Long-Term Results of ACL Reconstruction Using a Nonanatomic Double-Bundle Technique with Extra-Articular Reinforcement J Knee Surg. 2021 May;34(6):672-678. doi: 10.1055/s-0039-1700575. Epub 2019 Dec 9. Authors J Dalla-Rosa 1. A rupture of the anterior cruciate ligament (ACL) is a common injury in amateur and professional sports. ACL deficiency is characterized by severe difficulty in athletic performance and sometimes in daily activities, such that restabilization is generally accepted and requested. 7,27,35,50 Meniscectomy, cartilage lesions, or a prolonged interval from injury to reconstruction are important. Long term results, ACL reconstruction 1. Introduction Ligamentous injury of knee joint is common and potentially serious . The anterior cruciate ligament (ACL) is the weaker of the two cruciate ligaments, and therefore gets torn easier than sterior cruciate ligament (PCL) . The knee joint becomes very unstable when the ACL Twelve years after ACL reconstruction, both groups had significantly higher KOOS scores in function in sports and recreational activities (p < 0.001) and knee-related quality of life (p < 0.001) compared to before surgical treatment Long-term results of a randomized study on anterior cruciate ligament reconstruction with or without a synthetic degradable augmentation device to support the autograft. Peterson L(1), Eklund U, Engström B, Forssblad M, Saartok T, Valentin A
. A meniscal lesion at the time of ACL tear was highly predictive for less favourable outcome. PMID: 22488015 [Indexed for MEDLINE] MeSH terms. Adult; Anterior Cruciate Ligament Reconstruction/methods* Arthrometry. Challenging cases of ACL tears with large chondral defects treated with concurrent ACL reconstruction and ACI can lead to moderately improved pain and function at long-term follow-up. Factors associated with clinical failure are not clear
At longer than 10 years' clinical follow-up, the reported ACL graft rupture rate was 6.2% (173 of 2,782) (range, 0% to 13.4%) and clinical failure occurred in approximately 10.3% (158 of 1,532) (range, 1.9% to 25.6%). The overall cumulative ACL failure rate was 11.9% (range, 3.2% to 27%) The double-bundle (DB) techniques are considered to yield better stability of the knee compared with single-bundle (SB) for anterior cruciate ligament (ACL) reconstruction. However, most studies followed up patients in short to middle-term within 5 years, and the longer-term efficacy of SB and DB ACL reconstruction is still beyond consensus Background:Cartilage injury associated with anterior cruciate ligament (ACL) ruptures is common; however, relatively few reports exist on concurrent cartilage repair with ACL reconstruction. Autolo.. Hettrich CM, Dunn WR, Reinke EK, MOON Group, Spindler KP. The rate of subsequent surgery and predictors after anterior cruciate ligament reconstruction. Am J of Sports Med. 2013; 41(7):1534-1540. DOI: 10.1177/0363546513490277.PMID: 23722056 ACL Tears: MRI Reveals Long-Term Osteoarthritis Impact. A 2012 HSS study used MRI to show that reconstructing the anterior cruciate ligament (ACL) after an ACL tear protects patients from developing osteoarthritis. In addition, the study showed that people with a torn ACL tear sustain damage to the surrounding cartilage, which worsens over time
Purpose: To evaluate the mid-to long-term results of a randomized controlled trial of single-bundle (SB) versus double-bundle (DB) anterior cruciate ligament (ACL) reconstruction using a semitendinosus tendon. Methods: Seventy-eight patients who underwent primary ACL reconstruction with an autologous semitendinosus tendon were prospectively randomized into 2 groups: SB reconstruction (n = 39. Long-term success of ACL reconstruction is connected to way you move post-surgery Study helps shed light on why so many ACL patients end up with osteoarthritis in knee Date: September 18, 2018 Source Even so, long-term evaluations of these techniques have shown good results [ 1, 11, 15, 31 ]. The current study evaluates the long-term outcome after ACL reconstruction ad modum Howell using hamstrings autograft, the 70° tibial guide and transtibial drilling of the femoral tunnel
Background:There is no consensus in the current literature on which surgical options render the best long-term results after anterior cruciate ligament (ACL) reconstruction in terms of clinical out.. We performed this study to analyze the long-term results of patients undergoing ACL reconstruction using a nonanatomic double-bundle technique with an additional extra-articular augmentation. All the cases that underwent an ACL reconstruction using a nonanatomic double-bundle technique with an extra-articular reinforcement during the period.
Long-Term Results of Anterior Cruciate Ligament Reconstruction Using Hamstring Grafts and the Outside-In Technique: A Comparison Between 5- and 15-Year Follow-up. Ponzo A, Monaco E, Basiglini L, Iorio R, Caperna L, Drogo P, Conteduca F, Ferretti A. Orthop J Sports Med, 6(8):2325967118792263, 30 Aug 201 Kornblatt I. , Warren RF, Wickiewicz TL Long-term followup of anterior cruciate ligament reconstruction using the quadriceps tendon substitution for chronic anterior cruciate ligament insufficiency. Am J Sports Med 16 444 -448, 198
Anterior cruciate ligament (ACL) ruptures are among the most common orthopaedic injuries, especially in young active patients, with approximately 30 to 40 reconstructions performed per 100,000 people. 10 The incidence of ACL reconstruction (ACLR) is increasing as more people participate in sports while at the same time surgical techniques advance. 11. KNEE Long-term results after reconstruction of the ACL with hamstrings autograft and transtibial femoral drilling Eivind Inderhaug • Torbjørn Strand • Cornelia Fischer-Bredenbeck • Eirik. Risberg MA, & Holm I (2009). The long-term effect of 2 postoperative rehabilitation programs after anterior cruciate ligament reconstruction: a randomized controlled clinical trial with 2 years of follow-up. The American journal of sports medicine, 37 (10), 1958-66 PMID: 1955647
Long Term Effects after ACL Surgery. If you had an anterior cruciate ligament (ACL) reconstruction 20 years ago, your leg would have been immobilized for six weeks or more after surgery. Today patients begin moving the knee and putting weight on the leg right away The aim of this study is to investigate clinical and radiological results at long-term follow up after ACL reconstruction using hamstring tendons autograft (Group HT), hamstrings autograft with extra-articular reconstruction (Group HT-ER), and bone patellar tendon bone autograft (Group BPTB). Methods Long Term Effects Of ACL Surgery. Most of the athletes who have had the procedure done returned to near normal activities in a year or two following the procedure. Up to 10 or 15 years following surgery, some patients have reported some degree or pain and stiffness. Osteoarthritis is also a big concern and it can develop years after surgery . Acta Orthop Traumatol Turc . 2019; 53 : 92 - 9 Intuitively, the use of autograft for the reconstruction of a torn ACL remains the ideal option, with reliable long-term results. However, donor-site morbidity remains a drawback. The use of allograft leads to discussion of the risk of possible disease transmission, increased number of failures, increased costs, and delayed incorporation of the.
The lateral substitution reconstruction operation described by MacIntosh has been evaluated in 27 patients with chronic anterior cruciate ligament deficiency of the knee. The results, at an average of 11.3 years after operation, have been assessed by a scoring system which allocates a maximum of 25 points each for function and for clinical. Original Article Long term results of bone-patella-tendon-bone ACL reconstruction Max Ettingera, Friedel Etterb, Tilman Calliessa, Michael Bohnsackb, Christoph Becherc,* aDepartment of Orthopaedic Surgery, Hannover Medical School, Hannover, Germany b Department Orthopaedic and Trauma Surgery, DIAKO, Bremen, Germany c International Center of Hip-, Knee- and Foot Surgery, ATOS Clinic, Heidelberg. Yamaguchi S, Sasho T, Tsuchiya A, Wada Y, Moriya H (2006) Long term results of anterior cruciate ligament reconstruction with iliotibial tract: 6-, 13-, and 24-year longitudinal follow-up. Knee Surg Sports Traumatol Arthrosc 14:1094-1100. PubMed Article Google Scholar 40 Long-term results of anterior cruciate ligament reconstruction: a comparison with non-operative treatment with a follow-up of 17-20 years By Tomislav Madjarevic and Radovan Mihelić Download pd Double-bundle ACL reconstruction is a new procedure, and as is the case with any new procedure, the long-term results are not well understood. It is possible that this procedure will be an improvement on the standard single-bundle ACL reconstructions, but it is also possible that these patients may have the same, or even worse, long-term results
Long-term outcomes of medial CMI implant versus partial medial meniscectomy in patients with concomitant ACL reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 2014. Stefano Zaffagnini. Arthroscopic collagen meniscus implant results at 6 to 8 years follow up Long-Term Results of Meniscus Allograft Transplantation with Concurrent ACL Reconstruction. Abstract & Commentary. Synopsis: There is a slight deterioration in the clinical performance of meniscus allograft transplantation with concomitant ACL reconstruction at long-term follow-up. Source: Wirth CJ, et al. Long-term results of meniscal allograft transplantation Read Long-term results of anterior cruciate ligament reconstruction: a comparison with non-operative treatment with a follow-up of 17-20years, International Orthopaedics on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips
A long-term follow-up of patients with ACL ruptures treated with an endoscopic reconstruction using patellar tendon autograft shows good patient-reported outcomes and range of motion. However, 70%. Long-term results of anterior cruciate ligament reconstruction using bone-patellar tendon-bone: An analysis of the factors affecting the development of osteoarthritis. Jin Hwan Ahn, Jae Gyoon Kim, Joon Ho Wang, Chul Hee Jung, Hong Chul Lim Long-term results of a randomized study on anterior cruciate ligament reconstruction with or without a synthetic degradable augmentation device to support the autograft. Knee Surgery, Sports Traumatology, Arthroscopy PMID: 2399606 It is different than the more common ACL reconstruction surgery. In ACL reconstruction, the torn and damaged ACL is completely removed from the knee and replaced with a tendon graft taken from the patient or a cadaver. ACL repair was first performed back in the 1970's and the results were poor ACL reconstruction and risk of knee OA, part 2. This two-part series examines the link between ACL injury and the later development of osteoarthritis (OA) and how surgery may strengthen or weaken that link. This second installment explores meniscal damage, proprioception, and what MRI can add to the discussion
Normal knee range of motion cited as predictor for better subjective and objective ACL reconstruction results in long-term study ADD TOPIC TO EMAIL ALERTS Receive an email when new articles are. The aim of this study is to evaluate results of anterior cruciate ligament reconstruction (ACL) using an All-Inside Full Thickness Quadriceps Reconstruction technique at 5 years follow up. This is a Retrospective cohort study of patients undergoing ACL reconstruction. Inclusion criteria for this report were isolated primary ACL reconstructions without chondral lesions (Grade III/IV Outerbridge. The results of ACL reconstruction deteriorate with time for both Gore-Tex and Dacron permanent prostheses. Permanent ACL prostheses that do not induce supportive tissue ingrowth will likely fail in the long-term, due to synovitis, effusions, arthritis, or mechanical deterioration of the prosthesis ACL reconstruction should be completed before further damage to meniscus or articular cartilage results from instability episodes. The long-term outcome clearly is related to the status of the meniscus and articular surface at the time of the initial ACL reconstruction. Gender Issues in ACL Injury Introductio
The functional results of ACL reconstruction are predictably excellent and the overwhelming majority of patients are able to get back to the same or higher degree of athletic activity without pain or instability. Timing of Surgical Intervention . Reconstruction of the ACL is not an emergency Background:There is no consensus in the current literature on which surgical options render the best long-term results after anterior cruciate ligament (ACL) reconstruction in terms of clinical out.. PURPOSE To evaluate the mid-to long-term results of a randomized controlled trial of single-bundle (SB) versus double-bundle (DB) anterior cruciate ligament (ACL) reconstruction using a semitendinosus tendon. METHODS Seventy-eight patients who underwent primary ACL reconstruction with an autologous semitendinosus tendon were prospectively randomized into 2 groups: SB reconstruction (n = 39. A promising methodology that has emerged from Dr. Martha Murray's team at Boston Children's Hospital is the bridge-enhanced ACL repair (BEAR) procedure. This technique uses tissue engineering to regenerate and bridge together the severed ends of the ACL rather than constructing a new ligament
Results For all participants (n=118), graft/contralateral ACL rupture, non-ACL surgery and worse baseline 36-item Short-Form Mental Component Scores were associated with worse outcomes. Treatment with exercise therapy alone was a prognostic factor for less knee symptoms compared with early reconstruction plus exercise therapy (regression coefficient 10.1, 95% CI 2.3 to 17.9) ↑ 14.0 14.1 14.2 Parchi PD, Ciapini G, Paglialunga C, Giuntoli M, Picece C, Chiellini F, et al. Anterior cruciate ligament reconstruction with LARS artificial ligament—clinical results after a long-term follow-up. Joints [Internet]. 2018 Jun 1 [cited 2020 Sep 12];6(2):75-9
Results Of Anterior Cruciate Ligament Reconstruction With Contralateral Patellar Tendon Autograft K. Don Shelbourne. 07:42 ‐ 07:49 Two‐Stage Revision Anterior Cruciate Ligament Reconstruction Is Rarely Required: Experience With 92 Cases (41 Elite Athletes), Using An Algorithm For Decision‐Making. Long‐Term Results Of. over time at 5, 7, and 13 years after ACL reconstruction. This is the first longitudinal study to report the results of ACL reconstruction with patellar tendon autograft and single-incision endoscopic technique beyond 10 years. We assessed the long-term outcome and changes over time in a series of 67 patients with a minimum 13-year follow-u The published results of ACL re-construction using QTPB anchored using a press-fit technique with 1-year follow-up show promising re-sults [17, 18]. The long-term outcome of this tech-nique needs further evaluation. The objective of this study was therefore to examine the clinical results with a long term follow-up after ACL reconstruction The patients were part of a study assessing the long-term results of ACL reconstruction (13-15). However, five patients were unable to complete the MR examination and did not take part in the study The study involved people who had ACL reconstruction in one knee between 2002 and 2004. smoking or having a history of other knee surgery negatively influenced the long-term outcomes of ACL.
ACL reconstruction rehabilitation program, however there is little consensus regarding the optimal components of a program inconclusive for long term results 14.Different techniques include arthroscopic vs open surgery, intra vs extra-articular reconstruction, femoral tunnel placement, number of graft. long-term results (minimum follow-up, more than ten years) after operative intra-articular reconstruction of ACL injuries and after nonoperative management was performed to compare (1) knee stability on physical examination, (2) functional and patient-based outcomes, (3) the need for further surgical intervention, and (4) radiographic outcomes. After application of selection criteria, forty. RETURN TO SPORT AFTER ACL INJURY. For athletes who wish to return to pivoting sports, the typical advice is an ACL reconstruction after 4-8 weeks when full range of motion is established and there is no joint swelling. 1- 3 The purpose of an ACL reconstruction is to give the athlete a mechanically stable knee and to reduce the risk of subsequent injury to the menisci and cartilage by.
Mihelic R, Jurdana H, Jotanovic Z, Madjarevic T, Tudor A. Long-term results of anterior cruciate ligament reconstruction: a comparison with non-operative treatment with a follow-up of 17-20 years. Int Orthop. 2011;35:1093-1097 ACL Injury • Common injury in sports involving cutting, pivoting, and jumping • Return to most sports not advised without reconstruction. Instability will cause further injury. • >120,000 ACL reconstructions done each year in US A retrospective study of the midterm outcome of two-bundle anterior cruciate ligament reconstruction using quadrupled semitendinosus tendon in comparison with one-bundle reconstruction. ACL Surgery. ACL surgery is a repair or reconstruction of the anterior cruciate ligament (ACL). The ACL is an important soft-tissue structure in the knee that connects the femur to the tibia. A partially or completely torn ACL is a common injury among athletes. Complete ACL tears are usually treated by sports medicine physicians and orthopedic. Anterior cruciate ligament reconstruction in the immature athlete: long-term results of intra-articular reconstruction. Am J Knee Surg 2001 ; 14 : 232 - 7 . OpenUrl PubMe
The long-term outcome of this technique needs further evaluation. The objective of this study was therefore to examine the clinical results with a long term follow-up after ACL reconstruction with the QTPB autograft both ligaments.15 In addition, long-term results show excellent stability and functional outcome in individuals treated conservatively.15 Less clear is whether early ACL reconstruction or late ACL reconstruction offers superior long-term outcomes. Animal studies have revealed that MCL healing is adversely affected by ACL insufficiency.18 In a.
By tracking our outcomes after ACL reconstruction for more than 25 years, we have identified the factors associated with a successful long-term result. 1,2 Based on this information, we have made modifications to our perioperative rehabilitation program in an effort to improve the long-term outcomes of the procedure and allow for a faster. Results Between May 2011 and April 2016, 167 patients were enrolled in the study and randomised to one of two treatments (mean age 31.3; 67 (40.%) women), and 163 (98%) completed the trial. In the rehabilitation and optional delayed ACL reconstruction group, 41 (50%) patients underwent reconstruction during follow-up. After 24 months, the early ACL reconstruction group had a significantly. As extensive independent research points out, the long-term results of initial ACL reconstruction demonstrate that untreated joint instability remains. After an examination, we recommend patients consider comprehensive Prolotherapy to treat the whole knee complex to help prevent the need for secondary surgery and to accelerate ACL. KEYWORDS: anterior cruciate ligament reconstruction, knee kinematics, computer-assisted surgery INTRODUCTION ACL reconstruction is performed on 150,000 to 200,000 patients in the US yearly, a number that has been steadily growing for the past 25 years.1 Despite this popularity, the long-term outcome has been surprisingly disappointin
Background: Anterior cruciate ligament reconstruction (ACL) is one of the most common orthopedic procedures performed worldwide. Many studies have reported results of single- and double-bundle ACL reconstruction with regard to long-term follow-up; however, few have examined the outcomes of the early postoperative period 4. Mannel H, Marin F, Claes L, Durselen L. Anterior cruciate ligament rupture translates the axes of motion within the knee. Clin Biomech 2004;19(2):130-135. 5. Mayr HO, Hochrein A, Hein W, et al. Rehabilitation results following anterior cruciate ligament reconstruction using a hard brace compared to a fluid-filled soft brace ACL reconstruction utilizing a quad tendon is performed by ACL doctor Dr. Cunningham on an out-patient basis and does not require an overnight stay. General anesthesia as well as a nerve block will be administered by the anesthesiologist. Arthroscopic portals are placed about the knee. The knee is thoroughly evaluated In this group, the follow-up is 68%.In conclusion, ACL reconstruction results in satisfactory long-term clinical results in a large number of patients. Two risk factors for osteoarthritis of the medial compartment have been identified: cartilage lesions and total medial meniscectomies.Figure 1 .1Intra-articular bone-patellar tendon-bone graft
The AAOS reports that about 82 to 90 percent of ACL reconstruction surgeries yield excellent results and full knee stability. After ACL Reconstruction Rehabilitation is key to the success of ACL. Effects of meniscal and articular surface status on knee stability, function, and symptoms after anterior cruciate ligament reconstruction: a long-term prospective study. Am J Sports Med 2002; 30:845-850. 29. Drogset JO, Grøntvedt T. Anterior cruciate ligament reconstruction with and without a ligament augmentation device results at 8-year. Keywords Anterior cruciate ligament ! Functional brace ! Deﬁciency ! Reconstruction Introduction In the USA, there are approximately 200,000 anterior cruciate ligament (ACL) injuries per year . Over half of these injuries undergo ACL reconstruction, which results in close to 100,000 ACL reconstructions annually or 32 per 100,000 citizens. In 1983, Noyes and associates 133 first published recommendations for immediate knee motion after ACL B-PT-B autograft reconstruction after a successful 4-year experience with this program. Advances in knee ligament reconstructive and fixation techniques allowed the controlled movement of the knee from 0° to 90° and did not disrupt the healing graft Quadriceps and hamstring tendon autografts in ACL reconstruction yield comparably good results in a prospective, randomized controlled trial. Outcomes of anatomic anterior cruciate ligament reconstruction: bone-quadriceps tendon Central quadriceps tendon for anterior cruciate ligament reconstruction: long-term results (SS-33.
To the best of our knowledge there is no study that evaluates the mid- to long-term results regarding return to sports after ACL reconstruction in Indian sports persons. The purpose of this study was to analyze the functional outcome in competitive level sports persons at 5 years after ACL reconstruction A new report in NeuroImage: Clinical was the first to document brain changes in people who underwent ACL reconstruction. The study finds a knee injury affects brain structure and can have negative. The anatomical results were and the quality of these results encouraged us to con- completely satisfactory (knees nearly normal) in 72.9% of tinue; since then, we have performed more than 800 ACL cases, and the radiological results showed normal knees in ligamentoplasties using the reinforced Macintosh technique. 58.9% of cases Purpose: to evaluate long-term results of meniscal repair during arthroscopic ACL reconstruction. Materials and methods: 45 patients who underwent meniscal repair during arthroscopic ACL reconstruction between 2007 and 2013 by the same surgeon were included in the study. In total, fifty meniscus were repaired (26 medial and 24 lateral) ACL rehabilitation has undergone considerable changes over the past decade. Intensive research into the biomechanics of the injured and the operated knee have led to a movement away from the techniques of the early 1980's characterized by post operative casting, delayed weight bearing and limitation of ROM, to the current early rehabilitation program with immediate training of ROM and weight. As an ACL Doctor, I favor reconstruction using an autograft-tissue graft harvested from the patient (rather using allograft-cadaveric tissue). I believe that obtaining the graft from the patient results in a better reconstruction with superior long term results and lower ACL re-injury rates