups (Microcurrent or Placebo Groups) in a double blind experimental design. Using a portable microcurrent device (Alpha-Stim 100 by Electromedical Products International, Inc, Mineral Wells, Texas), the Microcurrent Group received 100 microamperes of ...
Alarming underutilisation of rehabilitation after ACL reconstruction (ACLR) was highlighted in a recent study.1 These Australian trends are not unique, but support the emerging realisation that athletes may be overtreated with ACLR surgery, but undertreated when it comes to rehabilitation. We use the term undertreated to describe insufficient rehabilitation-either because athletes are discharged too soon or because the rehabilitation content is inadequate.. Among non-elite athletes with ACLR, only 5% received rehabilitation1 that followed evidence-based guidelines2: ≥6 months rehabilitation, including agility and landing exercises, and a structured return to sport (RTS). Most athletes were undertreated: 45% (50 of 111) never saw a clinician after the third postoperative month and 70% (78 of 111) never did agility or landing exercises.1 When clinical practice does not follow evidence-based guidelines, we are not offering the best to our athletes. ...
21 cases operated via arthroscopic method were eligible for the study. Mean age was 28.3±10.44. There were 14 (66.7%) male 7 (33.3%) female. A total of eight cases of laxity (36.36%) were identified - six males (75%) and two females (25%). Hamstring grafts accounted for three cases of laxity (37.5%) while BPTB accounted for five cases (62.5%). The mean follow-up was one and half years. Hamstring and bone patellar tendon bone graft were used in 6 (28.6%) and 15 (71.4%) cases respectively.. Conclusion ...
Patients had high expectations for returning to their preinjury level of sport at the time of undergoing initial ACLR. Expectations were lower for those who had undergone previous ACLR. Female patients and patients who had undergone previous ACLR were more likely to change their expectations and cea …
ACL (Anterior Cruciate Ligament) injuries are very common during sports activities. Anterior cruciate ligament surgeon and acl reconstruction surgeon Dr. Biggs performs ACL surgery in Westmead, Sydney.
Rehabilitation after cruciate ligament reconstruction has some special challenges, and it is helpful that patients understand why.
A method of replacing an ACL with a graft. The method provides for the drilling bone tunnels in a femur and a tibia. A replacement graft is provided having first and second ends. A biodegradable composite screw is provided. The screw is made from a biodegradable polymer and a bioceramic or a bioglass. At least one end of the graft is secured in a bone tunnel using the biodegradable composite screw.
|p|The purpose of this study was to investigate the responses elicited during aquatic and land rehabilitation to establish the comparison among parameters such as, range of motion (ROM), muscle strength, circumference of muscle mass and swelling. Thirteen individuals with an anterior reconstruction ligament with a concomitant meniscal injury participated in the study who established 2 groups: the land rehabilitation (LR), patients who were followed by a land program and the water rehabilitation (WR) whose patients had an aquatic program. Clinical evaluations were applied in the 0, 3, 6 and 9 weeks measuring the parameters. The patients from the WR reached the best results for all parameters which were evaluated. We concluded the aquatic rehabilitation allowed earlier function recuperation than the land program.|/p|
This patellar tendon method of reconstruction was traditionally the gold standard graft for anterior cruciate ligament ... It can be used as a tissue source in the repair of other ligaments. In the event of a torn anterior cruciate ligament, the ... "Anterior cruciate ligament reconstruction best practice: A review of graft choice". World Journal of Orthopedics. 5 (1): 23-29 ... Anterior view. This article incorporates text in the public domain from page 340 of the 20th edition of Gray's Anatomy (1918) ...
... or Closed-Kinetic Chain Exercises After Anterior Cruciate Ligament Reconstruction?" (PDF). Exercise and Sport Sciences Reviews ...
Lepley, L.K. (2013). "Effect of Eccentric Strengthening After Anterior Cruciate Ligament Reconstruction on Quadriceps Strength ... Anterior cruciate ligament damage[edit]. Tearing an anterior cruciate ligament (ACL) in the knee causes serious damage that can ... "After Anterior Cruciate Ligament Reconstruction Effects of Early Progressive Eccentric Exercise on Muscle Structure". The ... "After Anterior Cruciate Ligament Reconstruction Effects of Early Progressive Eccentric Exercise on Muscle Structure". The ...
... tendon autografts has been used commonly and successfully for anterior cruciate ligament reconstruction. Sufficient graft size ... "Quadruple-Bundle Semitendinosus-Gracilis Graft Technique for All-Inside Anterior Cruciate Ligament Reconstruction". Arthroscopy ... Anterior views. Semimembranosus Biceps femoris This article incorporates text in the public domain from page 479 of the 20th ... Along with patellar ligament and quadriceps femoris, semitendinosus/gracilis (STG) ...
"Roofplasty requirements in vitro for different tibial hole placements in anterior cruciate ligament reconstructions". Am. J. ... Berns, GS; Hull, ML; Patterson, HA (1992). "Strain in the anteromedial bundle of the anterior cruciate ligament under ... Howell, SM; Berns, GS; Farley, TE (1991). "Unimpinged and impinged anterior cruciate ligament grafts: MR signal intensity ... "1996 Strain in the medial collateral ligament of the human knee under single and combined loads". J. Biomech. 29: 199-206. doi: ...
"Quadriceps Muscle Function After Rehabilitation With Cryotherapy in Patients With Anterior Cruciate Ligament Reconstruction". ...
Following the 2012 Summer Olympics, he underwent anterior cruciate ligament reconstruction on both legs. He took bronze at the ...
Ligament grafting repair, as with anterior cruciate ligament reconstruction or ulnar collateral ligament reconstruction. Large ...
Mar 2014). ""Variables associated with return to sport following anterior cruciate ligament reconstruction " a systematic ... and persisten knee symptoms are common factors for lack of return to sport after anterior cruciate ligament reconstruction". ...
Eraslan A, Ulkar B (2015). "Glucosamine supplementation after anterior cruciate ligament reconstruction in athletes: a ... supplementation had no additional effect on any rehabilitation outcome when given to athletes after anterior cruciate ligament ... ACL) reconstruction. One clinical study over three years showed that glucosamine in doses of 1,500 mg per day is safe. ...
While changing direction, Ennis snapped his anterior cruciate ligament and required a full knee reconstruction. Ennis missed ...
... by assessing limb symmetry after an anterior cruciate ligament injury or following anterior cruciate ligament reconstruction. ... landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction ... "Single-legged hop tests as predictors of self-reported knee function after anterior cruciate ligament reconstruction: The ... "Single-legged hop tests as predictors of self-reported knee function after anterior cruciate ligament reconstruction: The ...
"The effect of cryotherapy on intraarticular temperature and postoperative care after anterior cruciate ligament reconstruction ... The therapy is especially useful for sprains, strains, pulled muscles and pulled ligaments. Cold compression is a combination ...
In her second season, Leslie injured her knee, and required Anterior cruciate ligament reconstruction surgery. As the surgery ...
Lee BI, Min KD, Choi HS, Kim JB, Kim ST (2006). "Arthroscopic anterior cruciate ligament reconstruction with the tibial-remnant ...
Anterior cruciate ligament injury Anterior cruciate ligament reconstruction Shelbourne K, Nitz P (1991). "The O'Donoghue triad ... The medial collateral ligament, posterior cruciate ligament, anterior cruciate ligament, and lateral collateral ligament are ... "tibial collateral ligament") The anterior cruciate ligament is one of the four crucial ligaments in the knee. It originates ... Injury An anterior cruciate ligament injury results from excess tension on the ligament. This can come from a sudden stop or ...
"Assessment of the quality and content of information on anterior cruciate ligament reconstruction on the internet". Arthroscopy ...
However he suffered a severe knee injury and required a knee anterior cruciate ligament (ACL) reconstruction. This was later ... 9 March 2002 List of players who have previously undergone ACL reconstruction Archived 29 September 2011 at the Wayback Machine ...
The semitendinosus tendon can be used in certain techniques for reconstruction of the anterior cruciate ligament. The name " ... It lies superficial to the tibial insertion of the medial collateral ligament of the knee. Pes anserine bursitis is a cause of ...
He was forced to have an anterior cruciate ligament reconstruction, returning to training in May 2008. On July 2008 Osman re- ...
The procedures are more commonly performed to treat meniscus injury and to perform anterior cruciate ligament reconstruction. ... Surgeons view the joint area on a video monitor, and can diagnose and repair torn joint tissue, such as ligaments. It is ... Torn knee cartilage or ligaments previously would require an arthrotomy procedure and might mean a year or more of rehab or the ... Many invasive spine procedures involve the removal of bone, muscle, and ligaments to access and treat problematic areas. In ...
Most notably, he is renowned for pioneering the technique and concepts of anatomic anterior cruciate ligament reconstruction. ... a Chinese educator and organiser who turned to the villages of China to organise Rural Reconstruction, most famously at Ding ...
... by Muscle and Tendon after Topical or Oral Administration in Patients Undergoing Anterior Cruciate Ligament Reconstruction". ...
Later scans revealed Ball had ruptured his anterior cruciate ligament (ACL), requiring a knee reconstruction & ending his ... Ball returned from a knee reconstruction in round eight against Geelong. In his second game back in round nine Ball managed to ... His return season from a knee reconstruction saw Ball play 13 games and averaged 23.4 disposals. At the end of the season, ...
The injury required multiple surgeries including an anterior cruciate ligament reconstruction, ruling him out for the remainder ...
Soon after, he incurred a knee injury in training which required an anterior cruciate ligament reconstruction that ended his ...
"Hamstring pain and muscle strains following anterior cruciate ligament reconstruction: a prospective, randomized trial ...
He sustained a season-ending ruptured anterior cruciate ligament on his left knee on 27 July 2014. Wallace finished off the ... after a failed knee reconstruction. Wallace joined Penrith's coaching staff immediately as he transitioned into life after ... Gould also revealed Wallace had played the last two seasons with no anterior cruciate ligament (ACL) ...
... titanium alloy interference screws for bone-patellar tendon-bone graft fixation in anterior cruciate ligament reconstruction". ... "Oxidized nickel-titanium foams for bone reconstructions: chemical and mechanical characterization". Journal of Materials ...
Anterior cruciate ligament reconstruction. *Knee replacement/Unicompartmental knee arthroplasty. *Ankle replacement. *Broström ... ligaments and articular surfaces), and poor restoration of these functions in the replaced joint may be responsible for the ... "Total Ankle Replacement Compatible with Ligament Function Produces Mobility, Good Clinical Scores, and Low Complication Rates: ...
... reconstruction Anterior drawer test Anterolateral ligament Lateral collateral ligament Medial ... The anterior cruciate ligament (ACL) is one of a pair of cruciate ligaments (the other being the posterior cruciate ligament) ... The joint through which the anterior cruciate ligament passes, along with the actual size of the anterior cruciate ligament, is ... it is also referred to as the cranial cruciate ligament. The anterior cruciate ligament is one of the four main ligaments of ...
... Arthroscopic anterior cruciate ligament (ACL) reconstruction (right knee). The ... Anterior cruciate ligament reconstruction (ACL reconstruction) is a surgical tissue graft replacement of the anterior cruciate ... The Anterior Cruciate Ligament is the ligament that keeps the knee stable.[2] Anterior Cruciate Ligament damage is a very ... "Ligament Tissue Engineering and Its Potential Role in Anterior Cruciate Ligament Reconstruction". Stem Cells International. ...
Fan H, Liu H, Wong EJ, Toh SL, Goh JC (August 2008). "In vivo study of anterior cruciate ligament regeneration using ... Ligament reconstruction is possible using mesenchymal stem cells and a silk scaffold.[5] These same stem cells have been shown ...
Knee arthroscopy and anterior cruciate ligament reconstruction. *Knee replacement. *Repair of femoral neck fracture ... Masaki Watanabe of Japan to perform minimally invasive cartilage surgery and reconstructions of torn ligaments. Arthroscopy ... Anterior and lateral view x-rays of fractured left leg with internal fixation after surgery ...
Anterior cruciate ligament (ACL) repair Joint reconstruction in the knee and ankle Meniscal replacement Reconstruction due to ... Kidney transplants Pancreas transplantation Islet cell transplantation Bone marrow transplants Bone allograft Ligament or ...
Anterior cruciate ligament reconstruction. *Knee replacement/Unicompartmental knee arthroplasty. *Ankle replacement. *Broström ...
Anterior cruciate ligament reconstruction. *Knee replacement/Unicompartmental knee arthroplasty. *Ankle replacement. *Broström ...
... indicates they are ineffective in reducing anterior cruciate ligament tears, but may be helpful in resisting medial and lateral ... braces often have an adjustable range of motion stop potential for limiting flexion and extension following ACL reconstruction ... The anterior support shell is designed for lateral hinged attachment to the L-shaped member to take advantage of medial tibial ... In the case of conditions affecting the ligaments or cartilage of the knee, a KO can provide stabilization to the knee by ...
Anterior cruciate ligament reconstruction. *Knee replacement/Unicompartmental knee arthroplasty. *Ankle replacement. *Broström ... Anterior lumbar interbody fusion (ALIF) - the disc is accessed from an anterior abdominal incision ... Anterior decompression and fusion[3]. *Posterior instrumentation and fusion - many different types of hardware can be used to ... 34,943 - Anterior cervical discectomy and fusion (ACDF) for someone with severe obesity and diabetes (2005-2008) [9] ...
Anterior cruciate ligament reconstruction. *Knee replacement/Unicompartmental knee arthroplasty. *Ankle replacement. *Broström ... Reconstruction, plastic or cosmetic surgery of a body part starts with a name for the body part to be reconstructed and ends in ... Reconstructive surgery involves reconstruction of an injured, mutilated, or deformed part of the body. Transplant surgery is ... Washington, DC: International Bank for Reconstruction and Development / World Bank Group; 2015 ...
Anterior cruciate ligament reconstruction. *Knee replacement/Unicompartmental knee arthroplasty. *Ankle replacement. *Broström ...
The first xenograft device for reconstruction of ruptured anterior cruciate ligaments (ACLs) received FDA approval for human ... "Anterior Cruciate Ligament and Knee Rehabilitation.". American Academy of Orthopaedic Surgeons The Albert Trillat Young ... This research has led to advancements in cartilage replacement and regeneration, cruciate ligament repair and reconstruction, ... a human clinical trial of a porcine bone-patellar tendon-bone graft for reconstructing the anterior cruciate ligament (ACL) of ...
Glucosamine Supplementation after Anterior Cruciate Ligament Reconstruction in Athletes: A Randomized Placebo-controlled Trial» ...
Ligament repair, as with anterior cruciate ligament reconstruction or ulnar collateral ligament reconstruction. ...
... together with a tear of the anterior cruciate ligament and medial collateral ligament. ... Barber FA, Click SD (1997). "Meniscus repair rehabilitation with concurrent anterior cruciate reconstruction". Arthroscopy. 13 ... Combined knee injuries involving anterior cruciate and medial collateral ligament tears". Am J Sports Med. 19 (5): 474-7. doi: ... However, if another injury such as an anterior cruciate ligament injury (torn ACL) was coupled with a torn meniscus, then an ...
... most commonly the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL).[2] As with any injury, an ... a b Harner CD, Vogrin TM, Höher J, et al: Biomechanical analysis of a posterior cruciate ligament reconstruction: Deficiency of ... a b c d LaPrade RF, Hamilton CD, Engebretsen L. Treatment of acute and chronic combined anterior cruciate ligament and ... Terry GC, Hughston JC Associated joint pathology in the anterior cruciate ligament-deficient knee with emphasis on a ...
"Tibiofemoral and patellofemoral kinematics after reconstruction of an isolated posterior cruciate ligament injury: in vivo ... Anterior view. Right knee joint from the front, showing interior ligaments Left knee joint from behind, showing interior ... The joint capsule is reinforced by anterior and posterior ligament of the head of the fibula. The distal tibiofibular joint ( ... The medial and lateral condyle are separated by the intercondylar area, where the cruciate ligaments and the menisci attach. ...
Knee surgery, such as anterior cruciate ligament reconstruction. *Epidural space (Epiduroscopy). *Bursae (Bursectomy) ...
Anterior cruciate ligament reconstruction. *Knee replacement/Unicompartmental knee arthroplasty. *Ankle replacement. *Broström ... Anterior and lateral view x-rays of fractured left leg with internal fixation ...
Ligaments are sturdy bands of tissues that connect bones. Similar to the anterior cruciate ligament, the PCL connects the femur ... A procedure called ligament reconstruction is used to replace the torn PCL with a new ligament, which is usually a graft taken ... in injuries to the posterior cruciate ligament. Patients who are suspected to have a posterior cruciate ligament injury should ... Ligament tears account for more than forty percent of knee injuries and the posterior cruciate ligament is considered one of ...
Knee arthroscopy र anterior cruciate ligament reconstruction. *Knee replacement. *Repair of femoral neck fracture ... David L. MacIntosh pioneered the first successful surgery for the management of the torn anterior cruciate ligament of the knee ... Bijay of Japan to perform minimally invasive cartilage surgery र re-constructions lol ligaments. Arthroscopy helped patients ... MacIntosh devised a way to re-route viable ligament from adjacent structures to preserve the strong र complex mechanics of the ...
Anterior cruciate ligament injury. *Unhappy triad. *Patellar dislocation. Ankle and foot. *Sprained ankle (High ankle sprain) ... Other options are a partial repair, and reconstruction involving a bridge of biologic or synthetic substances. Partial repairs ... "Muscles Ligaments Tendons J. 3 (2): 70-9. doi:10.11138/mltj/2013.3.2.070. PMC 3711705 . PMID 23888289.. ... Exercises, for the anterior, inferior, and posterior shoulder, should be part of this program.[43] Codman exercises (giant, ...
Anterior cruciate ligament reconstruction. *Knee replacement/Unicompartmental knee arthroplasty. *Ankle replacement. *Broström ... Anatomic Repair, or any repair using tendon allograft without sacrificing the coracoacromial ligament. ... to replace the coracoclavicular ligaments. Note: various methods have been utilized to anchor the clavicle in place while the ...
Anterior cruciate ligament (ACL) repair. *Joint reconstruction in the knee and ankle ... Ligament or tendon allograft. Laws and regulations[edit]. In the US, the Federal government Food and Drug Administration (FDA) ...
An ACL reconstruction will typically cross the growth plates, posing a theoretical risk of injury to the growth plate, stunting ... The anterior cruciate ligament (ACL) is one of a pair of cruciate ligaments (the other being the posterior cruciate ligament) ... The synovial joint through which the anterior cruciate ligament passes, along with the length of the anterior cruciate ligament ... it is also referred to as the cranial cruciate ligament.[1] The anterior cruciate ligament is one of the four main ligaments of ...
... will ligament reconstruction be required. Ligament reconstruction is used to replace the torn PCL with a new ligament, which is ... Ligaments are sturdy bands of tissues that connect bones. Similar to the anterior cruciate ligament, the PCL connects the femur ... is a ligament in each knee of humans and various other animals. It works as a counterpart to the anterior cruciate ligament ( ... Magnetic resonance imaging evaluation demonstrating normal signal of both anterior and posterior cruciate ligaments (arrows). ...
Anterior cruciate ligament reconstruction. Arthroscopic anterior cruciate ligament (ACL) reconstruction (right knee). The ... Anterior cruciate ligament reconstruction (ACL reconstruction) is a surgical tissue graft replacement of the anterior cruciate ... The Anterior Cruciate Ligament is the ligament that keeps the knee stable.[2] Anterior Cruciate Ligament damage is a very ... "Ligament Tissue Engineering and Its Potential Role in Anterior Cruciate Ligament Reconstruction". Stem Cells International. ...
The ACL (anterior cruciate ligament) is a band of tissue inside your knee. It gets damaged when it stretches or tears. ACL ... Polymers in Medicine: "Synthetic grafts in the treatment of ruptured anterior cruciate ligament of the knee joint." ... American Academy of Orthopaedic Surgeons: "ACL injury: Does it require surgery?" "Anterior Cruciate Ligament (ACL) Injuries." ... It serves as a sort of bridge that a new ligament will grow on as you heal. It can take months for a new ACL to grow in fully. ...
... is the gold standard for anterior cruciate ligament (ACL) reconstruction. Advances in surgical... ... Anterior Cruciate Ligament Anterior Cruciate Ligament Reconstruction Femoral Tunnel Pivot Shift Anterior Knee Pain These ... Cohen SB, Sekiya JK (2007) Allograft safety in anterior cruciate ligament reconstruction. Clin Sports Med 26:597-605PubMed ... Duquin TR, Wind WM, Fineberg MS, Smolinski RJ, Buyea CM (2009) Current trends in anterior cruciate ligament reconstruction. J ...
... limb reconstruction, pediatric orthopaedics, sports medicine, trauma, spinal deformities, and orthopaedic oncology. ... Anterior Cruciate Ligament Reconstruction in Ehlers-Danlos Syndrome. John Williams, Jonathan Hutt, and Mark Rickman ... John Williams, Jonathan Hutt, and Mark Rickman, "Anterior Cruciate Ligament Reconstruction in Ehlers-Danlos Syndrome," Case ...
K. G. Jones, "Reconstruction of the anterior cruciate ligament using the central one-third of the patellar ligament," Journal ... A Brief History of Anterior Cruciate Ligament Reconstruction. Nikolaos Davarinos,1 Barry James ONeill,2 and William Curtin2 ... Reconstructions of the anterior cruciate ligament (ACL) are among the most frequently performed procedures in knee surgery ... R. J. Curtis, J. C. Delee, and D. J. Drez Jr., "Reconstruction of the anterior cruciate ligament with freeze dried fascia lata ...
Reconstruction surgery of anterior cruciate ligament injury of the knee is done through endoscopic surgery called arthroscopic ... What is Anterior Cruciate Ligament Surgery? Anterior cruciate ligament reconstruction surgery is an arthroscopic surgical ... Two ligaments, the anterior cruciate ligament (ACL) and the posterior cruciate ligament are cross-shaped ligaments present ... What are the Types of Grafts available for Reconstruction of Anterior Cruciate Ligament?. The anterior cruciate ligament cannot ...
... reconstruction with autogenous bone-patellar tendon-bone graft. Quadriceps and hamstring isokinetic strength was assessed ... We measured muscle strength in 36 patients after anterior cruciate ligament (ACL) ... Muscle performance after anterior cruciate ligament reconstruction Int Orthop. 2004 Feb;28(1):48-51. doi: 10.1007/s00264-003- ... We measured muscle strength in 36 patients after anterior cruciate ligament (ACL) reconstruction with autogenous bone-patellar ...
Anterior cruciate ligament reconstruction system and method of implementing same. US20040267361 *. Jun 27, 2003. Dec 30, 2004. ... Anterior cruciate ligament reconstruction with the use of hamstring tendon graft is becoming more popular with its benefit of ... Apparatus for assembling anterior cruciate ligament reconstruction system. US20050277961 *. Aug 12, 2005. Dec 15, 2005. ... Single tunnel, double bundle anterior cruciate ligament reconstruction using bone-patellar tendon-bone grafts. ...
... of 20 arthroscopically assisted combined anterior cruciate ligament/posterior cruciate ligament (ACL/PCL) reconstructions, ... Arthroscopically assisted combined anterior and posterior cruciate ligament reconstruction.. Fanelli GC1, Giannotti BF, Edson ... Ligament injuries included 1 ACL/PCL tear, 2 ACL/PCL/medial collateral ligament (MCL)/posterior lateral corner tears. 7 ACL/PCL ... Tegner, Lysholm, and Hospital for Special Surgery knee ligament rating scales significantly improved preoperatively to ...
The anterior cruciate ligament (ACL) is frequently injured, and it is the structure of the athlete´s knee which has the highest ... Quadriceps in the Production of Knee Extension Strength and Control of Edema After Anterior Cruciate Ligament Reconstruction. ... Subjects between 18 e 45 years old, submitted in the last 15 days to the ACL reconstruction surgery, being the first knee ... Participants Twenty-two patients that submitted to ACL surgical reconstruction with flexor grafts less than 15 days previously ...
Although some articles in the literature are in favor of the use of a postoperative brace after anterior cruciate ligament (ACL ... reconstruction, this review found that several systematic reviews and other reports on the topic do not support the use of a ... postoperative brace after ACL reconstruction. There is no scientific evidence so ... Rehabilitation after anterior cruciate ligament reconstruction: a systematic review. J Bone Joint Surg Am. 2012; 94(19):1737- ...
Method of performing anterior cruciate ligament reconstruction using biodegradable interference screw. US8894661. 25 Feb 2009. ... Method of performing anterior cruciate ligament reconstruction using biodegradable interference screw. US9456905. 24 Mar 2014. ... Method of performing anterior cruciate ligament reconstruction using biodegradable interference screw. US 8016865 B2 ... Another surgical procedure for the replacement of an anterior cruciate ligament involves providing a graft ligament without ...
Prospective Registry of Anterior Cruciate Ligament Reconstructions. The safety and scientific validity of this study is the ... Prospective Registry of Predictors and Comorbid Injuries Associated With Anterior Cruciate Ligament Reconstructions. ... purpose of the study is to investigate factors that are associated with outcomes of injury to the anterior cruciate ligament ( ... ACL) in the knee among patients who are undergoing surgical reconstruction. This study is a registry of all patients having ...
... reconstruction is an operation to replace a damaged anterior cruciate ligament with a ligament graft or a synthetic ligament. ... An anterior cruciate ligament reconstruction is an operation to replace a damaged anterior cruciate ligament with a ligament ... Anterior cruciate ligament reconstruction: principles of treatment. Paschos NK and Howell SM. EFORT Open Rev. 2016 Nov; 1(11): ... A Review on Biomechanics of Anterior Cruciate Ligament and Materials for Reconstruction. Marieswaran M, Jain I, Garg B, Sharma ...
... reconstruction surgery replaces the ACL, a small but important ligament in the center of the knee, with a new ligament often ... Home / Services / Anterior Cruciate Ligament (ACL) Reconstruction Anterior Cruciate Ligament (ACL) Reconstruction. ... Anterior cruciate ligament (ACL) reconstruction surgery replaces the ACL, a small but important ligament in the center of the ... With reports of Philadelphia Eagles quarterback Carson Wentz season-ending ACL (anterior cruciate l ...
Predictive Factors for Hamstring Autograft Diameter in Anterior Cruciate Ligament Reconstruction. This study aimed to determine ... Magnetic resonance imaging of the quadriceps tendon autograft in anterior cruciate ligament reconstruction ... autograft is emerging as a popular technique for primary anterior cruciate ligament (ACL) reconstruction. Studies have shown ... To compare the healing and clinical outcomes of anterior cruciate ligament (ACL) reconstruction between patients with or ...
The past 3+ decades have been a period of intense interest in the anterior cruciate ligament. Graft choices, techniques, and ... The past 3+ decades have been a period of intense interest in the anterior cruciate ligament. Graft choices, techniques, and ...
This graft acts as a scaffolding for a new ligament to grow on. ... Most anterior cruciate ligament (ACL) tears are replaced with a ... A new study reveals that the chances of going through a second anterior cruciate ligament reconstruction surgery within 24 ... 3-D Printed Scaffold for Anterior Cruciate Ligament Reconstruction With Bone Regeneration. ... Young Females at Greater Risk for Anterior Cruciate Ligament Re-Tear. Graft size, sex and age have a significant effect on the ...
... reconstruction has been recently introduced in the literature; however, the etiology and clinical relevance of this ... Radiographic enlargement of bone tunnels following anterior cruciate ligament (ACL) ... Radiographic enlargement of bone tunnels following anterior cruciate ligament (ACL) reconstruction has been recently introduced ... We recommend that routine follow-up examinations after ACL reconstruction should include the measurement of bone tunnel size in ...
To surgically repair the ACL and restore knee stability, the ligament must be reconstructed. ... Anterior cruciate ligament reconstruction rebuilds the ligament. Most ACL tears cannot be sutured (stitched) back together. To ... Your doctor will replace your torn ligament with a tissue graft that acts as scaffolding for the new ligament to grow and be ... followed by a strengthening program designed to protect the new ligament. ...
... of the knee as a complex organ are driving innovations in patient care decision-making following anterior cruciate ligament ( ... Anterior cruciate ligament reconstruction, rehabilitation, and return to play: 2015 update John Nyland,1,2 Alma Mattocks,1 ... of the knee as a complex organ are driving innovations in patient care decision-making following anterior cruciate ligament ( ... Anterior cruciate ligament reconstruction, rehabilitation, and return to play: 2015 update. *Abstract ...
Acute anterior cruciate ligament rupture, and surgical reconstruction during an academic semester, have a significant academic ... Thirty-eight students who had an anterior cruciate ligament injury and subsequent reconstruction were evaluated retrospectively ... according to the timing of their reconstruction: those who had surgery during the academic semester, and those who elected to ...
Anatomic Anterior Cruciate Ligament Reconstruction Using Hamstring Tendons Restores Quantitative Pivot Shift * * Zaffagnini ... Background: It is still uncertain how surgical reconstruction of the anterior cruciate ligament (ACL) is able to restore ... Purpose: To quantify the ability of single-bundle anatomic ACL reconstruction using hamstring tendons in reducing the pivot- ... the pivot-shift test could successfully detect restoration of the pivot shift after anatomic single-bundle ACL reconstruction. ...
Knees undergoing revision anterior cruciate ligament (ACL) reconstruction typically have more intra-articular injuries than do ... between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction. ... Between Previous Meniscal Surgery and the Incidence of Chondral Lesions at Revision Anterior Cruciate Ligament Reconstruction ... Anterior Cruciate Ligament/surgery. *Anterior Cruciate Ligament Injuries. *Anterior Cruciate Ligament Reconstruction ...
Pain Outcomes After Anterior Cruciate Ligament Reconstruction With Posterior Capsular Marcaine Injection. The safety and ... Pain Outcomes After Anterior Cruciate Ligament Reconstruction With Posterior Capsular Marcaine Injection: A Prospective ... These patients will receive standard of care when undergoing anterior cruciate ligament reconstruction and will NOT be ... These patients will receive standard of care when undergoing anterior cruciate ligament reconstruction but will additionally be ...
Revision anterior cruciate ligament surgery. A total of 12 878 revision ACL reconstructions were reported during 2000-01 to ... Trends in anterior cruciate ligament reconstruction in the United States. Orthop J Sports Med 2014; 3: 2325967114563664. ... Incidence and trends of anterior cruciate ligament reconstruction in the United States. Am J Sports Med 2014; 42: 2363-2370. ... 20 years of pediatric anterior cruciate ligament reconstruction in New York State. Am J Sports Med 2014; 42: 675-680. ...
... Jan 1, 1994 , Magazine: International ... A prospective study was performed on 30 patients who underwent an anterior cruciate ligament reconstruction with fresh-frozen ... Fresh-frozen patellar tendon allografts are a good method of anterior cruciate reconstruction. ...
Although numerous studies report the deficits after anterior cruciate ligament reconstruction, there are no data available on ... Rehabilitation of patients with anterior cruciate ligament injury is a topic of interest among clinicians. ... Strength and function before and after anterior cruciate ligament reconstruction Clin Orthop Relat Res. 2000 Apr;(373):174-83. ... Although numerous studies report the deficits after anterior cruciate ligament reconstruction, there are no data available on ...
... Author: Gadikota, Hemanth R; ... Several anatomical anterior cruciate ligament (ACL) reconstruction techniques have been proposed to restore normal joint ... Kinematic Analysis of Five Different Anterior Cruciate Ligament Reconstruction Techniques. DSpace/Manakin Repository. * DASH ... "Kinematic Analysis of Five Different Anterior Cruciate Ligament Reconstruction Techniques." Knee Surgery & Related Research 27 ...
  • Despite an increase in the literature, few definitive guidelines are available to determine when an athlete been fully rehabilitated after anterior cruciate ligament reconstruction (ACLR). (bioportfolio.com)
  • Post-anterior cruciate ligament reconstruction (ACLR) hemarthrosis may result in increased pain thus delaying postoperative rehabilitation, which may eventually lead to arthrofibrosis and a functional deficit. (clinicaltrials.gov)
  • Good functional performance with limb symmetry is believed to be important to minimize the risk of injury after a return to pivoting and contact sports after anterior cruciate ligament reconstruction (ACLR). (diva-portal.org)
  • Background As one of the purposes of anterior cruciate ligament reconstruction (ACLR) is to return athletes to their preinjury activity level, it is critical to understand variables influencing return to sport. (bmj.com)
  • Objective: To prospectively evaluate the relationship between the presence or persistence of anterior knee pain (AKP) during the first 2-years following anterior cruciate ligament reconstruction (ACLR) and patellofemoral osteoarthritis (PFOA) at 15- and 20-years. (bibsys.no)
  • Several studies have suggested that anterior cruciate ligament reconstruction (ACLR) without wound drainage has no impact on long-term follow-up. (termedia.pl)
  • Anterior cruciate ligament reconstruction (ACLR) is one of the most common surgical procedures performed by orthopedic surgeons. (minervamedica.it)
  • Kinesio-taping (KT) method could be used for rehabilitation after ACL reconstruction (ACLR) surgery. (kinesiotaping.co.uk)
  • Emerging evidence suggests that blocking the femoral nerve distally via the adductor canal block (ACB) rather than the traditional approach to the femoral nerve block may provide additional perioperative benefits following anterior cruciate ligament reconstruction (ACLR). (clinicalpainadvisor.com)
  • After anterior cruciate ligament reconstruction (ACLR), women have a greater risk of incurring a second anterior cruciate ligament injury and they display different landing movement patterns than men. (allenpress.com)
  • Sex differences in movement quality have been observed between healthy men and women using the Landing Error Scoring System, but it is unclear if a similar pattern is present after anterior cruciate ligament reconstruction (ACLR). (allenpress.com)
  • Rehabilitation following Anterior Cruciate Ligament Reconstruction (ACLR) is an essential part of a full recovery. (tynpnnhaf.gq)
  • Anterior Cruciate ligament (ACL) injuries are one of the most common and devastating knee injuries sustained whilst participating in sport.This paper presents a commentary describing a structured return to sport rehabilitation protocol for athletes following ACLR. (abrilenciencias.ga)
  • For reconstructions on the Posterolateral corner of the knee, see Posterolateral corner injuries § Operative treatment . (wikipedia.org)
  • ACL injuries can be categorized into groups- contact and non-contact based on the nature of the injury [5] Contact injuries occur when a person or object come into contact with the knee causing the ligament to tear. (wikipedia.org)
  • Rupture of the anterior cruciate ligament (ACL) is a common injury in active people, and one of the most common knee injuries in sports. (hindawi.com)
  • In 1845, Amade Bonnet (1809-1858) of Lyon, France, published his first cadaveric studies for the mechanism of knee ligament injuries in his treatise on the treatment of joint diseases [ 6 ]. (hindawi.com)
  • A torn anterior cruciate ligament is usually a consequence of sports injuries . (medindia.net)
  • An MRI test , which can detect injuries to ligaments and other soft tissues. (medindia.net)
  • Ligament injuries included 1 ACL/PCL tear, 2 ACL/PCL/medial collateral ligament (MCL)/posterior lateral corner tears. (nih.gov)
  • Individuals with previous knee lesions, other ligament injuries, osteochondritis or associated menisci repair and complications during surgery will not be included in the study. (clinicaltrials.gov)
  • Anterior cruciate ligament (ACL) injuries most commonly occur during sports that involve sudden stops and changes in direction, such as basketball, soccer, tennis, and volleyball. (healio.com)
  • Anterior cruciate ligament (ACL) tear is one of the most common knee injuries. (medindia.net)
  • Knees undergoing revision anterior cruciate ligament (ACL) reconstruction typically have more intra-articular injuries than do knees undergoing primary reconstruction. (nih.gov)
  • At long term follow-up, some clinician-assessed measures of knee stability and repeated rupture rate or occurrence of new meniscal injuries were better after double-bundle reconstruction. (cochrane.org)
  • Sprain or tear injuries to the ANTERIOR CRUCIATE LIGAMENT of the knee. (bioportfolio.com)
  • An instrument used to assess the results of rehabilitation from knee injuries, especially those requiring ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION. (bioportfolio.com)
  • Anterior cruciate ligament injuries are often treated surgically. (cochrane.org)
  • 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. (cochrane.org)
  • Isolated injury of the anterior cruciate ligament (ACL) is less frequent and typically perceived as less severe than ACL injuries with concurrent damage to other knee stabilizing structures. (oregonstate.edu)
  • From a group of 773 arthroscopic-assisted ACL reconstruction patients in Cairo, Egypt, 200 of 234 patients (mean age, 32.2 ± 6.9 yrs.) with isolated ACL injuries participated in this study. (oregonstate.edu)
  • Anterior cruciate ligament (ACL) injuries are common in young athletes. (aaos.org)
  • reconstruction, require meniscus repair, have multiple ligament injuries, gross osteoarthritis, significant clinical malalignment or if they cannot attend appropriate follow-up. (druglib.com)
  • Exclusion criteria were revision ACL, complex ligament injuries, previous knee surgery, and missing injury data. (springermedizin.de)
  • By returning to pivoting sports after ACL reconstruction, athletes are also facing high risks of contralateral ACL injuries. (tevak.org)
  • Long-term evaluations in risk assessments after ACL reconstruction are important, as a significant number of subsequent ACL injuries occurs after routine follow-up. (tevak.org)
  • Anterior cruciate ligament (ACL) ruptures are some of the most common knee injuries seen by sports medicine physicians. (elsevier.com)
  • Dr Keith Holt.No anterior cruciate ligament injuries occurred among intervention athletes during practice versus 6 among control athletes (P .014). (abrilenciencias.ga)
  • Introduction: This rehabilitation protocol is designed for patients with ACL injuries who anticipate returning early to a high level of activity following ligament reconstruction. (abrilenciencias.ga)
  • Often the surgeon requests an MRI scan to help confirm the diagnosis, and to assess other knee injuries such as bone bruising, meniscal tears and other ligament tears that may require treatment. (drmanitarora.com)
  • As with many orthopaedic injuries, an ACL rupture is not life threatening, and it is not essential for a surgeon to perform a reconstruction. (drmanitarora.com)
  • Anterior cruciate ligament (ACL) tears account for a significant and increaseing number of sports related injuries in young athletes. (jposna.org)
  • Ruptures of the anterior cruciate ligament are common sporting injuries. (michaelwalshorthopaedic.com.au)
  • ACL injury is one of the most common sports injuries of the knee joint and is generally repaired with ACL reconstruction surgery, where the torn ligament is replaced with a graft tendon. (loudounsportsmedicine.com)
  • About half of ACL injuries are also accompanied by damage to the meniscus, cartilage, bone or other ligaments in the knee, any of which may complicate the repair process. (atlantajoint.com)
  • The aim in treating patients with anterior cruciate ligament (ACL) injuries is to prevent recurrent instability and associated meniscal injury. (medscape.com)
  • Medical therapy is used in patients with cruciate injuries to minimize pain and swelling and to regain range of motion (ROM). (medscape.com)
  • The quadriceps tendon can also be used if the patellar ligament has been harvested for a previous surgery. (wikipedia.org)
  • Evidence suggests that the hamstring tendon graft does as well, or nearly as well, as the patellar ligament graft in the long term. (wikipedia.org)
  • Bone-patellar-tendon-bone (BPTB) autografting fixed with metal interference screws (IS) is the gold standard for anterior cruciate ligament (ACL) reconstruction. (springer.com)
  • Alentorn-Geli E, Lajara F, Samitier G, Cugat R (2010) The transtibial versus the anteromedial portal technique in the arthroscopic bone-patellar tendon-bone anterior cruciate ligamentreconstruction. (springer.com)
  • Biau DJ, Katsahian S, Kartus J, Harilainen A, Feller JA, Sajovic M, Ejerhed L, Zaffagnini S, Röpke M, Nizard R (2009) Patellar tendon versus hamstring tendon autografts for reconstructing the anterior cruciate ligament: a meta-analysis based on individual patient data. (springer.com)
  • Finally, we highlight the most important steps in the evolution of the ACL reconstruction surgery by discussing the various techniques spanning the years using not only autologous grafts (fascia lata, meniscal, hamstring, patella tendon, bone-patella tendon-bone, and double bundle grafts) but also synthetic ones and allografts. (hindawi.com)
  • These include tibialis posterior tendon, Achilles tendon , tibialis anterior tendon, bone-patellar tendon-bone, and peroneus longus tendon. (medindia.net)
  • We measured muscle strength in 36 patients after anterior cruciate ligament (ACL) reconstruction with autogenous bone-patellar tendon-bone graft. (nih.gov)
  • the aperture receives the tendon or ligament, and the tendon or ligament is then positioned against each side of the legs, so that the legs force the tendon or ligament into direct contact with the bore hole surface. (google.com)
  • On the contrary, bracing seemed to not be mandatory after ACL reconstruction when the central third of the patellar tendon was used. (healio.com)
  • If a person's own tendons do not provide the best replacement for the injured ligament, the doctor may recommend using a tendon from a donor, which have been carefully screened and tested for diseases. (cooperhealth.org)
  • This study aimed to determine which preoperative measurements are associated with HT autograft diameter in ACL reconstruction by directly comparing patient characteristics and cross-sectional area (CSA) measurement of the semitendinosus and gracilis tendon on magnetic resonance imaging (MRI). (medworm.com)
  • In a prospective study on ACL reconstruction we treated 17 patients with a "central third-bone-patellar tendon-bone" autograft (PT group) and 32 patients with a doubled semitendinosus/doubled gracilis autograft (HS group). (springer.com)
  • Dans une étude prospective de la reconstruction du ligament croisé antérieur nous avons traité 17 patients avec un transplant rotulien os-tendon-os (PT Groupe) et 32 patients avec une autogreffe de tendon gracilis doublé et semitendineux doublé (HS Groupe). (springer.com)
  • A prospective study was performed on 30 patients who underwent an anterior cruciate ligament reconstruction with fresh-frozen patellar tendon allograft. (cun.es)
  • Fresh-frozen patellar tendon allografts are a good method of anterior cruciate reconstruction. (cun.es)
  • Surgical treatment of ACL rupture involves reconstruction of the anterior cruciate ligament by use of a graft (a piece of tendon usually obtained from the patient) that is passed through tunnels drilled into the tibia and femur at the insertion points of the ligament and then fixed. (cochrane.org)
  • To compare the effectiveness of anterior cruciate ligament (ACL) reconstruction between by long fibular muscle tendon and by hamstring tendon under arthroscopy after ACL rupture. (unboundmedicine.com)
  • The long fibular muscle tendon for arthroscopic reconstruction of ACL has much simpler operation, earlier knee function recovery, and better subjective satisfaction than the hamstring tendon. (unboundmedicine.com)
  • This usually involves keyhole (arthroscopic) ACL reconstruction, where the torn ACL is replaced by a piece of tendon (graft). (cochrane.org)
  • We included five trials involving 320 people undergoing ACL reconstruction with patella tendon grafts. (cochrane.org)
  • The evidence was available only for single-bundle ACL reconstruction using patella tendon grafts. (cochrane.org)
  • Painful patellofemoral instability secondary to peroperative patellar fracture during bone-patellar tendon-bone autograft harvesting for anterior cruciate ligament reconstruction. (biomedsearch.com)
  • Peroperative patellar fracture after bone-patellar tendon-bone autograft harvesting is a rare complication, which can significantly impair the functional outcome of ACL single-bundle reconstruction. (biomedsearch.com)
  • We report the case of a patient presenting with disabling patellofemoral syndrome 3 years after arthroscopic ACL reconstruction by bone-tendon-bone autograft, revealing unnoticed mal-union of a iatrogenic sagittal patellar fracture. (biomedsearch.com)
  • Subjects were 19 females and 22 males (mean age of 21.1) who received arthroscopic bone-patellar tendon-bone anterior cruciate ligament (ACL) reconstruction. (stress.org)
  • METHODS: Ninety subjects, aged 15 years or older, who were receiving arthroscopically assisted bone-patellar tendon-bone anterior cruciate ligament reconstruction were randomly assigned to 2 groups. (druglib.com)
  • The clinical relevance of PCL index on the reconstruction of ACL with hamstring tendon autograft has not been described in the literature. (springer.com)
  • Unlike other studies reporting a relationship between the PCL index, control of rotational kinematics, and functional improvement in patients undergoing ACL reconstruction with bone-patellar tendon-bone autograft, this study does not demonstrate this association. (springer.com)
  • Significant advances in surgical reconstruction of the anterior cruciate ligament (ACL) have been made since Jones' described open reconstruction with the central one-third patellar tendon in 1963.29 Advancements in technology, arthroscopic instrumentation, and surgical skills have decreased surgical morbidity while improving functional outcome. (thesportjournal.org)
  • Currently, the most commonly utilized tissues for ACL reconstruction are autologous semitendinous/gracilis tendons (ST-G), central one-third patellar tendon (B-PT-B), and allograft patellar tendon. (thesportjournal.org)
  • During knee arthroscopic treatment, extrusion screws are mainly used for acute complete anterior cruciate ligament injury patients to fix bone- patellar tendon (1/3)-bone complexus autotransplantation, reconstruct anterior cruciate ligament, conduct stop reconstruction or suture medial collateral ligament. (alliedacademies.org)
  • with special emphasis on the clinical, radiographic, histological and ultrastructural results Mattias Lid?n Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy, University of Gothenburg, G?teborg, Sweden The aim of this study was to evaluate the long-term outcome after primary ACL reconstruction surgery using either BPTB or HT autografts and, in addition, ACL revision surgery using re-harvested patellar tendon autografts. (openthesis.org)
  • In the treatment of knee anterior cruciate ligament (ACL) ruptured in sports and so on, patient's own tendon is harvested and used. (nii.ac.jp)
  • Patellofemoral osteoarthritis is prevalent and associated with worse symptoms and function after hamstring tendon autograft ACL reconstruction. (semanticscholar.org)
  • Long-term results of anterior cruciate ligament reconstruction using bone-patellar tendon-bone: an analysis of the factors affecting the development of osteoarthritis. (semanticscholar.org)
  • The outcome at 15 years of endoscopic anterior cruciate ligament reconstruction using hamstring tendon autograft for 'isolated' anterior cruciate ligament rupture. (semanticscholar.org)
  • OBJECTIVE To determine the effect of graft choice (allograft, bone-patellar tendon-bone autograft, or hamstring autograft) on deep tissue infections following anterior cruciate ligament (ACL) reconstructions. (populationmedicine.org)
  • Analysis of return to competition and repeat rupture for 298 anterior cruciate ligament reconstructions with patellar or hamstring tendon autograft in sportspeople. (semanticscholar.org)
  • Incidence of subsequent injury to either knee within 5 years after anterior cruciate ligament reconstruction with patellar tendon autograft. (semanticscholar.org)
  • Hamstring tendon versus patellar tendon anterior cruciate ligament reconstruction using biodegradable interference fit fixation: a prospective matched-group analysis. (semanticscholar.org)
  • The study was performed with 53 consecutive patients undergoing transtibial ACL reconstruction with four strand hamstring tendon from Aug 2013 to Apr 2015. (biomedcentral.com)
  • A healthy 35-year-old man sustained a complete anterior cruciate ligament (ACL) tear of his right knee while playing soccer and underwent an uncomplicated ACL reconstruction with a bone-patella tendon-bone autograft. (rheumatologynetwork.com)
  • This rehabilitation protocol has been designed for patients who have undergone an ACL reconstruction (HS graft/PTG/Allograft) Anterior cruciate ligament reconstruction post-operative rehabilitation protocol autograft bone-patella tendon-bone and allograft protocol. (abrilenciencias.ga)
  • Dr Arora uses modern arthroscopic ACL reconstruction techniques, and prefers to use the patient's own hamstring tendons, and where necessary bone-patella tendon-bone graft. (drmanitarora.com)
  • Irradiation of donor content to remove infectious agents potentially weakens the selected tendon, although for ACL surgery the weakened tendon is generally as strong as the replaced ligament. (allislandortho.com)
  • The patellar tendon , anterior tibialis tendon , or Achilles tendon may be recovered from a cadaver and used as an allograft in reconstruction. (allislandortho.com)
  • The new tendon is then fixed into the bone with various devices to hold it into place while the ligament heals into the bone (usually 6 months). (eandbortho.com)
  • This leaves the Gracilis tendon to augment the reconstruction with an Antero-lateral Ligament if required. (qllc.com.au)
  • Biomechanical Testing of Three Alternative Quadrupled Tendon Graft Constructs With Adjustable Loop Suspensory Fixation for Anterior Cruciate Ligament Reconstruction Compared With Four-Strand Grafts Fixed With Screws and Femoral Fixed Loop Devices. (profadrianwilson.co.uk)
  • Most athletes will require reconstructive surgery on the ACL, in which the torn or ruptured ACL is completely removed and replaced with a piece of tendon or ligament tissue from the patient (autograft) or from a donor (allograft). (wikipedia.org)
  • The two most common sources for tissue are the patellar ligament and the hamstrings tendon. (wikipedia.org)
  • Acute anterior cruciate ligament rupture, and surgical reconstruction during an academic semester, have a significant academic effect in university students. (ovid.com)
  • The known Rupture of the anterior cruciate ligament (ACL) is a common and devastating injury that is largely preventable by neuromuscular agility training. (mja.com.au)
  • Rupture of the anterior cruciate ligament (ACL) is a common and debilitating injury that typically results from a non-contact event in which a previously healthy individual changes direction at speed while playing a multi-directional sport. (mja.com.au)
  • We concluded that there was not enough evidence to say whether double-bundle reconstruction gives better results than single-bundle reconstruction for anterior cruciate ligament rupture in adults. (cochrane.org)
  • However, there is limited evidence that double-bundle ACL reconstruction has some superior results for knee stability and protection against repeat ACL rupture or newly occurring meniscal injury. (cochrane.org)
  • There is insufficient evidence to determine the relative effectiveness of double-bundle and single-bundle reconstruction for anterior cruciate ligament rupture in adults, although there is limited evidence that double-bundle ACL reconstruction has some superior results in objective measurements of knee stability and protection against repeat ACL rupture or a new meniscal injury. (cochrane.org)
  • High quality, large and appropriately reported randomised controlled trials of double-bundle versus single-bundle reconstruction for anterior cruciate ligament rupture in adults appear justified. (cochrane.org)
  • Arthroscopic reconstruction for anterior cruciate ligament rupture is a common orthopaedic procedure. (cochrane.org)
  • Randomised and quasi-randomised controlled clinical trials comparing double-bundle versus single-bundle reconstruction for anterior cruciate ligament (ACL) rupture in adults. (cochrane.org)
  • Especially Anterior cruciate ligament complete rupture leads to knee joint instability and degenerative change of the knee. (bioportfolio.com)
  • Effects on proprioception by Kinesio taping of the knee after anterior cruciate ligament rupture. (bioportfolio.com)
  • The aim of the present study was to evaluate the clinical role of anterolateral ligament (ALL) rupture and its impact on rotational stability by comparing the clinical results and rotational stability. (bioportfolio.com)
  • Between February 2010 and December 2012, 56 cases of ACL rupture underwent ACL reconstruction under arthroscopy. (unboundmedicine.com)
  • van Eck CF, Loopik M, van den Bekerom MP, Fu FH, Kerkhoffs GM (2013) Methods to diagnose acute anterior cruciate ligament rupture: a meta-analysis of instrumented knee laxity tests. (springer.com)
  • Benjaminse A, Gokeler A, van der Schans CP (2006) Clinical diagnosis of an anterior cruciate ligament rupture: a meta-analysis. (springer.com)
  • Summary and conclusions Eighty-three per cent of elite athletes returned to sport following ACL reconstruction, while 5.2% sustained a graft rupture. (diva-portal.org)
  • During 2006 and 2015, 3000 cases of patients with acute complete anterior cruciate ligament rupture and medial collateral ligament rupture were treated with an average followup of 1 year, incision healed well and no infection was found and the patient recovered well after operation. (alliedacademies.org)
  • Operative treatment of primary anterior cruciate ligament rupture in adults. (semanticscholar.org)
  • Incidence and risk factors for graft rupture and contralateral rupture after anterior cruciate ligament reconstruction. (semanticscholar.org)
  • Anterior cruciate ligament rupture. (medicaltranscriptionsamples.com)
  • Corrected anterior KT 1000 measurements improved from preoperative to postoperative status (P = .0078). (nih.gov)
  • Given this postoperative ACL reconstruction scenario the investigator find in literature the effectiveness of neuromuscular electrical stimulation (NMES) as an adjuvant treatment for strengthening the quadriceps muscle. (clinicaltrials.gov)
  • Although some articles in the literature are in favor of the use of a postoperative brace after anterior cruciate ligament (ACL) reconstruction, this review found that several systematic reviews and other reports on the topic do not support the use of a postoperative brace after ACL reconstruction. (healio.com)
  • There is no scientific evidence so far to support the routine use of a functional knee brace following a successful ACL reconstruction in the postoperative course. (healio.com)
  • Several systematic reviews and randomized, controlled trials on the topic do not recommend the use of postoperative brace after ACL reconstruction. (healio.com)
  • Postoperative bracing after ACL reconstruction does not seem to help with pain, function, rehabilitation, and stability. (healio.com)
  • The literature does not support the use of a postoperative brace following ACL reconstruction. (healio.com)
  • However, controversy exists as to the efficacy of postoperative bracing after ACL reconstruction. (healio.com)
  • Delaying the ACL reconstruction to allow for reduction of the acute inflammatory process and participation in pre-operative rehabilitation resulted in fewer cases of postoperative arthrofibrosis in the chronic group compared to the acute group. (oregonstate.edu)
  • BACKGROUND: Continuous femoral nerve blocks have been recommended for postoperative pain control after anterior cruciate ligament reconstruction. (druglib.com)
  • CONCLUSIONS: Continuous femoral block with ropivacaine appeared to have no clinical advantage in the immediate postoperative period after anterior cruciate ligament reconstruction when compared with an intra-articular injection of bupivacaine/morphine. (druglib.com)
  • Our experience at the University of South Alabama Medical Center is similar, with less then 5% of patients demonstrating postoperative anterior knee pain symptoms after CQT ACL reconstruction. (thesportjournal.org)
  • Fifteen patients were treated for postoperative septic arthritis of the knee after anterior cruciate ligament reconstruction between 1996 and 2005. (ugent.be)
  • METHODS We identified ACL reconstructions and potential postoperative infections using claims data. (populationmedicine.org)
  • Synthesizing the gradual gain of function and according to clinical outcomes assessed by IKDC and Lysholm, the functional guideline presented may be considered an alternative for rehabilitation of patients in postoperative anterior cruciate ligament. (biomedcentral.com)
  • ACL Reconstruction PostOperative Rehabilitation Protocol. (tynpnnhaf.gq)
  • Decreased post-operative range of motion of the knee called arthrofibrosis due to prolonged postoperative immobilization may be a cause for failed reconstruction. (loudounsportsmedicine.com)
  • article{4265253, abstract = {Background: Septic arthritis after arthroscopic anterior cruciate ligament reconstruction is a rare complication. (ugent.be)
  • Abstract: Rehabilitation following anterior cruciate ligament reconstruction surgery has changed significantly in the past 5 yr. (abrilenciencias.ga)
  • ABSTRACT: In 1995, it was reported that 60,000 to 75,000 anterior cruciate ligament (ACL) reconstructions were being performed annually in the United States. (jsoaonline.com)
  • What are the Types of Grafts available for Reconstruction of Anterior Cruciate Ligament? (medindia.net)
  • Participants Twenty-two patients that submitted to ACL surgical reconstruction with flexor grafts less than 15 days previously will be included in the study, both genders, between 18-45 years old. (clinicaltrials.gov)
  • To study the clinical effect of anterior cruciate ligament (ACL) reconstruction with different grafts under arthroscope. (unboundmedicine.com)
  • Xu Y, Li F, Lu H. [Reconstruction of anterior cruciate ligament with different grafts under arthroscope in 68 cases]. (unboundmedicine.com)
  • To compare the risk of anterior cruciate ligament reconstruction failure in patients who undergo anterior cruciate ligament reconstruction with either autograft tissue or hybrid grafts. (bioportfolio.com)
  • reconstruction with hamstring grafts will be considered for this study. (druglib.com)
  • All primary ACL reconstructions using hamstring grafts in adult patients were included. (springermedizin.de)
  • Purpose: To investigate the pre-soaking of hamstring grafts in topical vancomycin, in addition to IV prophylaxis, during anterior cruciate ligament (ACL) reconstruction to reduce the incidence of post-operative infection, and to describe an evidence-based diagnostic and treatment algorithm to facilitate early diagnosis and appropriate management of possible knee sepsis post-operatively after ACL reconstruction. (edu.au)
  • In the present study, 53 ACL reconstruction patients were included and the pretension of the grafts was operated by cyclic knee motion ranging from 0 to 110° after the femoral fixation with Endo-Button. (biomedcentral.com)
  • Various alternative techniques, fixatives, and grafts are carefully considered for the revision reconstruction to correct failures of the primary surgery. (loudounsportsmedicine.com)
  • Anterior cruciate ligament reconstruction ( ACL reconstruction ) is a surgical tissue graft replacement of the anterior cruciate ligament , located in the knee , to restore its function after an injury . (wikipedia.org)
  • [2] Anterior Cruciate Ligament damage is a very common injury, especially among athletes. (wikipedia.org)
  • Another option first described in 2004, a minimally invasive technique for harvesting from the back of the knee, is faster, produces a significantly smaller wound, avoids the complications of graft harvesting from the anterior incision, and decreases the risk of nerve injury. (wikipedia.org)
  • We present a brief history of ACL injury and the surgical measures taken to address it over the years as well as the modern ACL reconstruction techniques. (hindawi.com)
  • An injury to the anterior cruciate ligament may make the knee unstable and warrant surgery. (medindia.net)
  • Depending on the severity of the ACL injury, treatment may include surgery to replace the torn ligament followed by rehabilitation exercises to help the patient regain strength and stability. (healio.com)
  • The purpose of the study is to investigate factors that are associated with outcomes of injury to the anterior cruciate ligament (ACL) in the knee among patients who are undergoing surgical reconstruction. (clinicaltrials.gov)
  • Management of Anterior Cruciate Ligament Injury: What's In and What's Out? (kneeguru.co.uk)
  • A new study shows parts of the brain associated with leg movement lagged during recovery from an anterior cruciate ligament (ACL) injury. (medindia.net)
  • The majority of athletes included in a new study were able to return to play after having knee surgery to repair an anterior cruciate ligament injury. (medindia.net)
  • Anatomical discoveries and a growing appreciation of the knee as a complex organ are driving innovations in patient care decision-making following anterior cruciate ligament (ACL) injury. (dovepress.com)
  • Thirty-eight students who had an anterior cruciate ligament injury and subsequent reconstruction were evaluated retrospectively by academic transcript and questionnaire to measure their academic performance before their injury, in the semester of their injury, and in the semester after their surgery. (ovid.com)
  • The implications These findings justify establishing a national ACL injury prevention program and an ACL reconstruction registry to improve outcomes for active young Australians. (mja.com.au)
  • 4 In the long term, regardless of whether or not an ACL reconstruction is performed, almost all individuals who tear an ACL are at increased risk of osteoarthritis and disability, 4 - 6 and this risk is substantially increased by concurrent meniscal injury. (mja.com.au)
  • We report a case of inferior lateral genicular artery (ILG) injury during anterior cruciate ligament (ACL) reconstruction surgery with lateral partial meniscectomy. (cun.es)
  • Anterior cruciate ligament injury is a common soft- tissue knee injury. (cochrane.org)
  • Patients with anterior cruciate ligament deficiency, especially young physically active males, usually do not return to pre-injury level of activities due to knee instability. (cochrane.org)
  • In this study we will examine patients who have undergone anterior cruciate and/or posterior cruciate ligament and/or multi ligaments reconstruction to determine the rate of re-injury, con. (bioportfolio.com)
  • Based on objective measures, only 36 of 104 Australian Football League players following anterior cruciate ligament reconstruction returned to their pre-injury level of performance, but among those players who played at least ten senior matches in two seasons post-surgery, average performance returned to pre-injury levels in their second post-operative season. (isakos.com)
  • Achieving pre-injury levels of athletic performance has been challenging for elite athletes returning to sport following anterior cruciate ligament (ACL) reconstruction. (isakos.com)
  • This study aimed to objectively calculate the level of playing performance among AFL players who underwent ACL reconstruction, and to compare their post-surgical performance with their pre-injury performance. (isakos.com)
  • 36 of the 104 included AFL players (35%) returned to their pre-injury level of performance following ACL reconstruction. (isakos.com)
  • Anterior cruciate ligament (ACL) tears are the most commonly reported knee injury in athletes, with nearly 300 000 ACL reconstructions (ACLRs) performed yearly in the USA. (bmj.com)
  • No previous study has compared the results of acute reconstruction (interval between injury and surgery less than or equal to 3 months) and chronic reconstruction (interval between injury and surgery greater than 3 months) of isolated ruptures of the ACL. (oregonstate.edu)
  • Fifty-five patients from Cairo, Egypt (mean age, 27.1 ± 4.5 years) underwent ACL reconstruction an average of 7.0 ± 2.6 months (range, 3.3 to 16.6 months) after injury. (oregonstate.edu)
  • However, delays of surgery more than 3 months between isolated injury of the ACL and surgical reconstruction resulted in greater frequency of arthritic changes. (oregonstate.edu)
  • Geraets SE, Meuffels DE, van Meer BL, Breedveldt Boer HP, Bierma-Zeinstra SM, Reijman M (2015) Diagnostic value of medical history and physical examination of anterior cruciate ligament injury: comparison between primary care physician and orthopaedic surgeon. (springer.com)
  • Therefore, the purpose of this study was to compare body compositions, knee muscle strength, and Knee Injury and Osteoarthritis Outcome Score (KOOS) after ACL reconstruction in patients with different BMIs. (springer.com)
  • During daily training, shot putters are prone to acute complete anterior cruciate ligament injury, which is mainly treated with early reconstruction under knee arthroscopy to restore stability of injured athletes' knee as soon as possible, help them towards early recovery and resume normal work and training. (alliedacademies.org)
  • As can be seen from this retrospective analysis, under arthroscopy, reconstruction of acute complete anterior cruciate ligament injury can be performed. (alliedacademies.org)
  • Early arthroscopic reconstruction of ACL can clear intra-articular injury, shorten the treatment process, and meet the standard of treatment specification. (alliedacademies.org)
  • Neuromuscular Training Availability and Efficacy in Preventing Anterior Cruciate Ligament Injury in High School Sports: A Retrospective Cohort Study. (semanticscholar.org)
  • The amount and intensity of lasting symptoms depended mostly on osteoarthrotic changes (chondral and meniscal lesions) and correlated with the interval between injury and reconstruction. (iospress.com)
  • Sprain of the anterior cruciate ligament (ACL) is the most common sports injury. (kinesiotaping.co.uk)
  • This is a prospective study of 177 patients with anterior cruciate ligament injury, who underwent surgery and physical therapy guideline conducted in an orthopedic clinic in São Paulo, southeastern Brazil. (biomedcentral.com)
  • In relation to the cruciate ligament injury most authors agree that it results in biomechanical abnormalities, abnormal function and knee kinematics. (biomedcentral.com)
  • Ideal conditions for healing are mostly non-existent in one of the most common sports-related injury, the anterior cruciate ligament (ACL) tear. (tevak.org)
  • Strong evidence indicates that younger, more active athletes are at particularly high risk for a second ACL injury, and this risk is greatest within the first two years following ACL reconstruction. (tevak.org)
  • Risk of secondary injury in younger athletes after anterior cruciate ligament reconstruction: A systematic review and meta-analysis. (tevak.org)
  • The relationship between passive joint laxity and functional outcome after anterior cruciate ligament injury by: Snyder-Mackler, L., et al. (bisp-surf.de)
  • Anterior knee laxity and loss of extension after anterior cruciate ligament injury by: Muneta, T., et al. (bisp-surf.de)
  • Strengthening Exercises For Medial Collateral Ligament Mcl Knee Injury Rehabilitation. (tynpnnhaf.gq)
  • If you are a person who underwent ACL reconstruction surgery then you need to follow strict rehabilitation protocol.In our previous article "Anterior Cruciate Ligament injury- Its physiotherapy" we already discussed about the causes and conservative management of ACL injury. (tynpnnhaf.gq)
  • Evidence-based clinical protocol for anterior cruciate ligament injury. (abrilenciencias.ga)
  • Reconstruction is indicated when the knee has become unstable from the loss of function of the normal ligament after injury. (michaelwalshorthopaedic.com.au)
  • Group 1 comprised twenty patients who had had a torn anterior cruciate ligament of the knee and had a reconstruction of the ligament one to six months after the injury. (painscience.com)
  • Often other structures such as the meniscus, the articular cartilage (lining the joint) or other ligaments can also be damaged at the same time as a cruciate injury & these may need to be addressed at the time of surgery. (eandbortho.com)
  • ACL reconstruction is usually not performed until several weeks after the injury, when swelling and inflammation have been reduced. (atlantajoint.com)
  • After acute injury, the major indications for surgical reconstruction are related to the degree of instability and level of activity. (medscape.com)
  • Physical therapy is a very useful adjunct in cruciate injury. (medscape.com)
  • The purpose of this study is to compare two rehabilitation protocols in patients during the post operative of the ACL reconstruction over the strength of knee extension and control of edema. (clinicaltrials.gov)
  • Countermovement Jump and Isokinetic Dynamometry as Measures of Rehabilitation Status After Anterior Cruciate Ligament Reconstruction. (bioportfolio.com)
  • Kruse LM, Gray B, Wright RW (2012) Rehabilitation after anterior cruciate ligament reconstruction: a systematic review. (springermedizin.de)
  • The aim of the study was to evaluate the evolution of patients subject to physical treatment based on guidelines of functional rehabilitation after surgery anterior cruciate ligament reconstruction. (biomedcentral.com)
  • The last decade has seen much advancement in ACL reconstruction, with an improved knowledge of the biology and biomechanics of graft incorporation, new choices for graft material and graft fixation devices, and more accelerated rehabilitation protocols. (elsevier.com)
  • Here are guidelines that will help you to prepare for ACL reconstruction surgeryACL Reconstruction Rehabilitation Guidelines.We ask that your PT follow our written protocol. (tynpnnhaf.gq)
  • Rehabilitation Protocol: Anterior Cruciate Ligament (ACL) Reconstruction with Hamstrings Autograft. (tynpnnhaf.gq)
  • Rehabilitation following Anterior Cruciate Ligament Reconstruction (ACL) continues to be a exciting and popular topic in orthopedics and sports medicine.But because our ACL reconstruction rehabilitation protocol is one of our most popular, we simple want to give it away for free! (tynpnnhaf.gq)
  • Symmetric Stability After Anterior Cruciate Ligament Reconstruction is Not Assured.The accelerated rehabilitation protocol states that stability will not be compromised by such ACL-straining activities if the surgery is properly performed. (tynpnnhaf.gq)
  • Rehabilitation protocol for ACL reconstruction 3. (tynpnnhaf.gq)
  • Rehabilitation Guidelines for ACL Reconstruction Patients. (tynpnnhaf.gq)
  • The following is a generalized outline for rehabilitation following ACL reconstruction. (tynpnnhaf.gq)
  • Rehabilitation and recovery after anterior cruciate ligament Anterior Cruciate Ligament Reconstruction With Patella Autograft For this magazine there is no download available. (tynpnnhaf.gq)
  • Post-operative ACL Reconstruction Rehabilitation Protocol from San Francisco Orthopaedic Sports Medicine Surgeon Dr. James L Chen, MD. For more information Anterior cruciate ligament (ACL) reconstruction with quadricepsACL Reconstruction Rehabilitation Protocol. (tynpnnhaf.gq)
  • Anterior Cruciate Ligament ( ACL) Hamstring Graft Rehabilitation Protocol. (tynpnnhaf.gq)
  • DeMaio M, Noyes FR, Mangine R. Principles for aggressive rehabilitation after reconstruction of the anterior cruciate ligament. (abrilenciencias.ga)
  • itation the right protocol?rehabilitation following anterior cruciate ligament reconstruction. (abrilenciencias.ga)
  • The ACL rehabilitation protocol featured in this eBook is a guide for both clinicians and people who have undergone a surgical reconstruction of the Anterior Cruciate Ligament (ACL). (abrilenciencias.ga)
  • ACL Reconstruction - Post Operative Rehabilitation Protocol - Duration: 5:03.Exercises For Patient After Anterior Cruciate Ligament Reconstruction - Duration: 2:28. (abrilenciencias.ga)
  • This rehabilitation protocol has been designed for patients who have undergone an ACL reconstruction with other FACTS: It requires 4 months for the graft to be transformed into a strong and durable ligament. (abrilenciencias.ga)
  • Introduction The following goal-oriented approach to ACL rehabilitation is designed to facilitate early return to.Full extension is vital to the long term success of reconstruction. (abrilenciencias.ga)
  • This rehabilitation protocol was developed for patients who have anterior cruciate ligament (ACL) reconstruction and one of the following: n Concomitant meniscal repair ACL Reconstruction Rehabilitation Protocol. (abrilenciencias.ga)
  • Rehabilitation Protocol: Anterior Cruciate Ligament (ACL) Reconstruction with Hamstrings Autograft NamePDF Doc xls RTF txt ppt. (abrilenciencias.ga)
  • larger image.Anterior Cruciate Ligament Reconstruction Rehabilitation. (abrilenciencias.ga)
  • Dr Arora has a special interest in hybrid ACL reconstructions - using hamstring tendons from the patient plus a synthetic ligament to accelerate rehabilitation and return to sport. (drmanitarora.com)
  • Graft size, sex and age have a significant effect on the odds of an ACL re-tear post reconstruction with a hamstring graft. (medindia.net)
  • Patients aged 20 years and younger with an ACL tear scheduled for reconstruction were enrolled prospectively. (humankinetics.com)
  • The goal of this invited perspectives article is to dicuss pediatric sports medicine experts' approach, preferred ACL reconstruction techniques, and rationale when evaluating a skeletally immature patient with an ACL tear. (jposna.org)
  • Those who do not have a job that requires very stable knee, those with minor tear, those who are willing to stop activities that require knee strength may not opt for ACL reconstruction. (indiahealthhelp.com)
  • Group 2 comprised twelve patients who had had a torn anterior cruciate ligament for an average of three months (a subacute tear). (painscience.com)
  • Group 3 comprised eight patients who had had a torn anterior cruciate ligament for an average of two years (a chronic tear). (painscience.com)
  • ACL reconstruction is the most common treatment for an ACL tear, however it is not the only treatment available for individuals. (wikipedia.org)
  • Although 77% of Australian Football League (AFL) players who underwent ACL reconstruction from 1999 to 2013 returned to play at least one further match at the highest level, this did not indicate how well they were able to play. (isakos.com)
  • 158 AFL players who underwent ACL reconstruction between 1999 and 2013 were identified from a prospectively maintained registry. (isakos.com)
  • METHODS: Eleven patients who underwent double-bundle ACL reconstruction were included in this study. (biomedsearch.com)
  • The patient underwent ACL reconstruction with use of a quadriceps autograft followed by LET with the use of an iliotibial band autograft. (aaos.org)
  • From November 2013 to March 2016, we prospectively enrolled 30 patients who underwent ACL reconstruction (18-60 years of age). (springer.com)
  • In a prospective, randomised seven-year follow-up study, 71 patients underwent primary ACL reconstruction using either BPTB or HT autografts. (openthesis.org)
  • One hundred and twenty-four patients who underwent an ACL reconstruction using either BPTB or HT autografts were included in a retrospective study comparing the radiographic OA findings seven years after ACL reconstruction. (openthesis.org)
  • SETTING AND POPULATION Patients from 6 US health plans who underwent ACL reconstruction from January 1, 2000, through December 31, 2008. (populationmedicine.org)
  • Methods: This study is a controlled observational series comprising of 1585 individuals who underwent ACL reconstruction over a 13-year period. (edu.au)
  • Nielsen S, Ovesen J, Rasmussen O (1984) The anterior cruciate ligament of the knee: an experimental study of its importance in rotatory knee instability. (springer.com)
  • Once the anterior cruciate ligament is ruptured and your knee remains unstable it is not possible to regain the stability by just training your muscles so there is no non-surgical alternative to deal with this form of knee instability. (michaelwalshorthopaedic.com.au)
  • When this ligament tears unfortunately it doesn't heal and often leads to the feeling of instability in the knee. (eandbortho.com)
  • Anterolateral Ligament Expert Group consensus paper on the management of internal rotation and instability of the anterior cruciate ligament-deficient knee. (profadrianwilson.co.uk)
  • [ 9 , 10 ] Instability was defined as having a KT1000 manual max test of greater than 5 mm of anterior translation. (medscape.com)
  • In chronic cases, the major indication for surgical reconstruction is recurrent instability. (medscape.com)
  • Anterior cruciate ligament reconstruction aims to reduce instability episodes in an attempt to preserve the meniscus. (medscape.com)
  • Baer GS, Harner CD (2007) Clinical outcomes of allograft versus autograft in anterior cruciate ligament reconstruction. (springer.com)
  • One area of controversy is whether the method of double-bundle reconstruction, which represents the 'more anatomical' approach, gives improved outcomes compared with the more traditional single-bundle reconstruction. (cochrane.org)
  • Double-Bundle Posterior Cruciate Ligament Reconstruction in 100 Patients at a Mean 3 Years' Follow-up: Outcomes Were Comparable to Anterior Cruciate Ligament Reconstructions. (bioportfolio.com)
  • The very low-quality and often absent evidence means that we are uncertain whether one-incision arthroscopically assisted ACL reconstruction techniques yield better, worse, or equivalent results compared with two-incision techniques in terms of short-, intermediate-, or long-term subjective function, quality of life, adverse outcomes, activity levels, and objectively rated knee function. (cochrane.org)
  • The aim of this study is to directly compare the clinical outcomes of both the celecoxib and placebo groups following anterior cruciate ligament (ACL) reconstruction. (druglib.com)
  • The goal of this study is to provide outcomes data for ACL reconstruction surgeries to a single physician/surgeon and the patient. (pacificu.edu)
  • Outcomes data collected and analyzed for a single physician will provide the surgeon with information that can be given to patients seeking ACL reconstruction surgery. (pacificu.edu)
  • Collection of subjective and objective data should allow for a better understanding of the post-operative outcomes of a single surgeon for ACL reconstruction surgery and improve the understanding patients have in regards to expectations for their surgery. (pacificu.edu)
  • The best outcomes involved isolated ACL tears and reconstruction within a few month. (iospress.com)
  • This review is intended to examine the anatomy, biomechanics, surgical considerations, and clinical outcomes after ACL reconstruction that have been highlighted in the literature during the past 10 years. (elsevier.com)
  • Clinical outcomes of anatomic, all-inside, anterior cruciate ligament (ACL) reconstruction. (profadrianwilson.co.uk)
  • Historically, ACL tears were managed via isolated lateral extra-articular tenodesis (LET) to control anterior laxity. (aaos.org)
  • Ostrowski JA (2006) Accuracy of 3 diagnostic tests for anterior cruciate ligament tears. (springer.com)
  • Navali AM, Bazavar M, Mohseni MA, Safari B, Tabrizi A (2013) Arthroscopic evaluation of the accuracy of clinical examination versus MRI in diagnosing meniscus tears and cruciate ligament ruptures. (springer.com)
  • Patients with anterior cruciate ligament (ACL) tears are likely to have deficient dynamic postural stability compared with healthy sex- and age-matched controls. (humankinetics.com)
  • BACKGROUND: Anterior cruciate ligament (ACL) reconstruction is the current standard of care for ACL tears. (growkudos.com)
  • Binfield PM, Maffulli N, King JB (1993) Patterns of meniscal tears associated with anterior cruciate ligament lesions in athletes. (springermedizin.de)
  • At a mean of six months after ACL reconstruction, objective functional recovery of the knee was generally unsatisfactory and this seemed to be a risk factor for recurrent tears. (tevak.org)
  • Anterior cruciate ligament (ACL) tears can accelerate knee arthritis. (clinicalpainadvisor.com)
  • Learn more about our sports medicine services acl tears part acl rehab [] Anterior Cruciate Ligament Acl Reconstruction Animation.Athlete Knee Acl Rehab. (tynpnnhaf.gq)
  • If the surgery is delayed beyond a year, the patient may develop damage to other structures of the knee like menisci and ligaments, which can result in osteoarthritis . (medindia.net)
  • To determine the prophylactic capability of anterior cruciate ligament (ACL) reconstruction in decreasing the risk of knee osteoarthritis (OA) when compared with ACL-deficient patients, as well as the effect of a concomitant meniscectomy. (nih.gov)
  • We searched Web of Science and PubMed databases from 1960 through 2012 with the search terms osteoarthritis, meniscectomy, anterior cruciate ligament, anterior cruciate ligament reconstruction, and anterior cruciate ligament deficient. (nih.gov)
  • Of these, 27 assessed the presence of tibiofemoral osteoarthritis in patients treated with anterior cruciate ligament reconstruction. (nih.gov)
  • With regard to osteoarthritis prevalence, the only patients benefiting from ACL-R were those undergoing concomitant meniscectomy with reconstruction. (nih.gov)
  • Barenius B, Ponzer S, Shalabi A, Bujak R, Norlén L, Eriksson K (2014) Increased risk of osteoarthritis after anterior cruciate ligament reconstruction: a 14-year follow-up study of a randomized controlled trial. (springermedizin.de)
  • To investigate the prevalence of patellofemoral osteoarthritis (OA) and to explore the association between radiographic patellofemoral OA and symptoms and function 12 years after anterior cruciate ligament (ACL) reconstruction. (semanticscholar.org)
  • An accessory hamstring or part of the patellar ligament are the most common donor tissues used in autografts. (wikipedia.org)
  • Unlike the patellar ligament, the hamstring tendon's fixation to the bone can be affected by motion after surgery. (wikipedia.org)
  • The wound is typically smaller than that of a patellar ligament graft, and so causes less post-operative pain. (wikipedia.org)
  • The patellar ligament is often used, since bone plugs on each end of the graft are extracted which helps integrate the graft into the bone tunnels during reconstruction. (wikipedia.org)
  • 2018 - Should return to sport be delayed until two years after anterior cruciate ligament reconstruction? (kneeguru.co.uk)
  • Bedi A, Musahl V, Steuber V, Kendoff D, Choi D, Allen AA, Pearle AD, Altchek DW (2011) Transtibial versus anteromedial portal reaming in anterior cruciate ligament reconstruction:an anatomic and biomechanicalevaluation of surgical technique. (springer.com)
  • Without surgical reconstruction the ACL deficient knee is limited. (hindawi.com)
  • The field of art to which this invention relates is surgical procedures for the repair of an anterior cruciate ligament, more specifically, a surgical procedure for affixing an anterior cruciate ligament graft into a bone using a biodegradable interference screw. (google.com.au)
  • Background: It is still uncertain how surgical reconstruction of the anterior cruciate ligament (ACL) is able to restore rotatory laxity of the involved joint. (nii.ac.jp)
  • 5, 23 Continued technological and surgical improvements in the 1990's eventually enabled surgeons to perform ACL reconstructions endoscopically. (thesportjournal.org)
  • In an effort to minimize post-surgical anterior knee pain after ACL reconstruction, the use of semitendinosus/gracilis tendons has been reported. (thesportjournal.org)
  • Risk Factors for Surgical Site Infections Following Anterior Cruciate Ligament Reconstruction. (populationmedicine.org)
  • OBJECTIVES To establish the influence of the type of surgical technique, competitive level, type of sport and the time before returning to competition on the reinjury rate after anterior cruciate ligament (ACL) surgery. (semanticscholar.org)
  • The photograph at left shows the patient's right knee 7 days after the ACL reconstruction, and the photograph below is a close-up showing right knee lesions surrounding the surgical incision. (rheumatologynetwork.com)
  • If multiple surgical repairs have been done, refer to the surgeons instructions on which protocol to follow.ACL Reconstruction Protocol. (abrilenciencias.ga)
  • ACL reconstruction is a commonly performed surgical procedure and with recent advances in arthroscopic surgery can now be performed with minimal incisions and low complication rates. (eandbortho.com)
  • [1] The torn ligament is removed from the knee before the graft is inserted in an arthroscopic procedure. (wikipedia.org)
  • ACL surgery is a procedure that doctors use to replace a torn ligament in your knee. (webmd.com)
  • The torn ligament can either be removed from the knee (most common), or preserved (where the graft is passed inside the preserved ruptured native ligament) before reconstruction an arthroscopic procedure. (wikipedia.org)
  • The anterior cruciate ligament cannot be repaired by merely stitching the torn ends together. (medindia.net)
  • Your doctor will replace your torn ligament with a tissue graft that acts as scaffolding for the new ligament to grow and be supported in the process. (mainlinehealth.org)
  • In ACL reconstruction, bone tunnels are drilled at the knee into the tibia (shin bone) and the femur (thigh bone) to place the ACL graft in almost the same position as the torn ACL. (cochrane.org)
  • This stock medical illustration depicts comparative views between a proper and improper reconstruction for a torn anterior cruciate ligament. (doereport.com)
  • 1 ] Furthermore, there are still controversies in regards to the optimal management of a torn ACL and the optimal time for return to sports following ACL reconstruction. (tevak.org)
  • The torn ligament is removed from the knee before the graft is inserted. (allislandortho.com)
  • ACL reconstruction is a procedure where the torn ligament (Anterior Cruciate Ligament) is replaced by a tissue graft which may be harvested from the patient or taken from a donor. (indiahealthhelp.com)
  • The injured cartilage and meniscus are repaired and the torn anterior cruciate ligament is removed. (indiahealthhelp.com)
  • The patients in Groups 2 and 3 had not had an operation for the torn ligament. (painscience.com)
  • The torn ligament has to be completely removed and replaced. (atlantajoint.com)
  • Anterior cruciate ligament (ACL) ruptures are often associated with primary meniscal and cartilage lesions. (springermedizin.de)
  • Chen NC, Brand JC Jr, Jr Brown CH (2007) Biomechanics of intratunnel anterior cruciate ligament graft fixation. (springer.com)
  • In the article entitled "Three-Dimension-Printed Porous Poly(Propylene Fumarate) Scaffolds with Delayed rhBMP-2 Release for Anterior Cruciate Ligament Graft Fixation," the researchers compared the use of four approaches, including microspheres, to reduce the initial burst release of rhBMP-2 from the scaffold and extend its release over time. (medindia.net)
  • This paper reports the results of an experimental and finite element analysis of tibial screw fixation in hamstring ACL reconstruction. (sciweavers.org)
  • The Effect of Graft Fixation Angles on Anteroposterior and Rotational Knee Laxity in Double-Bundle Anterior Cruciate Ligament Reconstruction: Evaluation Using Computerized Navigation. (biomedsearch.com)
  • HYPOTHESIS: Anteroposterior and rotational knee laxities will be less in double-bundle ACL reconstructions than single-bundle reconstructions, and different graft fixation angles affect knee kinematics and pivot-shift phenomenon in double-bundle ACL reconstructions. (biomedsearch.com)
  • CONCLUSION: In this in vivo laboratory model, double-bundle ACL reconstruction with fixation of AMB at 20° and PLB at 20° or 45° restored better stability than single AMB or single PLB reconstruction in which the graft was of smaller size. (biomedsearch.com)
  • CLINICAL RELEVANCE: In double-bundle ACL reconstruction, fixation of the PLB at 0° might be looser and function worse compared with that of PLB at 20° or 45° when the AMB is fixed at 20°, with the individual variability that should lead to caution until it can be better assessed by surgeons. (biomedsearch.com)
  • Although there are numerous studies in the literature on ACL reconstruction, there is yet to be a consensus among surgeons on the "best" graft choice and the "optimal" fixation device. (elsevier.com)
  • As a widely used ACL reconstruction procedure, four strand hamstring autograft with Endo-button as femoral fixation has been rarely studied about its pretension in situ. (biomedcentral.com)
  • Arthroscopic anterior cruciate ligament reconstruction using the double press- fit technique: an alternative to interference screw fixation. (mysciencework.com)
  • Arthroscopically assisted combined anterior and posterior cruciate ligament reconstruction. (nih.gov)
  • TransMedial All-Inside Posterior Cruciate Ligament Reconstruction Using a Reinforced Tibial Inlay Graft. (profadrianwilson.co.uk)
  • Cohen SB, Sekiya JK (2007) Allograft safety in anterior cruciate ligament reconstruction. (springer.com)
  • Anterior cruciate ligament (ACL) reconstruction surgery replaces the ACL, a small but important ligament in the center of the knee, with a new ligament often taken from a person's own body (autograft) or from a donated source (allograft). (cooperhealth.org)
  • Risk of Retear Following Anterior Cruciate Ligament Reconstruction Using a Hybrid Graft of Autograft Augmented With Allograft Tissue: A Systematic Review and Meta-analysis. (bioportfolio.com)
  • A hierarchical stratified sampling strategy was used to identify patients for medical record review to confirm ACL reconstructions and to determine allograft vs autograft tissue implanted, clinical characteristics, and infection status. (populationmedicine.org)
  • Prior studies suggest the cost of allograft anterior cruciate ligament (ACL) reconstruction is less than that for autograft reconstruction. (escholarship.org)
  • We therefore determined if allograft ACL reconstruction would still be less costly if all procedures were performed in a completely outpatient setting. (escholarship.org)
  • The mean total cost was $5465 for allograft ACL reconstruction and $4872 for autograft ACL reconstruction. (escholarship.org)
  • Allograft ACL reconstruction was more costly than autograft ACL reconstruction in the outpatient setting. (escholarship.org)
  • Age, gender, activity level, and anterior tibial laxity did not affect the muscle performance. (nih.gov)
  • Double-bundle ACL reconstruction was developed to further control rotational laxity. (aaos.org)
  • Recently, single-bundle ACL reconstruction in combination with LET has emerged as a method to decrease rotatory laxity in high-risk athletes. (aaos.org)
  • Two physical therapists and two athletic trainers performed anterior laxity tests using the KT-1000 on 19 subjects. (bisp-surf.de)
  • Effect of ACL reconstruction and tibial rotation on anterior knee laxity by: Guskiewicz, Kevin M., et al. (bisp-surf.de)
  • Reproducibility of the knee laxity assessment results using the Dynamic Cruciate Tester by: Steele, J.R., et al. (bisp-surf.de)
  • Does Cybex testing increase knee laxity after anterior cruciate ligament reconstructions? (bisp-surf.de)
  • Laxity of the other ligaments that support the knee has to be addressed either before or during the anterior cruciate ligament reconstruction to prevent undue stress on the reconstruction, and resultant failure. (loudounsportsmedicine.com)
  • Most physicians used functional braces for patients undergoing ACL reconstruction, preferred custom braces, and braced patients for 9 months after reconstruction. (healio.com)
  • There were no statistically or clinically significant differences between double-bundle and single-bundle reconstruction in the subjective functional knee scores (subjective IKDC score, Tegner activity score, Lysholm score) in the intermediate (six months up to two years since surgery) or long term (two to five years from surgery). (cochrane.org)
  • Evaluation After Reconstruction of the Anterior Cruciate Ligament of the Knee Using the Bioresorbable Interference Screw (SMS): Resorbability, Per- and Post-operative Complications and Articular Functional Recovery. (bioportfolio.com)
  • Rebuilding of the ANTERIOR CRUCIATE LIGAMENT to restore functional stability of the knee. (bioportfolio.com)
  • This study aimed to investigate any side-to-side limb differences in functional performance and movement asymmetries in female soccer players with a primary unilateral anterior cruciate ligament (ACL)-reconstructed knee and to compare these players with knee-healthy controls from the same soccer teams. (diva-portal.org)
  • The objective of this study is to evaluate the importance of the PCL index as a marker of anatomic reconstruction and of functional improvement of patients undergoing ACL reconstruction with HT autograft. (springer.com)
  • However, the incidence of anterior knee pain with the use of this graft has been reported from 13% to 47%, which diminishes the functional outcome in a large percentage of individuals. (thesportjournal.org)
  • These results demonstrate that synthetic ligament can provide long-term functional stability in the knee following a loss of the ACL. (begellhouse.com)
  • Prospective functional and psychological assessment from the French Anterior Cruciate Ligament Study (FAST) cohort. (tevak.org)
  • OBJECTIVE: To perform a systematic review of randomized controlled trials assessing the effects of neuromuscular electrical stimulation (NMES) on quadriceps strength, functional performance, and self-reported function after anterior cruciate ligament reconstruction. (painscience.com)
  • Purpose: To quantify the ability of single-bundle anatomic ACL reconstruction using hamstring tendons in reducing the pivot-shift phenomenon immediately after surgery under anesthesia. (nii.ac.jp)
  • Both the inertial sensor and image analysis used for the quantitative assessment of the pivot-shift test could successfully detect restoration of the pivot shift after anatomic single-bundle ACL reconstruction. (nii.ac.jp)
  • There is evidence in this study to show that the PCL index may be used as an anatomic reconstructive marker of ACL but not to predict the clinical outcome in this type of reconstruction. (springer.com)
  • Anatomic double-bundle anterior cruciate ligament reconstruction. (semanticscholar.org)
  • Combined anterolateral ligament and anatomic anterior cruciate ligament reconstruction of the knee. (profadrianwilson.co.uk)
  • Anatomic all-inside anterior cruciate ligament reconstruction using the translateral technique. (profadrianwilson.co.uk)
  • TransLateral ACL reconstruction: a technique for anatomic anterior cruciate ligament reconstruction. (profadrianwilson.co.uk)
  • Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction. (nih.gov)
  • To investigate the incidence and demographic features of anterior cruciate ligament (ACL) reconstructions in Australia by age and sex, and to determine whether the incidence has changed during the past 15 years. (mja.com.au)
  • The increasing incidence of ACL reconstructions in young Australians over 15 years is worrying. (mja.com.au)
  • The new The incidence of ACL reconstructions in Australia is the highest in the world, and is increasing. (mja.com.au)
  • The incidence of revision ACL is increasing more rapidly than that of primary ACL reconstructions. (mja.com.au)
  • Descriptive analyses of population-based data indicate that the incidence of ACL reconstruction in Australia is among the highest in the world. (mja.com.au)
  • The aim of our study was to investigate the incidence and demographic features of ACL reconstructions in Australia, by age and sex, and to determine whether the incidence of ACL reconstructions has changed during the past 15 years. (mja.com.au)
  • Various authors have reported the incidence of anterior pain to vary from 3% to 21% following hamstrings ACL reconstruction. (thesportjournal.org)
  • This technique should be utilised by surgeons to reduce the overall incidence of knee sepsis post-ACL reconstruction. (edu.au)
  • Continuous femoral nerve block versus intra-articular injection for pain control after anterior cruciate ligament reconstruction. (druglib.com)
  • The use of isolated extra-articular reconstruction decreased after single-bundle intra-articular ACL reconstruction techniques were introduced. (aaos.org)
  • Borchers JR, Kaeding CC, Pedroza AD, Huston LJ, Spindler KP, Wright RW, MOON Consortium and the MARS Group (2011) Intra-articular findings in primary and revision anterior cruciate ligament reconstruction surgery: a comparison of the MOON and MARS study groups. (springermedizin.de)
  • The impact of early intra-articular administration of interleukin-1 receptor antagonist on lubricin metabolism and cartilage degeneration in an anterior cruciate ligament transection model. (semanticscholar.org)
  • All patients received intra-articular (IA) ligaments placed in the anatomical position of the natural ACL. (begellhouse.com)
  • Post-operative pain control following elective anterior cruciate ligament reconstruction continues to be a hurdle for orthopaedic surgeons. (clinicaltrials.gov)
  • These results indicate that Alpha-Stim microcurrent electrical therapy is beneficial for post-operative pain control after ACL reconstruction. (stress.org)
  • This protocol must be followed throughout the first four months to preventAnterior Cruciate Post-Operative Instructions. (abrilenciencias.ga)
  • We never use artificial ligaments due to risks of post-operative synovitis. (michaelwalshorthopaedic.com.au)
  • An anterior cruciate ligament reconstruction is an operation to replace a damaged anterior cruciate ligament with a ligament graft or a synthetic ligament. (kneeguru.co.uk)
  • Between April 1989 and July 1996, 217 anterior cruciate ligament reconstructions using a synthetic ligament of polyethylene terephthalate (PET Trevira® - hochfest) were performed. (iospress.com)
  • This paper presents the long-term results of stabilization of the ACL deficient knee using the Leeds-Keio synthetic ligament formed from woven polyester. (begellhouse.com)
  • Left knee following hamstring autograft ACL reconstruction, partial meniscectomy and medial meniscus repair. (wikipedia.org)
  • Because of the significantly higher rate of prognostically advantageous meniscal repair, the recommendation for an ACL reconstruction within 6 months after trauma was made to preserve the meniscus and reduce the risk of developing OA. (springermedizin.de)
  • The ACL attaches in front of the intercondyloid eminence of the tibia, where it blends with the anterior horn of the medial meniscus. (wikipedia.org)
  • The early years reflect the efforts to establish a viable, consistently successful reconstruction technique while, during the early 20th century, we witness an increasing awareness of, and interest in, the ligament and its lesions. (hindawi.com)
  • Previous partial meniscectomy (PM) is associated with a higher rate of chondral lesions at revision ACL reconstruction, whereas previous meniscal repair (MR) is not associated with a higher rate of chondral lesions at revision ACL reconstruction, compared with knees undergoing revision ACL with no previous meniscal surgery. (nih.gov)
  • Data from a multicenter cohort was reviewed to determine the history of prior meniscal surgery (PM/MR) and the presence of grade II/III/IV chondral lesions at revision ACL reconstruction. (nih.gov)
  • Anstey DE, Heyworth BE, Price MD, Gill TJ (2012) Effect of timing of ACL reconstruction in surgery and development of meniscal and chondral lesions. (springermedizin.de)
  • Relationship between quadriceps strength and patellofemoral joint chondral lesions after anterior cruciate ligament reconstruction. (semanticscholar.org)
  • Despite these reports, complications have been noted with all three types of tendons, the most frequent being anterior knee pain. (thesportjournal.org)
  • PURPOSE: To determine if recellularization of decellularized tendons combined with mechanical stimulation in a bioreactor could replicate the mechanical properties of the native ACL and be successfully used for ACL reconstruction in vivo. (growkudos.com)
  • Experiments of reconstruction of ovine knee ACL using decellularized and sterilized porcine tendons revealed that the decellularized tissues were functioned 3 months. (nii.ac.jp)
  • 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). (cochrane.org)
  • To assess the effects (benefits and harms) of one-incision versus two-incision techniques for arthroscopically assisted ACL reconstruction in adults. (cochrane.org)
  • Randomised and quasi-randomised controlled clinical trials evaluating one-incision versus two-incision techniques for arthroscopically assisted ACL reconstruction in adults. (cochrane.org)
  • Methods: A retrospective analysis of knee joint infections occurring after arthroscopically assisted anterior cruciate ligament reconstructions was conducted. (ugent.be)
  • Increased body mass index (BMI) has been associated with poorer function in patients who have undergone anterior cruciate ligament (ACL) reconstruction. (springer.com)
  • Patients in the acute reconstruction group (n=100) had surgery an average of 62 days postinjury, while the chronic reconstruction group (n=100) had surgery an average of 211 days postinjury. (oregonstate.edu)
  • ACL reconstruction is typically an outpatient procedure using a minimally invasive or arthroscopic approach. (cooperhealth.org)
  • Reconstructive surgery of the anterior cruciate ligament (ACL) of the knee in young active patients is a routine procedure, but with certain risks that need to be taken into account. (biomedsearch.com)
  • Evidence continues to grow on the benefits of LET in combination with ACL reconstruction and the patients for whom the procedure is best suited. (aaos.org)
  • The specific type of procedures required during your ACL reconstruction will be discussed with your surgeon prior to the procedure. (drmanitarora.com)
  • Anterior cruciate ligament reconstruction is an arthroscopic procedure. (michaelwalshorthopaedic.com.au)
  • Two other ligaments, the medial and lateral collateral ligaments are located on either side of the knee. (medindia.net)
  • The medial-lateral translations were restored to normal level by all the reconstructions. (harvard.edu)
  • This function prevents anterior tibial subluxation of the lateral and medial tibiofemoral joints, which is important for the pivot-shift phenomena. (wikipedia.org)
  • We searched the medical literature databases up to August 2017 for randomised studies comparing one-incision versus two-incision arthroscopic ACL reconstruction techniques. (cochrane.org)
  • The topic of deep vein thrombosis (DVT) prophylaxis in anterior cruciate ligament (ACL) surgery has become an important topic as the frequency of arthroscopic ACL reconstruction continues to increase. (elsevier.com)
  • Risk of tearing the intact anterior cruciate ligament in the contralateral knee and rupturing the anterior cruciate ligament graft during the first 2 years after anterior cruciate ligament reconstruction: a prospective MOON cohort study. (semanticscholar.org)
  • The status of articular cartilage at the time of revision ACL reconstruction relates to previous meniscal surgery independent of the effect of patient age. (nih.gov)
  • Although this association may reflect underlying differences in the knee at the time of prior surgery, it does suggest that meniscal repair is preferable when possible at the time of ACL reconstruction. (nih.gov)
  • Kumar A, Bickerstaff DR, Johnson TR, Appleton DFJ (2001) Day surgery anterior cruciate ligament reconstruction: Sheffield experiences. (springermedizin.de)
  • Objective To describe the criteria used to guide clinical decision-making regarding when a patient is ready to return to running (RTR) after ACL reconstruction. (bmj.com)
  • Conclusions Fewer than one in five studies reported clinical, strength or performance-based criteria for RTR even though best evidence recommends performance-based criteria combined with time-based criteria to commence running activities following ACL reconstruction. (bmj.com)
  • Some clinicians believe that bracing improves the outcome of ACL reconstruction by improving extension, decreasing pain and graft strain, and providing protection from excessive force. (healio.com)
  • The primary outcome measure is to test the null hypothesis that Celecoxib perioperatively does not negatively influence the static testing of ACL reconstruction as measured by KT arthrometer at 2 years post op. (druglib.com)
  • Mayr HO, Weig TG, Plitz W (2004) Arthrofibrosis following ACL reconstruction-reasons and outcome. (springermedizin.de)
  • Pretension of the viscoelastic graft by cyclic knee motion has been confirmed to decrease the graft creep and improve the outcome of anterior cruciate ligament (ACL) reconstruction. (biomedcentral.com)
  • ACL reconstruction restores joint stability but the outcome was affected by many factors, of which the initial strength of the graft is important [ 2 ]. (biomedcentral.com)
  • Synthetic tissue for ACL reconstruction has also been developed, but little data exists on its strength and reliability. (wikipedia.org)
  • The ACL (anterior cruciate ligament) is a band of tissue inside your knee . (webmd.com)
  • Graft options for ACL reconstruction include: Autografts (employing bone or tissue harvested from the patient's body). (wikipedia.org)
  • The thigh and leg bones (femur and tibia, respectively) that contribute to the knee are held together with bands of tissue called ligaments with surrounding capsule and muscles supporting them. (medindia.net)
  • The anterior cruciate ligament (ACL) is a band of tough tissue inside the knee that helps stabilise the knee during movement. (cochrane.org)
  • Synthetic tissue suitable to ACL reconstruction has also been developed. (allislandortho.com)
  • Have you undergone Anterior Cruciate Ligament Reconstruction? (tynpnnhaf.gq)
  • Aucune différence notable n'a été notée en ce qui concerne la force du quadriceps, les scores fonctionnels, la mobilité ou les épanchements articulaires. (springer.com)
  • The knee kinematics were determined under anterior tibial load (134 N) and simulated quadriceps load (400 N) at 0°, 15°, 30°, 60°, and 90° of flexion using a robotic testing system. (harvard.edu)
  • The analysis of this study also demonstrated that SBR-BPTB, STDBR-HST, ASTR-HST, and DBR-HST restored the anterior joint stability to normal condition while the SBR-HST resulted in a nearly normal anterior joint stability under the action of simulated quadriceps load. (harvard.edu)
  • Increases in quadriceps muscle strength of the uninjured knee and ACL reconstruction were associated with improvements in KOOS in high BMI patients. (springer.com)
  • Peter J. Millett, MD, MSc The Steadman Clinic Vail, CO.Loss of knee extension has been shown to result in a limp, quadriceps muscle weakness, and anterior knee pain. (tynpnnhaf.gq)
  • Researchers have designed a 3D-printed porous scaffold for use in reconstructing ruptured anterior cruciate ligament in the knee and engineered it to deliver a human bone-promoting protein over an extended period of time to improve bone regeneration. (medindia.net)
  • It is one of the four main ligaments of the knee joint that connects thigh bone (femur) to shin bone (tibia). (indiahealthhelp.com)
  • The ruptured ligament is removed and then tunnels (holes) in the bone are drilled to accept the new graft. (eandbortho.com)
  • The anterior cruciate ligament (ACL) passes diagonally in the middle of the knee, ensuring that the thigh and shin bone do not slide out of alignment during movement. (loudounsportsmedicine.com)
  • Running diagonally through the middle of the joint, the ACL works in conjunction with three other ligaments to connect the femur (upper leg bone) to the tibia (the larger of the two lower leg bones). (atlantajoint.com)
  • In most cases, an ACL repair is necessary because there has been an avulsion of the ligament, which means that not only the ligament, but a piece of bone, has been fractured. (atlantajoint.com)
  • The anterior cruciate ligament is one of the major stabilizing ligaments in the knee. (eandbortho.com)
  • The ACL is the major stabilizing ligaments in the knee. (eandbortho.com)
  • Anterior joint stability under anterior tibial load was qualified as normal for ASTR-HST and DBR-HST and nearly normal for SBR-BPTB, SBR-HST, and STDBR-HST as per the International Knee Documentation Committee knee examination form categorization. (harvard.edu)
  • The internal tibial rotations under the simulated muscle load were over-constrained by all the reconstruction techniques, and more so by the DBR-HST. (harvard.edu)
  • Anterior tibial translation (ATT), internal rotation (IR), and external rotation (ER) at 30° and 90° of knee flexion applied with manual maximum load were measured before graft insertion and in each setting using a navigation system. (biomedsearch.com)
  • In addition, some authors have reported increased tibial translation in females after ST-G ACL reconstruction. (thesportjournal.org)
  • Femoral and tibial tunnel positioning on graft isometry in anterior cruciate ligament reconstruction: a cadaveric study. (profadrianwilson.co.uk)
  • The anterior cruciate ligament is one of the four main ligaments of the knee, providing 85% of the restraining force to anterior tibial displacement at 30 degrees and 90 degrees of knee flexion. (wikipedia.org)
  • A strong ligament of the knee that originates from the posteromedial portion of the lateral condyle of the femur, passes anteriorly and inferiorly between the condyles, and attaches to the depression in front of the intercondylar eminence of the tibia. (bioportfolio.com)
  • This ligament prevents tibia from sliding over the femur and ensures rotational stability of the knee. (indiahealthhelp.com)
  • In this study cohort, only failed-ACL reconstruction patients undergoing revision ACL reconstruction were significantly less likely to return to their main sport. (medworm.com)
  • Revision rates are increasing more rapidly than those of primary reconstructions. (mja.com.au)
  • Patients with combined Anterolateral ligament (ALL) reconstruction- Anterior cruciate ligament (ACL) revision will have a better rotational knee stability and therefore better patient repo. (bioportfolio.com)
  • Although LET usually is recommended during revision ACL surgery, LET also is considered an adjunct to primary ACL reconstruction in patients with certain risk factors, such as age younger than 18 years, a grade II pivot shift, underlying hyperlaxity, or intention to return to high-demand cutting/pivoting sports activity. (aaos.org)
  • While the techniques described for ACL revision have been varied, the overall results in the literature do not compare favorably with primary ACL reconstruction. (jsoaonline.com)
  • The proper execution of revision ACL reconstruction requires precise preoperative planning to assess the cause of initial failure and avoid repeating the same mistakes with revision reconstruction. (jsoaonline.com)
  • A revision ACL reconstruction is considered after determining the exact cause for the initial failure. (loudounsportsmedicine.com)
  • There are different technical procedures available to the surgeon, but the tendency is towards all-inside single-bundle reconstruction. (kneeguru.co.uk)
  • In single-bundle reconstruction, one of these bundles is restored whereas in double-bundle reconstruction, both are restored. (cochrane.org)
  • Double-bundle reconstruction may give greater knee stability but is more technically demanding and invasive than single-bundle reconstruction. (cochrane.org)
  • This review aimed to find out if double-bundle reconstruction gives a better result than single-bundle reconstruction. (cochrane.org)
  • Both methods are effective for pain control after anterior cruciate ligament reconstruction. (druglib.com)