Anterior Cruciate Ligament Reconstruction Using Allograft

Yerys, Paul

doi:10.1097/jsa.0b013e3181595bd2

Cited by 3 publications

(3 citation statements)

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“…Subsequent research, however, has shown that periarticular control and direct ACL reattachment do not work to repair ACL injuries. [3][4][5][6][7] Today, the treatment of choice is to use autograft or allograft tissue to replace the torn ligament.…”

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confidence: 99%

“…Allografts have the advantage of being available in adequate size and length, which presents a low risk of disease transmission and allows the patient's extensor and flexor mechanisms to remain intact. 3 Graft choice is based on surgeon and patient preference, as well as the patient's age and activity level. Results of studies indicate that autografts and allografts used in ACL reconstruction have similar biomechanical properties and compare favorably with the intact ACL.…”

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confidence: 99%

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Anterior Cruciate Ligament Reconstruction of the Knee

Madick¹

2011

AORN Journal

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Anterior cruciate ligament (ACL) injuries affect more than 175,000 patients annually. Located in the center of the knee joint, the ACL is the major stabilizing ligament of the knee. If the ACL is injured, then the knee becomes unstable and can buckle when the person pivots. Surgeons can use autograft or allograft tissue to accomplish ACL reconstruction by using a single-bundle or double-bundle type of repair. The surgeon performs the reconstruction arthroscopically, using two ports and a small incision over the anteromedial surface of the tibia to facilitate passage of the graft and for distal fixation of the graft. Correct placement of the tibial and femoral tunnels is the most important technical aspect of the procedure. After reconstruction, the patient must undergo intense physical therapy starting one or two days after surgery. If diligent with physical therapy, then the patient can return to full activity as soon as four months after surgery.

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Anterior Cruciate Ligament Reconstruction of the Knee

Madick¹

2011

AORN Journal

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“…The transtibial method and the anteromedial portal method are both considered single incision techniques [121,148]. In the transtibial method ( Figure 5.8), the tibial tunnel is created through an anteromedial incision and the femoral tunnel is created through the tibial tunnel with the leg correctly positioned [149]. In 2009, 70% of orthopaedic surgeons reported using the transtibial technique [143].…”

Section: Single Bundle Reconstructionmentioning

confidence: 99%

High throughput patient-specific orthopaedic analysis

Ramme¹

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Medical imaging technologies have allowed for in vivo evaluation of the human musculoskeletal system. With advances in both medical imaging and computing, patientspecific model development of anatomic structures is becoming a reality. Threedimensional surface models are useful for patient-specific measurements and finite element studies. Orthopaedics is closely tied to engineering in the analysis of injury mechanisms, design of implantable medical devices, and potentially in the prediction of injury. However, a disconnection exists between medical imaging and orthopaedic analysis; whereby, the ability to generate three-dimensional models from an imaging dataset is difficult, which has restricted its application to large patient populations. We have compiled image processing, image segmentation, and surface generation tools in a single software package catered specifically to image-based orthopaedic analysis. We have also optimized an automated segmentation technique to allow for high-throughput bone segmentation and developed algorithms that help to automate the cumbersome process of mesh generation in finite element analysis. We apply these tools to evaluate graft placement in anterior cruciate ligament reconstruction in a multicenter study that aims to improve the patient outcomes of those that undergo this procedure.

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The Early Results of the Reconstruction of Chronic Anterior Cruciate Ligament Deficiency with Single Tunnel-Dual-Bundle Technique and Quadruple Hamstring Autograft

Akalın¹,

Baz²,

Kılıçaslan³

et al. 2016

Int. J. Orthopedics Rehabil.

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Purpose: Our study retrospectively evaluates the early results of the reconstruction of anterior cruciate ligament (ACL) defficiency by single tunnel–Dual bundle technique and quadruple autogenous hamstring tendon graft. Methods: Fourteen female and 46 male patients whom with chronic instability due to ACL deficiency were included in this study. The injury mechanism was sports related injury in 45 patients and in 15 patients the injury were other causes. All of the patients were treated with Single tunnel–Dual band technique and quadruple autogenous hamstring semitendinosus (ST) and gracilis (G) tendon graft. The patients were clinically evaluated with Lachman test, pivot-shift test, anterior drawer test, Mc Murray test, Lysholm activity scale and International Knee Documentation Comittee (IKDC) Questionaire preoperatively and postoperatively and the data were recorded. Results: The average follow-up was 34.08 months (45–26 months). Both of the menisci were intact in 22 of the patients (36.6%) and meniscal lesion were present in 38 (63.3%) patients. Two of the patients with medial meniscal lesion were sutured with meniscal repair system. Also micro-fracture was performed in 4 patients with grade 3 chondral lesion in medial femoral condyle. The preoperative mean IKDC scores of 38.3 points (range 28.7–63.9) raised to 78.1 points (range 54-98.9) postoperatively and the difference was statystically significant. Conclusion: In light of the findings of our study and related literature we can comment that the mid-term results of the reconstruction of anterior cruciate ligament (ACL) defficiency by single tunnel–Dual band technique and quadruple autogeneus hamstring tendon graft with AperFix fixation system are stisfactory.

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Anterior Cruciate Ligament Reconstruction Using Allograft

Cited by 3 publications

References 16 publications

Anterior Cruciate Ligament Reconstruction of the Knee

Anterior Cruciate Ligament Reconstruction of the Knee

High throughput patient-specific orthopaedic analysis

The Early Results of the Reconstruction of Chronic Anterior Cruciate Ligament Deficiency with Single Tunnel-Dual-Bundle Technique and Quadruple Hamstring Autograft

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