Epidemiology of Anterior Cruciate Ligament Reconstruction

Lyman, Stephen; Koulouvaris, Panagiotis; Sherman, Seth L.; Do, Huong; Mandl, Lisa A.; Marx, Robert G.

doi:10.2106/jbjs.h.00539

Cited by 417 publications

(210 citation statements)

References 29 publications

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“…This could suggest that we are underestimating wound complication rates, or simply that patients are presenting other complications that our analysis is unable to capture. Lyman et al [1] also found that low volume units had significantly higher readmission rates. We found no such association with any of the complications investigated in this study.…”

Section: Discussionmentioning

confidence: 95%

“…This can range from superficial surgical site infection and minor wound complications to septic arthritis of the knee with devastating consequences. Lyman et al [1] looked at complications post surgery and quoted a readmission rate within 90 days of 2.3%. Our 30-day readmission rate was 1.4%.…”

Section: Discussionmentioning

confidence: 99%

“…Annually, around 100,000 primary anterior cruciate ligament (ACL) reconstructions are performed in the US, with this number increasing [1]. Accurate figures for the frequency of such procedures in English practice do not exist, and there remains little information on the epidemiology of post-operative complications.…”

Section: Introductionmentioning

confidence: 99%

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Complications following anterior cruciate ligament reconstruction in the English NHS

Jameson

Dowen²,

James³

et al. 2012

The Knee

122

111

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Unlike the English National Joint Registry (NJR) for arthroplasty, no surgeon driven national database currently exists for ligament surgery in England. Therefore information on outcome and adverse events following anterior cruciate ligament (ACL) surgery is limited to case series. This restricts the ability to make formal recommendations upon surgical care. Prospectively collected data, which is routinely collected on every NHS patient admitted to hospital in England, was analysed to determine national rates of 90-day symptomatic deep venous thrombosis (DVT), pulmonary thromboembolism (PTE) rate, 30-day wound infection and readmission rates following primary ACL reconstruction between March 2008 and February 2010 (13,941 operations, annual incidence 13.5 per 100,000 English population). 90-day DVT and PTE rates were 0.30% (42) and 0.18% (25) respectively. There were no in-hospital deaths. 0.75% (104) of the consecutive patient cohort had a wound complication recorded. 0.25% (35) underwent a further procedure to wash out the infected knee joint and 1.36% (190) were readmitted to an orthopaedic ward within 30 days. This is the first national comprehensive study of the incidence of significant complications following ACL surgery in England. This should allow meaningful interpretation of future baseline data supporting the development of a national ligament registry.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Complications following anterior cruciate ligament reconstruction in the English NHS

Jameson

Dowen²,

James³

et al. 2012

The Knee

122

111

View full text Add to dashboard Cite

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“…Несмотря на то, что артроскопическая пластика ПКС является одной из самых распространен-ных ортопедических операций [6], на сегодняш-ний день нет единых критериев оценки состоя-ния трансплантата. По литературным данным, частота неправильной установки трансплантата при пластике ПКС составляет 37,3%, что приво-дит к неудовлетворительным результатам опе-рации у 27,8% пациентов [7]. Успешная рекон-струкция ПКС требует понимания нескольких факторов: анатомического размещения транс-плантата, механических свойств выбранного трансплантата, а также биологических процес-сов, происходящих во время перестройки транс-плантата.…”

Section: Introductionunclassified

Graft Ligamentization of Anterior Cruciate Ligament

Akhpashev¹,

Dzhambinova²,

Zvezdkina³

et al. 2016

Journal of Clinical Practice

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В статье представлен анализ результатов хирургического лечения 71 пациента, прооперированных по поводу разрыва передней крестообразной связки (ПКС) в отделении травматологии и ортопедии Федерального научно-клинического центра ФМБА России с 2013 по 2016 г. Всем пациентам была выполнена первичная артроскопическая пластика ПКС аутотрансплантатом из сухожилий нежной и полусухожильной мышц. Мы оценивали состояние оперированного коленного сустава по данным МРТ через 3 -6 -12 -24 месяца после операции. На основании критериев МР-исследований были сделаны выводы, что неоднородное диффузное изменение МР-сигнала от трансплантата на Т2, PD FS может прослеживаться в первые 2 года после операции, отражая процесс лигаментизации. В первые 3 месяца мы также наблюдали увеличение диаметра трансплантата, которое в дальнейшем регрессировало. Процесс лигаментизации заканчивается в течение 2 лет после операции, в результате чего МР-сигнал от трансплантата должен быть схожим с нативной ПКС.Êëþ÷åâûå ñëîâà: передняя крестообразная связка, лигаментизация, трансплантат, МРТ. GRAFT LIGAMENTIZATION OF ANTERIOR CRUCIATE LIGAMENTAkhpashev A.A., Dzhambinova E.A., Zvezdkina E.A., Kanaev A.S., Tkalin A.N.The article presents an analysis of surgical treatment results of 71 patients, operated on for rupture of the anterior cruciate ligament (ACL) in the department of traumatology and orthopedics FSСС FMBA of Russia in 2013-2016. All patients underwent primary arthroscopic ACL reconstruction with autograft from tendons gracilis and semitendinosus. We assessed the condition of the operated knee joint on MRI after 3 -6 -12 -24 months after surgery. Based on the criteria of MR studies, we concluded that the non-uniform diffuse change of MR signal from the graft on T2, PD FS can be traced in the first 2 years after surgery, reflecting process of ligamentization. In the first three months we also observed an increase in the diameter of the graft, which further regressed. Process of ligamentization ends within two years after the operation, whereby the signal from the MR-graft should be similar to the native ACL.

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“…More recently, a 15-year prospective study in men's professional football by Hagglund and colleagues (2016) showed that 85 % of players returned to training and 65 % of players returned to competitive play within three years following ACLR. Rehabilitation and return to sport outcome measures are widely discussed in the literature (Bradley, Klimkiewicz, Rytel, & Powell, 2002;Lyman et al, 2009) and a number of outcome measures are used in rehabilitation programs to determine the time course for when athletes can return to sport (Bauer, Feeley, Wawrzyniak, Pinkowsky, & Gallo, 2014;Myer, Paterno, Ford, Quatman, & Hewett, 2006;Webster et al, 2017). For many years, isokinetic dynamometry has been considered the gold standard measure of the strength and dynamic stability of the knee joint and is frequently used for the evaluation of the success of the rehabilitation program (Cvjetkovic et al, 2015).…”

Section: Rehabilitation and Return To Sportmentioning

confidence: 99%

ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION & THE HAMSTRINGS Implications for injury prevention & rehabilitation

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Epidemiology of Anterior Cruciate Ligament Reconstruction

Cited by 417 publications

References 29 publications

Complications following anterior cruciate ligament reconstruction in the English NHS

Complications following anterior cruciate ligament reconstruction in the English NHS

Graft Ligamentization of Anterior Cruciate Ligament

ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION & THE HAMSTRINGS Implications for injury prevention & rehabilitation

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