Reconstruction of acute anterior cruciate ligament injuries: a prospective, randomised study of 40 patients with 7-year follow-up

Muren, Olle; Dahlstedt, Lars; Dalén, Nils

doi:10.1007/s00402-002-0457-9

Cited by 26 publications

(22 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The full texts of both of these articles underwent critical appraisal [39, 40], and the studies resulted of good quality, even if based on small populations (40 enrolled in Muren et al.’s study and 53 in Nau et al.’s study).…”

Section: Resultsmentioning

confidence: 99%

Graft selection in arthroscopic anterior cruciate ligament reconstruction

Romanini

D’Angelo

Masi

et al. 2010

J Orthopaed Traumatol

View full text Add to dashboard Cite

BackgroundAnterior cruciate ligament (ACL) surgical reconstruction is performed with the use of an autogenic, allogenic or synthetic graft. The document issued by the Italian National Guidelines System (SNLG, Sistema Nazionale Linee Guida) at the National Institute of Health aims to guide orthopaedic surgeons in selecting the optimal graft for ACL reconstruction using an evidence-based approach.Materials and methodsA monodisciplinary panel was formed to define a restricted number of clinical questions, develop specific search strategies and critically appraise the literature using the grading of recommendations assessment, development, and evaluation (GRADE) method. The final draft was shared by the panel and then sent to four external referees to assess its readability and clarity, its clinical relevance and the feasibility of recommendations.ResultsAutograft shows moderate superiority compared with allograft, in relation to the relevant outcomes and the quality of selected evidence, after an appropriate risk–benefit assessment. Allograft shows higher failure rate and higher risk of infection. The panel recommends use of autografts; patellar tendon should be the first choice, due to its higher stability, while use of hamstring is indicated for subjects for whom knee pain can represent a particular problem (e.g., some categories of workers).ConclusionsAutograft shows better performance compared with allograft and no significant heterogeneity in relation to relevant outcomes. The GRADE method allowed collation of all the information needed to draw up the recommendations, and to highlight the core points for discussion.

show abstract

Section: Resultsmentioning

confidence: 99%

Graft selection in arthroscopic anterior cruciate ligament reconstruction

Romanini

D’Angelo

Masi

et al. 2010

J Orthopaed Traumatol

View full text Add to dashboard Cite

show abstract

“…Enhancement of the graft with, for example, a Kennedy LAD does not increase stability, diminish ruptures, or improve function, but it does lead to more side effects (swelling, infection, and need for revision) (Grontvedt et al 1995, Drogset and Grontvedt 2002, Muren et al 2003). …”

Section: Questions Addressed In the Guidelinementioning

confidence: 99%

“…Use of a synthetic graft (Leeds-Keio, Gore-Tex) leads to more instability, more ruptures, more pain, and lower activity scores (Engebretsen et al 1989, Engstrom et al 1993, Grontvedt et al 1995, 1996, Drogset and Grontvedt 2002, Muren et al 2003). …”

Section: Questions Addressed In the Guidelinementioning

confidence: 99%

Guideline on anterior cruciate ligament injury

Meuffels¹,

Poldervaart²,

Diercks³

et al. 2012

Acta Orthopaedica

View full text Add to dashboard Cite

The Dutch Orthopaedic Association has a long tradition of development of practical clinical guidelines. Here we present the recommendations from the multidisciplinary clinical guideline working group for anterior cruciate ligament injury.The following 8 clinical questions were formulated by a steering group of the Dutch Orthopaedic Association.What is the role of physical examination and additional diagnostic tools?Which patient-related outcome measures should be used?What are the relevant parameters that influence the indication for an ACL reconstruction?Which findings or complaints are predictive of a bad result of an ACL injury treatment?What is the optimal timing for surgery for an ACL injury?What is the outcome of different conservative treatment modalities?Which kind of graft gives the best result in an ACL reconstruction?What is the optimal postoperative treatment concerning rehabilitation, resumption of sports, and physiotherapy?These 8 questions were answered and recommendations were made, using the “Appraisal of Guidelines for Research and Evaluation” instrument. This instrument seeks to improve the quality and effectiveness of clinical practical guidelines by establishing a shared framework to develop, report, and assess. The steering group has also developed 7 internal indicators to aid in measuring and enhancing the quality of the treatment of patients with an ACL injury, for use in a hospital or practice.

show abstract

“…However, after trials in clinics for 20 years, most of these prostheses were no longer used because of high complication and failure rates. 6 , 7 , 8 , 9 , 10 Nevertheless, some artificial ligaments survived and were still accessible in clinics, such as the ligament augmentation reinforcement system (LARS) and the Leeds–Keio ligaments. 11 , 12 Recently, novel types of artificial ligaments (brand “Neoligaments”) were also introduced in clinics, including artificial tendons and ligaments of knee, shoulder, and ankle joint.…”

Section: Introductionmentioning

confidence: 99%

Status and headway of the clinical application of artificial ligaments

Chen

Jiang

Chen

2015

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

View full text Add to dashboard Cite

The authors first reviewed the history of clinical application of artificial ligaments. Then, the status of clinical application of artificial ligaments was detailed. Some artificial ligaments possessed comparable efficacy to, and fewer postoperative complications than, allografts and autografts in ligament reconstruction, especially for the anterior cruciate ligament. At the end, the authors focused on the development of two types of artificial ligaments: polyethylene glycol terephthalate artificial ligaments and tissue-engineered ligaments. In conclusion, owing to the advancements in surgical techniques, materials processing, and weaving methods, clinical application of some artificial ligaments so far has demonstrated good outcomes and will become a trend in the future.

show abstract

Reconstruction of acute anterior cruciate ligament injuries: a prospective, randomised study of 40 patients with 7-year follow-up

Cited by 26 publications

References 1 publication

Graft selection in arthroscopic anterior cruciate ligament reconstruction

Graft selection in arthroscopic anterior cruciate ligament reconstruction

Guideline on anterior cruciate ligament injury

Status and headway of the clinical application of artificial ligaments

Contact Info

Product

Resources

About