Analysis of Modern Treatment of Patients with Injuries of the Anterior Cruciate Ligament

2020 ◽  
Vol 46 ◽  
pp. 75-83
Author(s):  
Maksim Shilyuk ◽  
Evgenii Kalinin ◽  
Timur Nasyrov ◽  
Azer Samedli ◽  
Artem Antonenko ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Surgical Treatment ◽  
Cruciate Ligament ◽  
Modern Methods ◽  
Modern Treatment ◽  
Anterior Cruciate ◽  
Conservative And Surgical Treatment ◽  
Methods Of Treatment ◽  
Modern Condition

The trauma of the anterior cruciate ligament is one of the most prevalent kinds of trauma among sportsmen. It is necessary to determine the degree of trauma of the ligament as accurately as possible which will allow appointing the optimal tactic of treatment. But nowadays there are a lot of different kinds of conservative and surgical treatment and also various complexes of rehabilitation. In this work authors introduce analysis and systematization of modern methods of treatment and rehabilitation of patients with injuries of anterior cruciate ligament with the goal to study evolution and modern condition of tactical and technological ways of rehabilitation of patients with injuries of the anterior cruciate ligament.

scholarly journals Additional Anterior Cruciate Ligament MRI Examination Protocols: a Standard of Diagnosis or a Whim of Researchers? (Review)

2020 ◽  
pp. 26-34
Author(s):  
O.O. Kostrub ◽  
V.V. Kotiuk ◽  
V.A. Podik ◽  
V.B. Mazevych ◽  
R.A. Tretiakov ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Knee Joint ◽  
Cruciate Ligament ◽  
Acl Injury ◽  
Accurate Diagnosis ◽  
Acute Period ◽  
Mri Examination ◽  
Modern Methods ◽  
Anterior Cruciate ◽  
Methods Of Treatment

Summary. Standard MRI protocols of the knee joint in case of suspected anterior cruciate ligament (ACL) injury involve tomography in three mutually perpendicular planes – coronal, sagittal, and axial. Modern methods of treatment (especially refixation of the ACL and reconstruction of separate ACL bundles) and rehabilitation require more accurate diagnosis not only of the fact of injury, but also its clear location, degree and term. It is especially difficult to assess the nature and extent of ACL damage in the acute period and in cases of partial injury. Therefore, we propose to introduce into the standard of ACL MRI examination the additional use of oblique sagittal and oblique coronal sequences (images) oriented at an angle of ACL fibers with reduced to 0-2 mm interslice interval to improve the diagnosis of ACL injury. To reduce the duration of the study, it is possible to limit yourself to a small number of slices (images) in additional projections only in the area of the ACL.

Surgical Treatment of Simultaneous Rupture of the Anterior Cruciate Ligament and the Patellar Tendon

2011 ◽  
Vol 26 (S 01) ◽  
pp. S040-S044
Author(s):  
Kyohei Chiba ◽  
Kazunori Hino ◽  
Seiji Watanabe ◽  
Gotaro Yamaoka ◽  
Haruo Shirakata ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Surgical Treatment ◽  
Patellar Tendon ◽  
Cruciate Ligament ◽  
Anterior Cruciate ◽  
Simultaneous Rupture

Surgical treatment of anterior cruciate ligament injury in adults

2016 ◽  
Vol 77 (4) ◽  
pp. 227-231 ◽  
Author(s):  
Sulaiman Alazzawi ◽  
Mohamed Sukeik ◽  
Mazin Ibrahim ◽  
Fares S Haddad
Keyword(s):  
Anterior Cruciate Ligament ◽  
Surgical Treatment ◽  
Anterior Cruciate Ligament Injury ◽  
Cruciate Ligament ◽  
Ligament Injury ◽  
Anterior Cruciate

scholarly journals GAIT ANALYSIS AT PATIENTS WITH ANTERIOR CRUCIATE LIGAMENT RUPTURE BEFORE AND AFTER SURGICAL TREATMENT

2015 ◽  
Vol 6 (3) ◽  
pp. 30-38
Author(s):  
A A Akhpashev ◽  
N V Zagorodny ◽  
S N Kaurkin ◽  
D V Skvortsov
Keyword(s):  
Anterior Cruciate Ligament ◽  
Surgical Treatment ◽  
Knee Joint ◽  
Gait Analysis ◽  
Cruciate Ligament ◽  
Anterior Cruciate Ligament Rupture ◽  
Kinematics And Dynamics ◽  
Ligament Rupture ◽  
Before And After ◽  
Anterior Cruciate

The anterior cruciate ligament (ACL) is most often structures to be damaged. In this research investigated biomechanics of walking at the timing, kinematics and dynamics parameters for 34 patients which had verified rupture of ACL. The 11 patients were investigated before surgical treatment and 23 after it. Investigations of patients of the first group were made at the time of 1 week to 6 years after trauma of the knee joint (the average meaning is 18 months). The second group was investigated at the time from 1,5 month to 5,5 years (the average meaning is 13 months).At the current research we did not find any specific for rupture of ACL functional disturbances during level walking compare to normal data and healthy limp. However, we assume some tendency to increase of flection-extention movement at the damaged knee joint after surgery.This result could give us some basis for revision the term of instability, because we did not get definite symptoms at our study.

scholarly journals Evidence too weak to guide surgical treatment decisions for anterior cruciate ligament injury: a systematic review of the risk of new meniscal tears after anterior cruciate ligament injury

2020 ◽  
Vol 54 (9) ◽  
pp. 520-527 ◽  
Author(s):  
Guri Ranum Ekås ◽  
Clare L Ardern ◽  
Hege Grindem ◽  
Lars Engebretsen
Keyword(s):  
Systematic Review ◽  
Anterior Cruciate Ligament ◽  
Surgical Treatment ◽  
Anterior Cruciate Ligament Injury ◽  
Cruciate Ligament ◽  
Acl Injury ◽  
Ligament Injury ◽  
Meniscal Tears ◽  
Anterior Cruciate

ObjectiveTo investigate the risk of new meniscal tears after treatment for anterior cruciate ligament (ACL) injury, in children and adults with and without ACL reconstruction.DesignPrognosis systematic review (PROSPERO registration number CRD42016036788).MethodsWe searched Embase, Ovid Medline, Cochrane, CINAHL, SPORTDiscus, PEDro and Google Scholar from inception to 3rd May 2018. Eligible articles included patients with ACL injury (diagnosis confirmed by MRI and/or diagnostic arthroscopy), reported the number of meniscal tears at the time of ACL injury diagnosis/start of treatment and reported the number of new meniscal tears that subsequently occurred. Articles with fewer than 20 patients at follow-up, and articles limited to ACL revision surgery or multi-ligament knee injuries were excluded. Two independent reviewers screened articles, assessed eligibility, assessed risk of bias and extracted data. We judged the certainty of evidence using the Grading of Recommendations Assessment Development and Evaluation (GRADE) working group methodology.ResultsOf 75 studies included in the systematic review, 54 studies with 9624 patients and 501 new meniscal tears were appropriate for quantitative analysis. Heterogeneity precluded data pooling. The risk of new meniscal tears was 0%–21% when follow-up was <2 years, 0%–29% when follow-up was 2 to 5 years, 5%–52% when follow-up was 5 to 10 years and 4%–31% when follow-up was longer than 10 years. The proportion of studies with high risk of selection, misclassification and detection bias was 84%, 69% and 68%, respectively. Certainty of evidence was very low.ConclusionNew meniscal tears occurred in 0%–52% of patients between 4 months and 20 years (mean 4.9±4.4 years) following treatment for ACL injury. The certainty of evidence was too low to guide surgical treatment decisions. This review cannot conclude that the incidence of new meniscal tears is lower if ACL injury is treated with surgery compared with treatment with rehabilitation only.

Primary surgical treatment of anterior cruciate ligament ruptures

1990 ◽  
Vol 18 (4) ◽  
pp. 354-358 ◽  
Author(s):  
Norman Kaplan ◽  
Thomas L. Wickiewicz ◽  
Russell F. Warren
Keyword(s):  
Anterior Cruciate Ligament ◽  
Surgical Treatment ◽  
Cruciate Ligament ◽  
Anterior Cruciate
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