No Increased Occurrence of Osteoarthritis After Anterior Cruciate Ligament Reconstruction After Isolated Anterior Cruciate Ligament Injury in Athletes

2012 ◽  
Vol 28 (4) ◽  
pp. 517-525 ◽  
Author(s):  
Thomas Hoffelner ◽  
Herbert Resch ◽  
Philipp Moroder ◽  
Jörg Atzwanger ◽  
Markus Wiplinger ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Anterior Cruciate Ligament Injury ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Ligament Injury ◽  
Cruciate Ligament Reconstruction ◽  
Anterior Cruciate

Isolated Anterior Cruciate Ligament Reconstruction in Patients with Chronic Anterior Cruciate Ligament Insufficiency Combined with Grade II Valgus Laxity

2007 ◽  
Vol 36 (2) ◽  
pp. 333-339 ◽  
Author(s):  
Kenji Hara ◽  
Sadao Niga ◽  
Hiroo Ikeda ◽  
Sadahiro Cho ◽  
Takeshi Muneta
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Anterior Cruciate Ligament Injury ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Final Evaluation ◽  
Ligament Injury ◽  
Cruciate Ligament Reconstruction ◽  
Grade Ii ◽  
Anterior Cruciate

Background There is no consensus about whether isolated anterior cruciate ligament reconstruction using multistrand hamstring tendon with nonoperative treatment for chronic medial collateral ligament injury is sufficient. Purpose To assess clinical outcome for patients with chronic anterior cruciate ligament injury and accompanying grade II valgus laxity who received medial hamstring anterior cruciate ligament reconstruction alone. Results were compared with those of patients with isolated chronic anterior cruciate ligament injury without valgus laxity. Study Design Cohort study; Level of evidence, 2. Methods Two hundred eighty-nine patients with isolated anterior cruciate ligament injury were compared with 53 patients with accompanying valgus laxity (minimum follow-up, 24 months). The following parameters were compared between the 2 groups at the last follow-up: range of motion, KT-1000 arthrometer value, pivot-shift test result, Lysholm knee scale, knee extensor muscle strength, return to sporting activities, subjective recovery, and International Knee Documentation Committee grade. Differences in clinical outcome were evaluated between those with preoperative International Knee Documentation Committee grade B and grade C and between those with grade A and grade B or C at final evaluation. Results Postoperative KT-1000 arthrometer value averaged 1.2 mm for those with isolated anterior cruciate ligament injury and 1.6 mm for those with accompanying valgus laxity (not significant, P = .281). There was no significant difference between these 2 groups regarding the other items. In patients with preoperative valgus laxity, KT-1000 arthrometer values at final evaluation between patients with preoperative grade B and C were not significantly different. The value for subjects with grade A at final evaluation was 1.3 mm and for those with grade B or C at final evaluation was 2.7 mm ( P = .065). Conclusion There was no clinically significant difference regarding outcome of anterior cruciate ligament multistrand hamstring reconstruction alone for 90% of patients with grade II valgus laxity who regained medial stability with nonoperative management compared with those who underwent the same anterior cruciate ligament reconstruction for an isolated anterior cruciate ligament tear.

Longitudinal Effects of Anterior Cruciate Ligament Injury and Patellar Tendon Autograft Reconstruction on Neuromuscular Performance

2000 ◽  
Vol 28 (3) ◽  
pp. 336-344 ◽  
Author(s):  
Edward M. Wojtys ◽  
Laura J. Huston
Keyword(s):  
Anterior Cruciate Ligament ◽  
Muscle Strength ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Anterior Cruciate Ligament Injury ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Neuromuscular Function ◽  
Ligament Injury ◽  
Cruciate Ligament Reconstruction ◽  
Anterior Cruciate

We examined persons after anterior cruciate ligament injury and for 1.5 years after anterior cruciate ligament reconstruction to analyze changes in anterior knee laxity, lower extremity muscle strength, endurance, and several parameters of neuromuscular function. Sixteen men and nine women (average age, 23.8 years) were evaluated preoperatively, then underwent intraarticular autogenous patellar tendon anterior cruciate ligament reconstruction by the same surgeon and were evaluated at 6, 12, and 18 months postoperatively. Muscle strength was measured isokinetically and neuromuscular function was quantified with simultaneous anterior tibial translation and surface electromyography tests. Forty subjects (26 men and 14 women; average age, 23.5 years) with no known knee abnormalities served as the control group. Subjective questionnaire results showed that by 18 months postoperatively, 20 subjects (80%) believed they had regained their preoperative levels of function. Unfortunately, muscle function in most subjects had not returned to normal. At 12 to 18 months postoperatively, when knee rehabilitation was terminated, significant deficiencies in muscle performance persisted in most patients. Interestingly, in this group of stable knees, quadriceps and hamstring muscle reaction times appeared to be the best objective indicators of subjective knee function.

scholarly journals COMPARATIVE ANALYSIS OF THE FUNCTIONAL OUTCOME OF ARTHROSCOPIC ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING QUADRUPLED HAMSTRING GRAFT FIXED WITH BIO ABSORBABLE INTERFERENCE SCREW AGAINST TITANIUM INTERFERENCE SCREW

2021 ◽  
pp. 1-3
Author(s):  
Sandeep Kumar ◽  
Kumari Rashmi ◽  
Kumar Anshuman ◽  
Debarshi Jana
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Anterior Cruciate Ligament Injury ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Interference Screw ◽  
Ligament Injury ◽  
Cruciate Ligament Reconstruction ◽  
Postoperative Mri ◽  
Anterior Cruciate

Anterior cruciate ligament injury is one of the most common injuries around knee and poses quiet a lot management controversies. Anterior cruciate ligament has a pivot role in function and stability of the knee joint along with all other ligaments, being a prime stabilizer preventing the anterior translation of tibia over femur. Acute anterior cruciate ligament injury causes recurrent episodes of instability, pain and decreased motion. Anterior cruciate ligament reconstruction allows return to pre injury levels even in athletes, delays development of early osteoarthritis and reestablish the stability of the joint. Graft fixation during ACL reconstruction can be achieved with use of either metal screws or bio absorbable screws. Bio absorbable screws usage provide better visibility in postoperative MRI and also avoid removal at later stage. However there are controversies regarding the ideal graft, ideal fixation device, ideal time and technique of reconstruction. In this study we have compared the metal and bio absorbable screw for fixing the graft and reported the result.

scholarly journals The impact of combined meniscus tear on quality of life after anterior cruciate ligament reconstruction

2016 ◽  
Vol 69 (5-6) ◽  
pp. 153-159
Author(s):  
Vladimir Harhaji ◽  
Stojan Subasic ◽  
Srdjan Ninkovic ◽  
Ivica Lalic ◽  
Tatjana Salamon ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Anterior Cruciate Ligament Injury ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Ligament Injury ◽  
Cruciate Ligament Reconstruction ◽  
Anterior Cruciate

Introduction. An anterior cruciate ligament injury represents a significant epidemiological problem worldwide, especially due to involving young, sporty and active working-age population. This study has been conducted in order to compare the quality of life of patients who had isolated anterior cruciate ligament tear and of those who suffered from an associated meniscal injury. Material and Methods. This study included 185 patients who had undergone reconstruction of the anterior cruciate ligament at the Department of Orthopedic Surgery and Traumatology in Novi Sad from January 1st, 2012 to December 31st, 2012. The patients were divided into 2 groups: group A consisted of patients who had anterior cruciate ligament reconstruction only, and group B consisted of patients who had partial meniscectomy in addition to the anterior cruciate ligament reconstruction. The follow-up period was 12 months. Results. Distribution of patients by gender was significantly in favor of men. In our study, 146 patients were male and 39 patients were female. The average age of patients was 26.1 years overall (16-55 years), being 26.9 years for men, and 23.3 years for female patients. Out of 185 patients, 110 had an isolated anterior cruciate ligament injury, while 75 suffered both meniscus, internal or external, and anterior cruciate ligament injury. Conclusion. The comparison of the quality of life of patients in both groups showed no statistically significant difference. Therefore, we were not able to prove the hypothesis about the superior quality of life of those patients who had suffered from a ruptured anterior cruciate ligament only.

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