Anterior Cruciate Ligament Injuries

Siegel, Leon; Vandenakker-Albanese, Carol; Siegel, David B.

doi:10.1097/jsm.0b013e3182580cd0

Cited by 180 publications

(109 citation statements)

References 64 publications

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“…Anterior cruciate ligament (ACL) ruptures represent a common musculoskeletal injury related to sport activity with estimated 200,000 new cases per year in the United States [1,2].…”

Section: Introductionmentioning

confidence: 99%

Temperature-controlled continuous cold flow device versus traditional icing regimen following anterior cruciate ligament reconstruction: a prospective randomized comparative trial

Ruffilli

Buda

Castagnini

et al. 2015

Arch Orthop Trauma Surg

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“…Anterior cruciate ligament (ACL) ruptures represent a common musculoskeletal injury related to sport activity with estimated 200,000 new cases per year in the United States [1,2].…”

Section: Introductionmentioning

confidence: 99%

Temperature-controlled continuous cold flow device versus traditional icing regimen following anterior cruciate ligament reconstruction: a prospective randomized comparative trial

Ruffilli

Buda

Castagnini

et al. 2015

Arch Orthop Trauma Surg

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“…The anterior cruciate ligament (ACL) is an important stabilizer of the knee, limiting anterior translation and rotation of the tibia [1]. Stability of the ACL is created by two major bundles of the ligament, the anteromedial bundle and posterolateral bundle.…”

Section: Introductionmentioning

confidence: 99%

“…soccer, basketball, etc.) [1, 6]. Reconstruction typically involves removing a portion of the patient’s patella or hamstring tendon (autograft) or using a donor cadaver tendon (allograft) as a replacement for the ACL.…”

Section: Introductionmentioning

confidence: 99%

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Symptomatic anterior cruciate ligament tears treated with percutaneous injection of autologous bone marrow concentrate and platelet products: a non-controlled registry study

Centeno

Markle

Dodson³

et al. 2018

J Transl Med

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BackgroundBone marrow concentrate (BMC) has shown promise in the treatment of several orthopedic conditions. This registry study investigated the use of autologous BMC and platelet products for percutaneous anterior cruciate ligament (ACL) treatment.MethodsTwenty-nine patients presenting to a single outpatient interventional musculoskeletal and pain practice with symptomatic grade 1, 2, or 3 ACL tears with less than 1 cm retraction were enrolled. Patients were treated with a percutaneous ACL injection of autologous BMC and platelet products using fluoroscopic guidance. Pre- and post-treatment magnetic resonance imaging analysis was completed for 23 patients using ImageJ software for an objective quantitative analysis of pixel density as a proxy for ACL integrity. Subjective clinical outcome measures collected pre-treatment and at 1, 3, 6, 12, 18, 24, and 36 months post-treatment include the Numerical Pain Scale (NPS), the Lower Extremity Functional Scale (LEFS), the International Knee Documentation Committee (IKDC) form, and a modified version of the Single Assessment Numeric Evaluation.ResultsSeventy-seven percent of patients treated with BMC injections into the ACL showed significant improvement (p < 0.01) in objective measures of ACL integrity at an average of 8.8 months (median 4.7 months). The mean of last patient-reported improvement was 72% (SD = 35) at an average of 23 (SD = 10) months post-treatment. Mean scores were found to be significantly different (p < 0.05) for the NPS at 6, 18, and 24 months, and LEFS and IKDC at all time points (i.e. 1, 3, 6, 12, 18, 24, and 36 months) relative to baseline.ConclusionIn symptomatic patients with grade 1, 2, or even grade 3 tears with minimal retraction, ACL treatment with percutaneous injection of BMC and platelet products shows promise as a non-surgical alternative. However, a larger randomized controlled trial is warranted to confirm these findings.Trial registration NCT03011398. A Clinical Registry of Orthobiologics Procedures. https://clinicaltrials.gov/ct2/show/NCT03011398?term=orthobiologics&rank=1. Registered 29 December 2016. Enrollment 1 December 2011-retrospectively registered

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“…Contact sports such as football, basketball, skiing are determined as highrisk sports and ACL injuries in these sports are more common (1). Motions that occur with cutting and pivoting, such as varus/ valgus and internal/external rotation movements at the knee, can result in rupture of the ACL (2). Conservative treatment of ACL rupture is one of the possibilities and sometimes successful, but patients, willing to return to sports and high level activities are not satisfied with conservative treatment outcomes (3).…”

Section: Introductionmentioning

confidence: 99%

Time From Injury to Surgery Impact on Recovery Results After Anterior Cruciate Ligament Reconstruction

Jurkonis

Gudas

2017

Sveikatos Mokslai

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; residual laxity. SummaryPurpose: the aim of this study is to determine do the time factor have influence on recovery results after ACL-R in line with other patient related factors. There are hypotheses as follow: 1. Early ACL-R have lower the postoperative laxity difference measured. 2. Incidence of meniscal tears and chondral degenerative changes increase in late ACL-R. Material and methods. 207 consecutive patients were analysed, who underwent reconstruction of anterior cruciate ligament between January 2014 and January 2016. Patients were divided into three groups according to the time from injury to surgery (≤3 months, 3.1 -12 months, and > 12 months to surgery). ACL-R surgery using a quadrupled hamstring strand, single-bundle autograft was performed for all patients. Follow-up examinations were performed at 3, 6 and 12 months postoperatively. At all follow-up visits laximetric measurement were performed using GNRB ® (GeNouRoB, France). A "residual laxity" of the ACL-R was defined by a differential laximetric of greater than 3 mm at 134 N (∆134 > 3 mm). Results. 207 patient evaluated, there were 53 (25.6%) men and 154 (74.4%) women with the mean age 33.21 ± 9.78 years (range 18 -55), and median is 33 years. The mean time from injury to surgery was 17.66 (35.66) months, median 4.5 months. There was a significant difference in the incidence of meniscal tears between patients treated in the early group (13 (18.3%)) and in those underwent ACL-R after TIME FROM INJURY TO SURGERY IMPACT ON RECOVERY RESULTS AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTIONRokas Jurkonis 1 , Rimtautas Gudas 12 months (25 (46.3%)), (P < 0.001). The examination of possible risk factors for medial meniscus tear revealed, that BMI (overweight) (OR=2.04; 95% CI=1.091-3.814) and time from injury to surgery (weeks) (OR=1.026; 95% CI=1.012-1.04) significantly increased possibility of medial meniscus tear. We found no significant laxity difference between postoperative testings' (3, 6 and 12 months after surgery) and the three groups, created by the time to surgery. Conclusion. The study revealed a significant difference in the incidence of meniscal tears between patients treated in the early group and in those underwent ACL-R after 12 months, which lead to significantly higher chance (every delayed week increase chance by 1.026 times and overweight (BMI ≥ 25 kg/ m 2 ) increase chance by 2.04 times) of a medial meniscal tear occurring in patients undergoing delayed reconstruction.

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Anterior Cruciate Ligament Injuries

Abstract: With a sound knowledge of the anatomy and kinetics of the knee, newer improved surgical techniques have been developed that can restore proper knee function and have allowed many athletes to resume their careers. These new techniques have also limited the disability in nonathletes.

Cited by 180 publications

References 64 publications

Temperature-controlled continuous cold flow device versus traditional icing regimen following anterior cruciate ligament reconstruction: a prospective randomized comparative trial

Temperature-controlled continuous cold flow device versus traditional icing regimen following anterior cruciate ligament reconstruction: a prospective randomized comparative trial

Symptomatic anterior cruciate ligament tears treated with percutaneous injection of autologous bone marrow concentrate and platelet products: a non-controlled registry study

Time From Injury to Surgery Impact on Recovery Results After Anterior Cruciate Ligament Reconstruction

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