Article
Orthopedics
Jonathan R. Manara, Lucy J. Salmon, Faisal M. Kilani, Gerardo Zelaya de Camino, Claire Monk, Keran Sundaraj, Leo A. Pinczewski, Justin P. Roe
Summary: This study assessed the rate of further ACL injury in patients who have undergone ACLR after soccer injuries in Australia. It found that younger age, male sex, and return to soccer were risk factors for further ACL injury. The study also concluded that ACLR with hamstring autograft allowed 70% of patients to return to soccer.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Orthopedics
Richard Rahardja, Hamish Love, Mark G. Clatworthy, Simon W. Young
Summary: The BTB autograft is associated with difficulty with kneeling after ACL reconstruction, but it does not result in a more painful or symptomatic knee compared with the hamstring tendon autograft.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Ryan Zarzycki, Susanne M. Morton, Charalambos C. Charalambous, Brian Pietrosimone, Glenn N. Williams, Lynn Snyder-Mackler
Summary: Persistent quadriceps dysfunction after ACLR may be linked to differential effects on intracortical facilitation between limbs, as well as an association between short-interval intracortical inhibition and quadriceps strength in the surgical limb.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2021)
Article
Orthopedics
Alberto Grassi, Marco Casali, Luca Macchiarola, Gian Andrea Lucidi, Ilaria Cucurnia, Giuseppe Filardo, Nicola Francesco Lopomo, Stefano Zaffagnini
Summary: Patients treated with an over-the-top anterior cruciate ligament reconstruction technique that preserves the hamstring attachment showed better MRI features at 4-and 18-months follow-up, particularly in terms of liquid effusion, tunnel enlargement, and signal noise quotient. The non-detached group exhibited significant improvement in MRI features at both follow-up time points.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Medicine, General & Internal
Christian Schoepp, Tobias Ohmann, Wolfgang Martin, Arthur Praetorius, Christine Seelmann, Marcel Dudda, Dirk Stengel, Jakob Hax
Summary: The study aimed to evaluate the effect of a knee brace on clinical outcomes following isolated ACL reconstruction using a hamstring tendon autograft. The results showed that there were no significant differences in clinical outcomes between the group using a knee brace and the group without a knee brace. Brace-free rehabilitation is non-inferior to a brace-based protocol for physical recovery after isolated ACL reconstruction.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Biotechnology & Applied Microbiology
Shiyi Yao, Patrick Shu Hang Yung, Pauline Po Yee Lui
Summary: ACL tear is a common injury in sports and accidents, accounting for over 50% of all knee injuries. ACL reconstruction aims to restore knee stability, but biological graft healing after ACLR faces challenges in tendon graft-to-bone tunnel healing and graft mid-substance remodeling. Strategies that are osteoinductive, angiogenic, or anti-inflammatory may drive graft healing toward the ultimate targets of mineralization of tunnel graft and ligamentization of graft mid-substance.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2021)
Article
Orthopedics
Jean-Romain Delaloye, Christoph Hartog, Samuel Blatter, Michel Schlappi, Dominic Mueller, Thorsten Schwenke, Jozef Murar, Peter P. Koch
Summary: This study compared the anteroposterior and rotational stability of the knee after ACL reconstruction using single-bundle round and ribbon-like grafts. It was found that both types of graft restored the stability of the knee, and the sectioning of the anterolateral structures did not significantly affect knee stability.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Biotechnology & Applied Microbiology
Cheng Qu, Heng Yang, Cong Wang, Chongyang Wang, Mengjie Ying, Zheyi Chen, Kai Yang, Jing Zhang, Kang Li, Dimitris Dimitriou, Tsung-Yuan Tsai, Xudong Liu
Summary: The purpose of this study was to develop and evaluate a deep learning-based method for localizing and classifying ACL ruptures on knee MR images. The results showed that the proposed model achieved high diagnostic performance in locating and classifying ACL fractures.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2022)
Article
Chemistry, Multidisciplinary
Pawel Bakowski, Kinga Ciemniewska-Gorzela, Kamilla Bakowska-Zywicka, Lukasz Stolowski, Tomasz Piontek
Summary: The study showed that there is no significant advantage to proprioceptive rehabilitation exercises following ACL reconstruction compared to traditional strengthening programs in terms of functional or proprioception outcomes in the operated limbs.
APPLIED SCIENCES-BASEL
(2021)
Article
Orthopedics
Luiz Gabriel Betoni Guglielmetti, Victor Eduardo Roman Salas, Pedro Baches Jorge, Fabricio Roberto Severino, Aires Duarte, Victor Marques de Oliveira, Ricardo de Paula Leite Cury
Summary: This study compared the outcomes of ACL reconstruction with PT versus HT autograft in soccer players and found no differences between the two groups in terms of outcomes at 2 years postoperatively, except for anterior knee pain which was more prevalent in the PT group.
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
J. Schagemann, T. Koebrich, R. Wendlandt, A. P. Schulz, J. Gille, R. Oheim
Summary: This study compared two autograft methods for ACL reconstruction and found that there were no significant differences in clinical outcomes between HS and QT grafts at follow-up, with both groups scoring excellently. Gait analysis showed no significant differences in varus-valgus angles, while surface electromyography revealed increased vastus medialis obliquus activity in the QT group.
JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY
(2021)
Review
Orthopedics
Anthony J. Zacharias, John R. Whitaker, Brandon S. Collofello, Benjamin R. Wilson, R. Zackary Unger, Mary Lloyd Ireland, Darren L. Johnson, Cale A. Jacobs
Summary: The study found that skeletally immature female patients had a significantly higher prevalence of contralateral ACL injury compared to male patients, with a higher risk of contralateral injury. Therefore, postoperative rehabilitation, gradual activity progression, and return-to-play testing need to be improved to ensure a safe return to sports after ACL reconstruction.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Richard Rahardja, Hamish Love, Mark G. Clatworthy, Andrew P. Monk, Simon W. Young
Summary: This study investigated the association between the type of tibial fixation device and the risk of revision ACL reconstruction. The findings show that using an interference screw, with or without a sheath, to fix the hamstring tendon autograft on the tibial side during primary ACL reconstruction resulted in a higher rate of revision compared to using a suspensory device.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Orthopedics
Rick W. Wright, Laura J. Huston, Amanda K. Haas, Jacquelyn S. Pennings, Christina R. Allen, Daniel E. Cooper, Thomas M. DeBerardino, Warren R. Dunn, Brett (Brick) A. Lantz, Kurt P. Spindler, Michael J. Stuart, John P. Albright, Annunziato (Ned) Amendola, Jack T. Andrish, Christopher C. Annunziata, Robert A. Arciero, Bernard R. Bach, Champ L. Baker, Arthur R. Bartolozzi, Keith M. Baumgarten, Jeffery R. Bechler, Jeffrey H. Berg, Geoffrey A. Bernas, Stephen F. Brockmeier, Robert H. Brophy, Charles A. Bush-Joseph, J. Brad Butler, John D. Campbell, James L. Carey, James E. Carpenter, Brian J. Cole, Jonathan M. Cooper, Charles L. Cox, R. Alexander Creighton, Diane L. Dahm, Tal S. David, David C. Flanigan, Robert W. Frederick, Theodore J. Ganley, Elizabeth A. Garofoli, Charles J. Gatt, Steven R. Gecha, James Robert Giffin, Sharon L. Hame, Jo A. Hannafin, Christopher D. Harner, Norman Lindsay Harris, Keith S. Hechtman, Elliott B. Hershman, Rudolf G. Hoellrich, David C. Johnson, Timothy S. Johnson, Morgan H. Jones, Christopher C. Kaeding, Ganesh V. Kamath, Thomas E. Klootwyk, Bruce A. Levy, C. Benjamin Ma, G. Peter Maiers, Robert G. Marx, Matthew J. Matava, Gregory M. Mathien, David R. McAllister, Eric C. McCarty, Robert G. McCormack, Bruce S. Miller, Carl W. Nissen, Daniel F. O'Neill, Brett D. Owens, Richard D. Parker, Mark L. Purnell, Arun J. Ramappa, Michael A. Rauh, Arthur C. Rettig, Jon K. Sekiya, Kevin G. Shea, Orrin H. Sherman, James R. Slauterbeck, Matthew V. Smith, Jeffrey T. Spang, Steven J. Svoboda, Timothy N. Taft, Joachim J. Tenuta, Edwin M. Tingstad, Armando F. Vidal, Darius G. Viskontas, Richard A. White, James S. Williams, Michelle L. Wolcott, Brian R. Wolf, James J. York
Summary: Based on a cohort study involving 1234 patients undergoing ACL revision surgery, it was found that autografts had lower rerupture rates and higher activity levels compared to allografts at the 6-year follow-up. Bone-patellar tendon-bone and soft tissue autografts performed better than bone-patellar tendon-bone allografts, highlighting the importance of graft choice in revision ACL reconstruction outcomes.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Biotechnology & Applied Microbiology
Huizhi Wang, Chaohua Fang, Mingzhu Tao, Qinyi Shi, Kaixin He, Cheng-Kung Cheng
Summary: The study found that an hourglass-shaped graft was more effective in restoring knee stability and graft force at a knee flexion angle of 30 degrees compared to columnar grafts, while also reducing the risk of notch impingement.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2022)
Article
Orthopedics
Jack Zhong, Nathan J. Lee, Ajay Padaki, Connor Crutchfield, Christopher S. Ahmad, David Trofa, Sean Lynch
Summary: This study aimed to evaluate if age is associated with the risk of short-term complications after ACL reconstruction. The results showed that older patients had higher fragility index scores, shorter operative times, and lower use of general anesthesia. Older age was an independent risk factor for VTE, while younger age was associated with prolonged surgeries.
Article
Orthopedics
Ignacio Pasqualini, Michael Mariorenzi, Alison K. Klika, Pedro J. Rullan, Chao Zhang, Trevor G. Murray, Robert M. Molloy, Nicolas S. Piuzzi
Summary: This study aimed to determine the minimal clinically important difference (MCID) and the patient acceptable symptoms state (PASS) threshold for the knee injury and osteoarthritis outcome score (KOOS) pain subscore, KOOS physical short form (PS), and KOOS joint replacement (JR) following medial unicompartmental knee arthroplasty (mUKA). The study identified useful values for the MCID and PASS thresholds at 1 year following medial UKA of KOOS pain, KOOS PS, and KOOS JR scores. These values may be used as targets for surgeons when evaluating PROMS using KOOS to determine whether patients have achieved successful outcomes after their surgical intervention.