Review
Biochemistry & Molecular Biology
Emerito Carlos Rodriguez-Merchan
Summary: Biological augmentation techniques have potential in ACL reconstruction, but clinical studies are currently lacking concrete evidence.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2021)
Article
Clinical Neurology
David A. Sherman, Jochen Baumeister, Matt S. Stock, Amanda M. Murray, David M. Bazett-Jones, Grant E. Norte
Summary: The study compared brain activity during balance between individuals with ACL reconstruction and controls. The results showed that individuals with ACL reconstruction had lower sensory and motor processing and higher motor planning demands, along with faster sway velocity. The study also found that target-based attentional focus interventions can improve motor planning and sensory activity. This study highlights the importance of sensorimotor neuroplasticity in balance deficits after ACL reconstruction.
CLINICAL NEUROPHYSIOLOGY
(2023)
Article
Orthopedics
Nicolas Pascual-Leone, Preston W. Gross, Blake C. Meza, Peter D. Fabricant
Summary: In recent years, there has been an increase in the frequency of anterior cruciate ligament (ACL) tears and reconstructions in skeletally immature patients. The surgical technique and graft selection are crucial to minimize iatrogenic physeal injury.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2022)
Review
Orthopedics
Sebastian Cardona-Ramirez, James L. Cook, Aaron M. Stoker, Richard Ma
Summary: This review provides an overview of the use of common small animal laboratory species to model ACL reconstruction, including a discussion on comparative knee anatomy, technical considerations, and laboratory evaluative methods. Small animal ACL reconstruction models, such as mice, rats, and rabbits, are important tools for studying ACL reconstruction healing and outcomes.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2022)
Article
Sport Sciences
Alexa K. Johnson, Kazandra M. Rodriguez, Adam S. Lepley, Riann M. Palmieri-Smith
Summary: This study longitudinally examined the quadriceps torque complexity in individuals who underwent ACL reconstruction after ACL injury. The results showed a decrease in quadriceps peak torque and an increase in torque complexity in the involved limb compared to the uninvolved limb. These findings suggest that ACL reconstruction not only leads to a decline in quadriceps strength, but also compromises the quality of quadriceps muscle contraction, which may contribute to impaired physical function in individuals following ACL reconstruction.
JOURNAL OF SCIENCE AND MEDICINE IN SPORT
(2023)
Article
Orthopedics
Theodore S. Wolfson, Brian Mannino, Brett D. Owens, Brian R. Waterman, Michael J. Alaia
Summary: Bone tunnel-related complications are common in revision ACLR surgeries, and issues such as tunnel positioning, enlargement, containment, and hardware interference can impact the outcomes. However, there is a lack of a systematic approach to address tunnel-related issues. This review aims to highlight the current literature and present an updated approach to evaluate and manage these complications.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Clemens Gwinner, Milan Janosec, Guido Wierer, Michael Wagner, Andreas Weiler
Summary: The study revealed a significant correlation between increased tibial slope and early and repeated graft insufficiency after ACL reconstruction, with patients having a tibial slope greater than or equal to 12 degrees having a higher risk of repeated ACL graft insufficiency.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Tsung-Yu Lin, Cheng-Chun Chung, Wei-Cheng Chen, Che-Wei Su, Hsu-Wei Fang, Yung-Chang Lu
Summary: This comprehensive analysis of complications following all-inside ACL reconstruction found that cortical button malposition was the most common but preventable complication. The use of additional operative techniques and proper perioperative management can decrease complication rates and lead to improved clinical outcomes.
INTERNATIONAL ORTHOPAEDICS
(2022)
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
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
W. P. Yau, Yat-Chi Chan
Summary: The signal intensity of the intact graft on reassessment MRI (higher SNQ and heterogeneous hyperintense graft) was associated with increased chance of subsequent graft rupture.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Neurosciences
Lan Zhou, Yihong Xu, Siya Wang, Shaobai Wang, Weidong Xu
Summary: Gait asymmetry, negative psychological factors, and quadriceps strength deficits are common after ACL reconstruction. This study investigates the impact of quadriceps strength and psychological factors on multiplanar knee kinematics. The results show that greater psychological readiness and quadriceps strength are associated with more symmetrical knee kinematics, which may aid in the recovery process and reduce the risk of reinjury and posttraumatic osteoarthritis after ACL reconstruction.
Article
Medicine, General & Internal
Marc Dauty, Vincent Crenn, Bastien Louguet, Jerome Grondin, Pierre Menu, Alban Fouasson-Chailloux
Summary: This study identified age, body mass index, knee laxity, knee strength, and passive knee alignment as risk factors for non-contact ACL injuries. Among these factors, age, passive knee extension, and weak hamstring strength were associated with a higher risk, while passive knee valgus was specifically identified as a risk factor for women. These findings suggest that hamstring strengthening exercises could be beneficial in preventing ACL injuries in young male athletes or individuals with knee laxity.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Rehabilitation
Claire Coulondre, Robin Souron, Alexandre Rambaud, Etienne Dalmais, Loic Espeit, Thomas Neri, Alban Pinaroli, Gilles Estour, Guillaume Y. Millet, Thomas Rupp, Leonard Feasson, Pascal Edouard, Thomas Lapole
Summary: This study aimed to investigate the effects of local vibration training on the recovery after anterior cruciate ligament reconstruction (ACLR). The results showed that local vibration training could improve the strength recovery of the injured leg and had a moderate effect on limb symmetry improvement.
ANNALS OF PHYSICAL AND REHABILITATION MEDICINE
(2022)
Article
Medicine, General & Internal
Sung-Sahn Lee, Il Su Kim, Tae Soo Shin, Jeounghun Lee, Dae-Hee Lee
Summary: This study aimed to identify potential factors for both femoral and tibial tunnel widening (TW) and investigate the effect of TW on postoperative outcomes after ACL reconstruction. The shallow position of the femoral tunnel was significantly correlated with femoral TW. Patients with femoral TW >= 3 mm exhibited inferior postoperative knee anterior stability.
JOURNAL OF CLINICAL MEDICINE
(2023)
