Incidence and Risk Factors for Graft Rupture and Contralateral Rupture After Anterior Cruciate Ligament Reconstruction

Salmon, Lucy J.; Russell, Vivianne J.; Musgrove, Tim P.; Pinczewski, Leo A.; Refshauge, Kathryn

doi:10.1016/j.arthro.2005.04.110

Cited by 437 publications

(491 citation statements)

References 37 publications

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“…Although the majority of injured athletes are able to return to preinjury competition levels after rehabilitation, their performances may be adversely affected [7]. In addition, these athletes still have a higher risk of ACL reinjury [10,13,32,33,36,37,40] and of having secondary knee disorders develop, such as osteoarthritis, chronic knee instability, and damage to menisci and chondral surfaces [10,16,24,42]. Enhanced rehabilitation techniques are needed to improve the outcome of the rehabilitation and quality of life of patients after ACL reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Effects of a Knee Extension Constraint Brace on Lower Extremity Movements after ACL Reconstruction

Stanley

Creighton

Gross

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Patients have high reinjury rates after ACL reconstruction. Small knee flexion angles and large peak posterior ground reaction forces in landing tasks increase ACL loading. Questions/purposes We determined the effects of a knee extension constraint brace on knee flexion angle, peak posterior ground reaction force, and movement speed in functional activities of patients after ACL reconstruction. Patients and Methods Six male and six female patients 3.5 to 6.5 months after ACL reconstruction participated in the study. Three-dimensional videographic and force plate data were collected while patients performed level walking, jogging, and stair descent wearing a knee extension constraint brace, wearing a nonconstraint brace, and not wearing a knee brace. Knee flexion angle at initial foot contact with the ground, peak posterior ground reaction force, and movement speed were compared across brace conditions and between genders. Results Wearing the knee extension constraint brace increased the knee flexion angle at initial foot contact for each activity when compared with the other two brace conditions. Wearing the knee extension constraint brace also decreased peak posterior ground reaction force during walking but not during jogging and stair descent. Conclusions Although the knee extension constraint brace did not consistently reduce the peak posterior ground reaction force in all functional activities, it consistently increased knee flexion angle and should reduce ACL loading as suggested by previous studies. These results suggest the knee extension constraint brace has potential as a rehabilitation tool to alter lower extremity movement patterns of patients after ACL reconstruction to address high reinjury rates. Level of Evidence Level II, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Section: Introductionmentioning

confidence: 99%

Effects of a Knee Extension Constraint Brace on Lower Extremity Movements after ACL Reconstruction

Stanley

Creighton

Gross

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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“…Failure of the ACL graft has been to be reported as high as 12 to 24% [24,25]. ACL reconstruction failure has been found to be related to patient age, sex, body mass index, time from surgery, graft size, meniscal integrity, tibial tunnel malposition and early return to sport [23,[26][27][28][29][30].…”

Section: Late Post-operative Complicationsmentioning

confidence: 99%

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of Review The goal of this paper is to review the current management and prevention of post-operative complications after anterior cruciate ligament (ACL) reconstruction. Trends in rehabilitation techniques will be presented, in addition to suggestions for interventions and expected milestones in ACL reconstruction recovery. Recent Findings ACL reconstruction protocols have evolved to more of a criterion-based progression rather than a tissuehealing time frame. Given the evolution of ACL surgical reconstruction techniques and rehabilitation protocols, the risk of post-operative complications can arise both early and late in the recovery process. This paper will discuss the role of preventative measures as it applies to the post-operative patient with ACL reconstruction. Summary Short-term complications following ACL reconstruction include infection and deficits to knee motion and strength, whereas long-term complications include secondary ACL injury to either the involved or contralateral knee and lack of ability to return to high-level sports following this procedure. Future research should continue to address the multifactorial causes of secondary ACL injury and limited ability of patients to return to high level activities.

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“…In addition it is known that 6% of reconstructions will re-rupture [9] with the same incidence in the contralateral knee. Having had two tunnels within the femur may leave larger bony voids within the lateral femoral condyle to fill during revision surgery.…”

Section: Introductionmentioning

confidence: 99%

Anatomical single bundle anterior cruciate ligament reconstruction

Carmont

Scheffler

Spalding

et al. 2011

Curr Rev Musculoskelet Med

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Incidence and Risk Factors for Graft Rupture and Contralateral Rupture After Anterior Cruciate Ligament Reconstruction

Cited by 437 publications

References 37 publications

Effects of a Knee Extension Constraint Brace on Lower Extremity Movements after ACL Reconstruction

Effects of a Knee Extension Constraint Brace on Lower Extremity Movements after ACL Reconstruction

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Anatomical single bundle anterior cruciate ligament reconstruction

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