Article
Orthopedics
Sadesh Balasingam, Ioannis Karikis, Lars Rostgard-Christensen, Neel Desai, Mattias Ahlden, Ninni Sernert, Juri Kartus
Summary: This study compared the outcomes of anatomic double-bundle (DB) technique and anatomic single-bundle (SB) technique at 10 years after ACL reconstruction. The results showed that the DB technique was not superior to the SB technique in terms of objective and subjective measurements. Therefore, it may not be necessary to continue using the DB technique in an unselected population.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Orthopedics
Yong-Beom Park, Han-Jun Lee, Hyung-Chul Cho, Nicolas Pujol, Seong Hwan Kim
Summary: The purpose of this study was to compare the outcomes of isolated anterior cruciate ligament (ACL) reconstruction, combined lateral extraarticular tenodesis (LET), and anterolateral ligament reconstruction (ALLR) using a network meta-analysis. The results showed that ACL + ALLR had significantly better knee rotational stability and graft failure rate compared to isolated ACL reconstruction, but the clinical outcomes were uncertain after a minimum 12 months follow-up. Therefore, ACL + ALLR was considered the most preferred technique for patients with ACL injury.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2023)
Article
Orthopedics
Krzysztof Kulinski, Marcin K. Wasko, Ewa Trams, Kamila Malesa, Stanislaw Pomianowski, Rafal Kaminski
Summary: This study compared the effects of quadrupled semitendinosus tendon (ST) and doubled semitendinosus tendon and gracilis tendon (ST/G) grafts on patients undergoing anterior cruciate ligament reconstruction (ACLR) over a 4.5-year period. The results showed that female patients who underwent ACLR with a quadrupled ST graft had significantly increased anterior tibial translation, inferior functional results, and higher pain scores. However, in male patients, using either graft option for ACLR showed comparable results with no significant impact on donor site morbidity.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
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
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)
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)
Editorial Material
Orthopedics
Freddie H. Fu, Kevin J. Byrne, Brian M. Godshaw
Summary: Understanding the causes of failure in anterior cruciate ligament (ACL) reconstruction involves investigating technical, traumatic, and biologic factors. Tailoring treatment to each patient's unique factors can improve the success rate of surgery.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2021)
Article
Orthopedics
Lene Daehlin, Eivind Inderhaug, Torbjorn Strand, Anagha P. Parkar, Eirik Solheim
Summary: Studies have shown a possible association between a steep posterior tibial slope and graft failure following anterior cruciate ligament reconstruction. However, this study did not find a direct correlation between the posterior tibial slope and the likelihood of revision ACL surgery.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Review
Orthopedics
Tiago Lazzaretti Fernandes, Hugo Henrique Moreira, Renato Andrade, Sandra Umeda Sasaki, Wanderley Marques Bernardo, Andre Pedrinelli, Joao Espregueira-Mendes, Arnaldo Jose Hernandez
Summary: Conflicting results exist on the theoretical advantages of anatomic double-bundle anterior cruciate ligament (ACL) reconstruction. However, anatomic ACL reconstruction has significantly superior results over nonanatomic ACL reconstruction in terms of clinical and functional outcomes, reaffirming the anatomic technique as the gold standard choice for clinical practice.
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2021)
Review
Orthopedics
Yousif Eliya, Abdul-Rehman Qureshi, Jeffrey Kay, Kanto Nagai, Yuichi Hoshino, Darren de Sa
Summary: This study evaluated the effects of anatomical double-bundle (DB) versus single-bundle (SB) ACL reconstruction. The results showed that DB reconstruction significantly improves Tegner scores in the long-term (≥ 5 years), while SB reconstruction is more advantageous in the intermediate term. There were no clinically significant differences based on the pre-specified minimal clinically important difference. Surgeons should consider anatomical DB ACL reconstruction for long-term improvement in patient-reported outcomes.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Orthopedics
Lukas Willinger, Kiron K. Athwal, Andy Williams, Andrew A. Amis
Summary: This study established an in vitro ACL injury model that replicated clinical ACL injury evidenced by bone bruise patterns. ACL injury caused larger increases in laxity than ACL transection, likely due to damage to adjacent tissues; these differences often persisted after ACL reconstruction.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Ji Hyun Ahn, Seul Ki Lee, Ji Weon Mun, Sang Woo Kim
Summary: Patients with high-grade ALL injury identified on preoperative MRI undergoing DB ACLR had increased knee laxity, worse clinical outcomes, and higher revision rate compared to those with low-grade ALL injury.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2021)
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
Medicine, General & Internal
Lian-Xu Chen, Hong-Hong Wang
Summary: This study compared the clinical outcomes of anterior cruciate ligament reconstruction in cases with grade 2 medial collateral ligament injury, with a focus on double-bundle versus single-bundle reconstruction. The findings demonstrated that double-bundle reconstruction was superior in treating rotational instability of the knee.
Article
Orthopedics
L. Z. van Keulen, R. A. G. Hoogeslag, R. W. Brouwer, R. Huis In 't Veld, N. Verdonschot
Summary: The study suggests that in ACL reconstruction surgery, preservation of residual but biomechanically insufficient ACL tissue may result in lower rates of clinical failures and revision surgeries at 1-year and 2-year follow-ups compared to standard ACL reconstruction without preserving residual ACL tissue.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Article
Orthopedics
Bart Muller, Mohammad A. Yabroudi, Andrew Lynch, Adam J. Popchak, Chung-Liang Lai, C. Niek van Dijk, Freddie H. Fu, James J. Irrgang
Summary: Age and time from injury to surgery are factors predicting the likelihood of returning to pre-injury sports activities after primary ACL reconstruction. Patients who undergo surgery later, have a concomitant cartilage lesion, or require cartilage surgery are less likely to return to sports participation.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Article
Medicine, General & Internal
Aubrey D. Aguero, J. J. Irrgang, A. J. MacGregor, S. D. Rothenberger, J. M. Hart, J. J. Fraser
Summary: This study aimed to evaluate the impact of sex, rank, branch of service, and military occupation on the risk of ACL injury in the US military. The results showed that although the rate of ACL injury decreased among tactical athletes, it remains much higher than the general US population. Sex, rank, branch of service, and military occupation were identified as risk factors for ACL injury.
BMJ MILITARY HEALTH
(2022)
Editorial Material
Orthopedics
Balint Zsidai, Eric Narup, Eric Hamrin Senorski, Martin Lind, Tim Spalding, Volker Musahl, Kristian Samuelsson, James J. Irrgang
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)