scholarly journals Surgical Technique for fixation of posterior root tears of the lateral meniscus and anterior cruciate ligament ruptures in acute lesions: Short-term clinical outcome

2018 ◽  
Vol 6 (12_suppl5) ◽  
pp. 2325967118S0019
Author(s):  
Germán A. Jaramillo ◽  
Rubén D. Arias ◽  
Esteban Arrubla ◽  
Natalia Valencia
Keyword(s):  
Anterior Cruciate Ligament ◽  
Surgical Treatment ◽  
Surgical Technique ◽  
Cruciate Ligament ◽  
Lateral Meniscus ◽  
Surgical Techniques ◽  
Case Series ◽  
Activity Level ◽  
Acl Rupture ◽  
Anterior Cruciate

Background: Injuries of posterior lateral meniscus root (PLMR) are related to an acute trauma mechanism, which is commonly associated with anterior cruciate ligament (ACL) rupture. Many biomechanical studies have exposed the importance of the integrity of PLMR. There are several surgical techniques for its treatment, but is still controversial about which is the most appropriate, especially for combined injuries. Objective: To describe the clinical outcomes of patients with a surgical treatment of PLMR tear combined with ACL rupture Methods: Prospective case series. With patients who undergone repair of PLMR tears with ACL rupture, from 2016 to 2017 in a specialized hospital in Medellín city. Clinical evaluation it was determinate with Lysholm and IKDC (International Knee Documentation Committee) scores, before and one year after the surgical procedure. The paired sample t-test was applied to compare the results of the scores. Results: Six patients with acute lesion of PLMR tear combined with ACL rupture received treatment with a variation in the transtibial fixation of the PLMR surgical technique. Statistically significant differences were found when comparing the two scores before and after surgery (p=<0.05). In addition, no additional surgical interventions were performed in the follow-up time. Conclusion: The combined surgical treatment of PLMR and ACL injuries can be performed safely. This surgical technique provided an improvement in function, pain and activity level, which may help to delay the progression of osteoarthritis of the knee.

scholarly journals Patient and Surgeon Expectations Prior to Anterior Cruciate Ligament Reconstruction

2018 ◽  
Vol 14 (3) ◽  
pp. 282-285 ◽  
Author(s):  
Mahmoud Michael Khair ◽  
Hassan Ghomrawi ◽  
Sean Wilson ◽  
Robert G. Marx
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Case Series ◽  
Patient Expectations ◽  
Activity Level ◽  
Cruciate Ligament Reconstruction ◽  
Special Surgery ◽  
Anterior Cruciate

Abstract Background When discussing potential treatment with patients choosing to undergo surgery for disruption of the anterior cruciate ligament (ACL) and their families, surgeons spend considerable time discussing expectations of the short- and long-term health of the knee. Most of the research examining patient expectations in orthopedic surgery has focused largely on arthroplasty. Questions/Purposes The purpose of this study was to quantitatively assess the differences between the patient’s and the surgeon’s expectations before primary anterior cruciate ligament reconstruction (ACLR). Methods In this case series, we prospectively enrolled 93 patients scheduled for primary ACLR between 2011 and 2014. Expectations were measured using the Hospital for Special Surgery 23-item Knee Expectations Survey; scores were calculated for each subject. Results In all but six categories, patients had expectations that either aligned with their surgeons’ or were lower. The largest discordance between surgeon and patient expectations in which the patient had lower expectations was employment; 75% of patients had similar expectations to the surgeon when asked if the knee would be “back to the way it was before the problem started,” less than 1% had higher expectations, and 17% had lower expectations. Conclusion In general, patient expectations align well with surgeon expectations. Patients who are older, have a lower activity level, and who have selected allograft over autograft for ACLR could also be at risk for greater discordance. Understanding these differences, and their predictors, will help guide physicians when they are counseling patients about ACLR and also help them interact with patients after surgery as they assess outcomes.

scholarly journals Septic arthritis of the knee following anterior cruciate ligament reconstruction

2009 ◽  
Vol 1 (1) ◽  
pp. 3 ◽  
Author(s):  
Matjaz Sajovic ◽  
Gorazd Lesnicar ◽  
Mojca Z. Dernovsek
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Septic Arthritis ◽  
Range Of Motion ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Case Series ◽  
Activity Level ◽  
Cruciate Ligament Reconstruction ◽  
Anterior Cruciate

Septic arthritis of the knee is a rare complication after arthroscopic anterior cruciate ligament reconstruction, and the most appropriate treatment is unclear. All case series reported so far have been retrospective, and case numbers of septic arthritis have ranged from 4 to 11. From a consecutive case series of 1,283 patients who underwent arthroscopic anterior cruciate ligament reconstruction between January 1997 and May 2008, we report on 3 patients (0.23%) with post-operative septic arthritis. All patients had acute infection (≤ 2 weeks), bacterial cultures showed Staphylococcus species in 2 patients, while the bacterial culture was negative in the third. All of them underwent immediate arthroscopic debridement and lavage with continuous irrigation, as well as antibiotic treatment. The results were evaluated with physical and radiographic examination, functional testing, KT-2000, Lysholm and Tegner scales. The infection was successfully eradicated without further surgical treatment and the ligament graft was retained in all patients. Follow-up, at an average of 33 months, revealed that the patients had full symmetric knee range of motion and no effusion. The average Lysholm score was 91 points. In the patient with a lower subjective score, radiographs demonstrated patellofemoral joint-space narrowing, which is most probably in correlation with his anterior knee pain problems and lower activity level. The 134 N KT-2000 arthrometer side-to-side differences averaged 13 mm. Their performance in the single-legged hop test gave excellent results. The goals of treatment for septic arthritis after anterior cruciate ligament reconstruction are, primarily, to protect the articular cartilage and, secondly, to protect the graft. Through early diagnosis and prompt treatment, the infection can be successfully eradicated, with stability of the knee and full range of motion achieved.

Outcome of Arthroscopic Anterior Cruciate Ligament Reconstruction Knee Joint Using Hamstring Autograft

2021 ◽  
Vol 15 (12) ◽  
pp. 3345-3347
Author(s):  
Muhammad Bilal ◽  
Muhammad Ijaz Bhatti ◽  
Muhammad Shakeel Basit ◽  
Qasim Raza Naqvi ◽  
Gull Mahnoor Hashmi ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Surgical Technique ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Acl Reconstruction ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Lateral Meniscus ◽  
Hamstring Autograft ◽  
Cruciate Ligament Reconstruction ◽  
Anterior Cruciate

One of the most common injuries during sports is anterior cruciate ligament (ACL) injury. A number of surgical and rehabilitation techniques have been developed. ACL reconstruction is mainstay of treatment. Objective: In this study we are evaluating the outcome of ACL surgery. Design & Setting: Retrospective study Methodology: Data collection of all cases that underwent primary arthroscopic anterior cruciate ligament reconstruction performed. All patients were operated with same surgical technique using quadrupled hamstring autograft. Results: There was an overall male predominance (95.3%). Medical meniscal injury was found in 05 (24%) patients. Lateral Meniscus injury was found in 04(19%) patients. Adjustable length CSF device was used in 12 (57%) patients and fixed-loop CSF device in 9 (43%) patients. Conclusion: At two years, outcome of ACL reconstruction performed by one surgeon using same surgical technique with adjustable CSF device and absorbable tibial screw granted satisfactory clinical results in all patients. Rehabilitation played an important role in return to activities of daily living in all patients at final follow up. Keywords: Anterior Cruciate Ligament, Arthroscopy, Rehabilitation

scholarly journals THE EFFECT OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION ON MALE SEXUAL HEALTH

2021 ◽  
Author(s):  
İzzet Bingöl ◽  
Yasin Köker
Keyword(s):  
Anterior Cruciate Ligament ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Sexual Health ◽  
Cruciate Ligament ◽  
Acl Rupture ◽  
Sexual Life ◽  
Male Patients ◽  
The Mean ◽  
Anterior Cruciate

Background: Anterior cruciate ligament (ACL) injuries are among the most common ligament injuries having social, mental, and spiritual effects as well as physical effects, reducing the quality of life. Sexual health plays an important role inreproduction as well as in the physical, intellectual, emotional, and social aspects of life. Aims: In this study, we compare male patients with conservative and surgical treatment after ACL rupture in terms of sexual health. Methods: The sexual health statuses of 41 male patients diagnosed of ACL rupture followed by conservative or surgical treatment were evaluated before treatment, in the 6 months and at the 1 year after treatment and compared using the International Index of Erectile Function-5 (IIEF- 5). Results: When the mean IIEF-5 scores followed with surgery and conservative treatment were compared at 6 months, it was observed that the scores of those receiving surgical treatment were significantly lower (p = 0.005). When the mean IIEF-5 scores at 1 year were compared, it was seen that the surgical treatment scores were significantly higher. (p = 0.012). Conclusions: This study has shown that surgical treatment for ACL rupture has more positive effect on male sexual life in the long term compared to conservative treatment.

scholarly journals Perturbation Training Improves Knee Kinematics and Reduces Muscle Co-contraction After Complete Unilateral Anterior Cruciate Ligament Rupture

2005 ◽  
Vol 85 (8) ◽  
pp. 740-749 ◽  
Author(s):  
Terese L Chmielewski ◽  
Wendy J Hurd ◽  
Katherine S Rudolph ◽  
Michael J Axe ◽  
Lynn Snyder-Mackler
Keyword(s):  
Anterior Cruciate Ligament ◽  
Knee Flexion ◽  
Cruciate Ligament ◽  
Knee Kinematics ◽  
Quadriceps Femoris ◽  
Activity Level ◽  
Acl Rupture ◽  
Perturbation Training ◽  
Peak Knee ◽  
Anterior Cruciate

Abstract Background and Purpose. Dynamic knee stabilization strategies of people who successfully compensate for the absence of an anterior cruciate ligament (ACL) (“copers”) are different from those of people who do not compensate well for the injury (“noncopers”). Early after injury, certain patients (“potential copers”) can increase the likelihood of successfully compensating for the injury by participating in 10 sessions of perturbation training. The purpose of this study was to determine how perturbation training alters muscle co-contraction and knee kinematics in potential copers. Subjects. Seventeen individuals with acute, unilateral ACL rupture who were categorized as potential copers and 17 subjects without injuries who were matched by age, sex, and activity level were recruited for this study. Methods. Motion analysis and electromyographic data were collected as subjects walked across a stationary or moving platform (horizontal translation) before and after perturbation training. Results. Before training, potential copers had higher co-contraction indexes and lower peak knee flexion angles than subjects without injuries. After training, potential copers' movement patterns more closely resembled those of subjects without injuries (ie, they showed reduced co-contraction indexes and increased peak knee flexion angles during stance). Discussion and Conclusion. Perturbation training reduced quadriceps femoris-hamstring muscle and quadriceps femoris-gastrocnemius muscle co-contractions and normalized knee kinematics in individuals with ACL rupture who were classified as potential copers. Findings from this study provide evidence for a mechanism by which perturbation training acts as an effective intervention for promoting coordinated muscle activity in a select population of people with ACL rupture.

An In-Depth Analysis of Graft Rupture and Contralateral Anterior Cruciate Ligament Rupture Rates After Pediatric Anterior Cruciate Ligament Reconstruction

2020 ◽  
Vol 48 (10) ◽  
pp. 2395-2400
Author(s):  
Christopher J. DeFrancesco ◽  
Brendan M. Striano ◽  
Joshua T. Bram ◽  
Keith D. Baldwin ◽  
Theodore J. Ganley
Keyword(s):  
Anterior Cruciate Ligament ◽  
Survival Analysis ◽  
Cruciate Ligament ◽  
Case Series ◽  
Acl Rupture ◽  
Kaplan Meier ◽  
Graft Rupture ◽  
Cumulative Rate ◽  
Anterior Cruciate

Background: Reported rates of graft rupture and contralateral anterior cruciate ligament (ACL) rupture after ACL reconstruction (ACLR) are higher among pediatric patients than adults. Previous series may have underestimated postoperative event risk because of small sample sizes and high proportions of dropouts. Purpose: To calculate rates of graft rupture and contralateral ACL rupture after ACLR in a large pediatric series. Study Design: Case series; Level of evidence, 4. Methods: ACLRs performed in our tertiary care children’s hospital system over a period of >7 years were identified through billing review. Cases were sorted based on operative technique, with all-epiphyseal ACLRs considered separately. Transphyseal ACLRs were divided into 2 groups based on patient age, with a cutoff of 16 years. Clinic follow-up data as well as prospectively collected survey data were used to note graft rupture and contralateral ACL rupture events. Rates of graft rupture and contralateral ACL rupture were calculated using Kaplan-Meier survival analysis. Results: The final data set included 996 patients. A total of 161 patients underwent all-epiphyseal ACLR. Of the remaining transphyseal surgeries, 504 patients were <16 years of age at the time of surgery and 331 were ≥16 years. The 4-year cumulative rate of graft rupture via Kaplan-Meier survival analysis was 19.7% among all patients. The rate was 18.2% among all-epiphyseal ACLRs, 21.6% among transphyseal ACLRs in patients <16 years, and 16.4% among transphyseal ACLRs in patients ≥16 years ( P = .855). Survival analysis estimated the 4-year cumulative rate of contralateral ACL rupture at 12.0% among all patients: 6.63% among all-epiphyseal ACLRs, 15.7% among transphyseal ACLRs in patients <16 years, and 8.05% among transphyseal ACLRs in patients ≥16 years ( P = .093). Conclusion: This is the largest series of pediatric ACLRs yet reported, and it shows that the risks of another ACL injury after first-time ACLR are higher than previously reported. The risk of contralateral ACL rupture was lower than that for graft rupture. Our methods, including prospective follow-up surveys and survival analysis to generate cumulative rate estimates, provide a best-practice example for future case series calculations. Our results provide insight into the postoperative course of pediatric patients undergoing ACLR and are crucial for preoperative patient and family counseling. Understanding these risks may also influence return-to-play decisions.

scholarly journals Second Anterior Cruciate Ligament Injuries After Anterior Cruciate Ligament Reconstruction in Professional Sumo Wrestlers: A Case Series

2020 ◽  
Vol 8 (2) ◽  
pp. 232596712090369
Author(s):  
Sadanori Shimizu ◽  
Tsuyoshi Nagase ◽  
Tomohiko Tateishi ◽  
Teruhiko Nakagawa ◽  
Masamitsu Tsuchiya
Keyword(s):  
Anterior Cruciate Ligament ◽  
Surgical Treatment ◽  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
Case Series ◽  
Acl Injury ◽  
Current Status ◽  
Level Of Evidence ◽  
Acl Injuries ◽  
Anterior Cruciate

Background: Anterior cruciate ligament (ACL) injury is one of the most common traumatic injuries in professional sumo wrestlers. Further, ipsilateral reinjuries or contralateral ACL injuries after ACL reconstruction can occur in sumo wrestlers. The incidence of ipsilateral reinjury and contralateral ACL injury after ACL reconstruction ranges from 3% to 13% in a healthy athletic population. Purpose: To investigate the current status of second ACL injuries after ACL reconstruction in sumo wrestlers. Study Design: Case series; Level of evidence, 4. Methods: Between 1988 and 2015, a total of 139 primary ACL reconstructions were performed in professional sumo wrestlers at our hospital. After exclusion of cases of multiple ligament knee reconstruction and patients in whom the contralateral ACL had been injured previously, 110 cases were included in this study. We investigated the number of second injuries, time from primary reconstruction to second injury, treatment method, and change in official sumo ranking after second injuries. The chi-square test, Student t test, and Fisher exact text were used for statistical analysis. Results: Among 110 wrestlers who underwent ACL reconstruction, second injuries after primary ACL reconstruction occurred in 22 cases (20.0%). Among them, 14 cases (12.7%) entailed ipsilateral reinjury, 11 (10.0%) entailed contralateral injury, and 3 involved combined rerupture and contralateral injury. As for surgical treatment, 5 revision ACL reconstructions were performed for ipsilateral reinjury (35.7%), and 7 ACL reconstructions were performed for contralateral injury (63.6%). Surgical treatment was not performed for the remaining cases. Wrestlers who were treated by revision or contralateral ACL reconstruction after the second injury were demoted in rank for 3 to 4 tournaments but overtook the nonoperative treatment group in ranking by 2 years postoperatively; all athletes initially were demoted in rank after the second injury. Conclusion: This study is the first to investigate instances of ipsilateral reinjuries and contralateral ACL injuries after ACL reconstruction in professional athletes in heavyweight combat sports. The incidences of ipsilateral reinjury and contralateral ACL injury after ACL reconstruction in professional sumo wrestlers were relatively higher than those reported in previous studies.

Anterior Cruciate Ligament Rupture Associated with Cardiomyopathy in Three Cats

1991 ◽  
Vol 4 (01) ◽  
pp. 35-37 ◽  
Author(s):  
G. O. Janssens ◽  
D. L. Janssens ◽  
L. A. A. Janssens
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Anterior Cruciate Ligament Rupture ◽  
Acl Rupture ◽  
Thoracic Radiography ◽  
Ligament Rupture ◽  
Cruciate Ligament Rupture ◽  
Previous Trauma ◽  
History Of ◽  
Anterior Cruciate

SummaryOver a period of 14 years, three cats with anterior cruciate ligament (ACL) rupture were seen in our practice. In all, the rupture had occurred without a history of previous trauma. All were treated surgically. All died within a period of 14 days. The reason of death was in all cases cardiomyopathy. We now suggest that cats with rupture of the anterior cruciate ligament undergo an electrocardiographic recording and eventually an thoracic radiography before surgery is considered. We also suggest that cats with ACL rupture should preferably be treated conservatively.

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