scholarly journals Bone Shape Changes From Baseline to 6-Month Are Associated With Cartilage T1ρ & T2 and Knee Injury&Osteoarthritis Outcome Score at 3-Year After Anterior Cruciate Ligament Reconstruction

2017 ◽  
Vol 25 ◽  
pp. S241-S242
Author(s):  
Q. Zhong ◽  
V. Pedoia ◽  
M. Tanaka ◽  
B. Ma ◽  
X. Li
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Knee Injury ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Cruciate Ligament Reconstruction ◽  
Outcome Score ◽  
Anterior Cruciate ◽  
Shape Changes

Predictors Of Outcome Following Anterior Cruciate Ligament Reconstruction: A Prospective Cohort Study In Uk Sports Medicine

2019 ◽  
Vol 26 (6) ◽  
pp. 7-7
Author(s):  
Bradley Stephen Neal ◽  
Stuart Miller ◽  
Claire Small ◽  
Simon David Lack
Keyword(s):  
Quality Of Life ◽  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Knee Injury ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Cruciate Ligament Reconstruction ◽  
Outcome Score ◽  
Anterior Cruciate

Background/Aims Following anterior cruciate ligament reconstruction, patients are reported to be at greater risk of re-rupture if they fail to meet structured discharge criteria. This prospective cohort study aimed to provide objective and subjective measures guiding safe return to play of amateur athletes following anterior cruciate ligament reconstruction. Methods Primary anterior cruciate ligament reconstruction patients presenting to Pure Sports Medicine were invited to participate. Successful return to play was determined using the Patient-Specific Functional Scale at the primary end point (9/12 post-operative), with scores >8 indicating successful outcomes. Secondary data were collected at baseline (Knee Injury and Osteoarthritis Outcome Score, Anterior Cruciate Ligament-Quality of Life), 3/12 (Knee Injury and Osteoarthritis Outcome Score, Anterior Cruciate Ligament-Quality of Life, quadriceps and hamstrings dynamometry), 6/12 (Knee Injury and Osteoarthritis Outcome Score, Anterior Cruciate Ligament-Quality of Life, quadriceps and hamstrings dynamometry, single/triple hop) and 9/12 post-operative (Knee Injury and Osteoarthritis Outcome Score, Anterior Cruciate Ligament-Quality of Life, quadriceps and hamstrings dynamometry, single/triple hop and slalom run). Binary logistic regression was used to determine the association between secondary data and the primary outcome. Results A total of 90 participants with anterior cruciate ligament reconstruction were recruited from March 2017 to June 2018, and 87 participants consented to baseline measures. To date, 29 participants have completed full data collection, with 12 participants determined to have a successful outcome. A lower hamstrings:quadriceps ratio in the contralateral limb at 3/12 post-operative (odds ratio: 0.005, 95% confidence interval: 0.001–0.89, P=0.045) and a higher Anterior Cruciate Ligament-Quality of Life score at 6/12 post-operative (odds ratio: 1.1, 95% confidence interval: 0.02–1.20, P=0.012) are associated with positive 9/12 post-operative outcomes. Conclusions Preliminary data analysis indicates that both hamstrings:quadriceps ratio function and participant psychology are associated with positive outcomes post-anterior cruciate ligament reconstruction.

Revision Anterior Cruciate Ligament Reconstruction after Surgical Management of Multiligament Knee Injury

2020 ◽  
Author(s):  
John R. Worley ◽  
Olubusola Brimmo ◽  
Clayton W. Nuelle ◽  
Bradford P. Zitsch ◽  
Emily V. Leary ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Revision Surgery ◽  
Knee Injury ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Cruciate Ligament Reconstruction ◽  
Multiligament Knee Injury ◽  
Anterior Cruciate

AbstractThe purpose of this study is to determine factors associated with the need for revision anterior cruciate ligament reconstruction (ACLR) after multiligament knee injury (MLKI) and to report outcomes for patients undergoing revision ACLR after MLKI. This involves a retrospective review of 231 MLKIs in 225 patients treated over a 12-year period, with institutional review board approval. Patients with two or more injured knee ligaments requiring surgical reconstruction, including the ACL, were included for analyses. Overall, 231 knees with MLKIs underwent ACLR, with 10% (n = 24) requiring revision ACLR. There were no significant differences in age, sex, tobacco use, diabetes, or body mass index between cohorts requiring or not requiring revision ACLR. However, patients requiring revision ACLR had significantly longer follow-up duration (55.1 vs. 37.4 months, p = 0.004), more ligament reconstructions/repairs (mean 3.0 vs. 1.7, p < 0.001), more nonligament surgeries (mean 2.2 vs. 0.7, p = 0.002), more total surgeries (mean 5.3 vs. 2.4, p < 0.001), and more graft reconstructions (mean 4.7 vs. 2.7, p < 0.001). Patients in both groups had similar return to work (p = 0.12) and activity (p = 0.91) levels at final follow-up. Patients who had revision ACLR took significantly longer to return to work at their highest level (18 vs. 12 months, p = 0.036), but similar time to return to their highest level of activity (p = 0.33). Range of motion (134 vs. 127 degrees, p = 0.14), pain severity (2.2 vs. 1.7, p = 0.24), and Lysholm's scores (86.3 vs. 90.0, p = 0.24) at final follow-up were similar between groups. Patients requiring revision ACLR in the setting of a MLKI had more overall concurrent surgeries and other ligament reconstructions, but had similar final outcome scores to those who did not require revision surgery. Revision ligament surgery can be associated with increased pain, stiffness, and decrease patient outcomes. Revision surgery is often necessary after multiligament knee reconstructions, but patients requiring ACLR in the setting of a MLKI have good overall outcomes, with patients requiring revision ACLR at a rate of 10%.

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