Donor-site morbidity and anterior knee problems after anterior cruciate ligament reconstruction using autografts

Kartus, Jüri; Movin, Tomas; Karlsson, Jón

doi:10.1053/jars.2001.28979

Cited by 427 publications

(329 citation statements)

References 92 publications

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“…'tendinitis' and donor-site morbidity from BPTB harvesting), infrapatellar nerve injury, range-of-motion deficit (e.g. Cyclop's lesion), aggressive rehabilitation protocols and pre-existing patellofemoral cartilage injuries [3,5,8,37]. These sources of AKP are often a matter of controversy in literature.…”

Section: Discussionmentioning

confidence: 99%

“…These sources of AKP are often a matter of controversy in literature. Some authors document a higher prevalence of AKP after reconstruction with bone-patellar tendon-bone (BPTB) grafts, especially in the early post-operative period, while others record a similar long-term prevalence of AKP among BPTB and hamstring tendon autografts [8,37,38]. A recent multicentric study showed that AKP is more frequent among patients treated with BPTB grafts when compared with hamstrings, but the level and the intensity of recorded pain measured in a visual analogue scale, is higher in patients receiving a hamstrings autograft [39].…”

Section: Discussionmentioning

confidence: 99%

“…Other authors have failed to correlate AKP with previous epidemiologic studies and have recorded the same prevalence of AKP among patients of different age and sex [7]. This can be attributed to reasons other than patients' age or donor-site morbidity in the persistence of AKP [5,8].…”

Section: Introductionmentioning

confidence: 89%

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The incidence of trochlear dysplasia in anterior cruciate ligament tears

Ntagiopoulos¹,

Bonin²,

Sonnery‐Cottet

et al. 2014

International Orthopaedics (SICOT)

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Purpose The purpose of the present epidemiologic study is to record the radiographic presence of trochlear dysplasia and patella alta in patients who undergo anterior cruciate ligament (ACL) reconstruction as a potential underlying factor for postoperative anterior knee pain (AKP). Methods All consecutive cases of skeletally-mature ACLdeficient knees that would undergo ACL reconstruction in three different hospitals were prospectively included during a six-month period. Inclusion criteria were acute and subacute ACL injury with no previous ipsilateral knee operation. Patients with chronic ACL tears, prior-to-ACL-injury history of patellar instability or other PF disorders were excluded from the study. Results A total of 299 knees were included (mean age 32± ten years). Forty-four (14.7 %) knees had a positive 'crossing sign' in the lateral X-rays and 255 (85.3 %) had no sign of trochlear dysplasia (p<0.01). Among the cases with trochlear dysplasia, 41 (93 %) had type A trochlear dysplasia with the presence only of the 'crossing sign' and three (7 %) had type C trochlear dysplasia. Patellar height results included a mean Caton-Deschamps index of 1.0± 0.14 (0.5-1.4). Twenty (6.6 %) knees had an index of less than 0.8, and two (0.6 %) knees had an index less than 0.6. In contrast, 15 (5.0 %) knees had an abnormal value of more than 1.2, indicating patella alta. ConclusionsThe most important finding of the study is the increased prevalence of trochlear dysplasia and patella alta in patients with ACL injury, when compared to the incidence of trochlear dysplasia and patella alta in the general population in the literature. This finding could sound as an alert of a possible additional risk factor for post-operative anterior knee pain after ACL reconstruction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The incidence of trochlear dysplasia in anterior cruciate ligament tears

Ntagiopoulos¹,

Bonin²,

Sonnery‐Cottet

et al. 2014

International Orthopaedics (SICOT)

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“…However, for smaller corrections, it may also be sufficient to tighten or loosen the interference screw. 4. If the patient's occupation demands working on his or her knees, refilling of the patellar and tibial defects with cancellous bone is recommended.…”

Section: Technical Considerationsmentioning

confidence: 99%

“…1 Therefore a broad spectrum of techniques describing treatment options and procedures have been published. [2][3][4][5][6][7][8][9][10][11][12] Commonly used methods are based on either a hamstring graft or autograft or a bone-tendon-bone (BTB) autograft. 13 However, there is controversy regarding which technique guarantees the best outcome in terms of functionality and stability (including long-term stability) because each technique offers certain advantages and pitfalls.…”

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confidence: 99%

Enhanced Bone-Tendon-Bone Approach for Open Anterior Cruciate Ligament Replacement With Conservation of the Joint Capsule

Walter

Thomas

Tafuro

et al. 2015

Arthroscopy Techniques

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Arthroscopic procedures for ruptured anterior cruciate ligament (ACL) tears are a common standard. However, there are strong alternatives to this standard. The purpose of this study is to present a precise, fast, and minimally invasive but open procedure for reconstruction of the ruptured ACL. The torn ACL is substituted by a widely used boneepatellar tendonebone (BPTB) autograft. After the BPTB graft has been harvested, the Hoffa body is exposed and mobilized ventrally. The surgeon then has a free view of the remnants of the torn ACL, which are to be removed completely. Through the tibial and femoral footprints of the ACL, a tunnel is drilled under a direct view, thus ensuring optimal anatomic positioning of the BPTB graft. The described approach is simple in handling and advantageous because all steps are performed under a direct view, which improves overall precision and intraoperative functional control.

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Engineering the Tenogenic Niche In Vitro with Microenvironmental Tools

Ryan

Zeugolis

2019

Advanced Therapeutics

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Tendon injuries affect millions of people worldwide annually. Considering that traditional approaches (e.g., surgery, exercise, steroid injections) have failed to reinstate tendon function following injury, recent efforts have been directed toward the development of cell‐based tendon repair and regeneration therapies. However, tenocytes readily lose their phenotype in culture and implantation of naïve stem cells is often associated with ectopic bone formation. To this end, there has been a surge in efforts to engineer the optimal tenogenic niche in vitro that will either maintain the phenotype of tenocytes or direct other cell types toward tenogenic lineage. Mono‐domain biochemical (e.g., media supplements, substrate coatings, oxygen tension), biological (e.g., growth factors, co‐culture systems), or biophysical (topography, rigidity, mechanical stimulation, macromolecular crowding) cues that replicate the native tendon milieu have shown some level of success, but they have failed to provide a functional therapy. Considering the complexity of the native tissue microenvironment together with recent advances in chemistry, biology, and engineering, it is anticipated that in the years to come multifactorial approaches are likely to yield a functional cell‐based therapy for tendon repair and regeneration.

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Donor-site morbidity and anterior knee problems after anterior cruciate ligament reconstruction using autografts

Cited by 427 publications

References 92 publications

The incidence of trochlear dysplasia in anterior cruciate ligament tears

The incidence of trochlear dysplasia in anterior cruciate ligament tears

Enhanced Bone-Tendon-Bone Approach for Open Anterior Cruciate Ligament Replacement With Conservation of the Joint Capsule

Engineering the Tenogenic Niche In Vitro with Microenvironmental Tools

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