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ACL Reconstruction Procedures News
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All Recent ACL Reconstruction Procedures News |
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Update on rehabilitation following ACL reconstruction
John Nyland, Emily Brand, Brent Fisher (Source: Clinical Ophthalmology)...
POSTED 09/01/2010 at 02:16 AM --

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Effects of a Platelet Gel on Early Graft Revascularization after Anterior Cruciate Ligament Reconstruction: A Prospective, Randomized, Double-Blind, Clinical Trial
Eur Surg Res 2010;45:77âÂÂ85 (DOI:10.1159/000318597) (Source: Karger Publishers)...
POSTED 08/31/2010 at 06:00 PM --

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Author's Reply
We read with interest the remarks of Dr. Dines concerning terminology used in articles by Nin et al., Radice et al., Orrego et al., and Vogrin et al. We must agree with Dines in his statement that âit is critical ⦠to determine what exactly is being used to improve outcomesâ after anterior cruciate ligament (ACL) reconstruction. (Source: Arthroscopy)...
POSTED 08/31/2010 at 06:00 PM --

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Anteromedial Portal Drilling for Anatomic Anterior Cruciate Ligament Reconstruction
We read with interest the article by Bedi et al. The study clearly shows better obliquity of the tunnel as well as the risk of a short tunnel and posterior wall damage when the anteromedial (AM) portal is used for creating femoral tunnels. (Source: Arthroscopy)...
POSTED 08/31/2010 at 06:00 PM --

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Osseous Deficits After Anterior Cruciate Ligament Injury and Reconstruction: A Systematic Literature Review With Suggestions to Improve Osseous Homeostasis
Conclusions: Involved lower extremity bone integrity is decreased after ACL injury. Current evidence suggests that premorbid bone integrity is not re-established after ACL reconstruction even when accelerated rehabilitation is performed. Recommendations to improve osseous homeostasis and bone health after ACL injury and reconstruction are provided. (Source: Arthroscopy)...
POSTED 08/31/2010 at 06:00 PM --

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Erratum
In the article âpCMV-BMP-2-Transfected Cell-Mediated Gene Therapy in Anterior Cruciate Ligament Reconstruction in Rabbitsâ by Wang et al. in the July issue of Arthroscopy (2010;26:968-976), there was an omission in the authors' affiliation listing. The correct paragraph appears below. (Source: Arthroscopy)...
POSTED 08/31/2010 at 06:00 PM --

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Magnetic Resonance Imaging Evaluation of Anterior Cruciate Ligament Reconstruction Using Quadrupled Hamstring Tendon Autografts: Comparison of Remnant Bundle Preservation and Standard Technique
Conclusion: After anterior cruciate ligament reconstruction, magnetic resonance imaging showed significantly larger anterior cruciate ligament grafts in the remnant bundle preservation group than in the standard procedure group, and these preserved remnant bundles showed progressive remodeling in the anterior cruciate ligament graft with no increase in the incidence of cyclops lesions. To determine a clinical advantage for the remnant preservation technique, magnetic resonance imaging results such as these must be correlated with clinical findings. (Source: The American Journal of Sports Medicine)...
POSTED 08/30/2010 at 01:33 PM --

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Which Preoperative Factors, Including Bone Bruise, Are Associated With Knee Pain/Symptoms at Index Anterior Cruciate Ligament Reconstruction (ACLR)?: A Multicenter Orthopaedic Outcomes Network (MOON) ACLR Cohort Study
Conclusion: After anterior cruciate ligament injury, risk factors associated with a bone bruise are younger age and not jumping at the time of injury. Bone bruise is not associated with symptoms/pain at the time of index anterior cruciate ligament reconstruction. (Source: The American Journal of Sports Medicine)...
POSTED 08/30/2010 at 01:33 PM --

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Tibiofemoral Joint Kinematics of the Anterior Cruciate Ligament-Reconstructed Knee During a Single-Legged Hop Landing
Conclusion: Tibiofemoral joint kinematics of the anterior cruciate ligament-reconstructed knee are significantly different from those of the uninjured contralateral limb during a single-legged hop landing. This altered kinematic profile, in conjunction with the large impact loads associated with hopping, may further contribute to the risk of posttraumatic knee osteoarthritis.
Clinical Relevance: Returning to sports involving dynamic single-legged landings at 4 months after anterior cruciate ligament reconstruction surgery may contribute to accelerated knee joint degeneration. (Source: The American Journal of Sports Medicine)...
POSTED 08/30/2010 at 01:33 PM --

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Effect of Femoral Tunnel Length on the Safety of Anterior Cruciate Ligament Graft Fixation Using Cross-Pin Technique: A Cadaveric Study
Conclusion: Hamstring graft fixation with a cross-pin system from the anteromedial portal with a 30-mm femoral tunnel presents a higher risk of injury to the LCL. The femoral tunnel should be drilled as long as possible.
Clinical Relevance: A long femoral tunnel is required for safe transverse femoral fixation in an anatomical ACL reconstruction. (Source: The American Journal of Sports Medicine)...
POSTED 08/30/2010 at 01:33 PM --

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A Systematic Review of Clinical Outcomes in Patients Undergoing Meniscectomy
Knee meniscectomy is the most common procedure performed by orthopaedic surgeons. While it is generally believed that loss of meniscal tissue leads to osteoarthritis and poor knee function, many variables may significantly influence this outcome. Through literature search engines including PubMed and Ovid, 4 randomized controlled trials, 2 prospective cohorts, and 23 retrospective cohorts that fit the criteria for level I, II, and III level of evidence were included in this systematic review. For the level III evidence studies, follow-up of 5 years or more was required. Preoperative and intraoperative predictors of poor clinical or radiographic outcomes included total meniscectomy or removal of the peripheral meniscal rim, lateral meniscectomy, degenerative meniscal tears, presence of chon......
POSTED 08/30/2010 at 01:33 PM --

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Magnetic resonance imaging appearance of anterior cruciate ligament reconstruction using Calaxo screws
We describe a
finding on knee MRI examination after ACL reconstruction using a polylactide carbonate (PLC) bioabsorbable screw that we believe
to be previously unreported with any other bioabsorbable screws. The finding raised suspicion of hemorrhage or infection,
neither of which were present clinically. Analysis of tissue from the tibial tunnel suggested an explanation for the MRI finding:
calcite crystals. An additional five patients with knee MRI examinations after ACL reconstruction using a PLC screw were reviewed
and correlated with clinical findings with four having similar imaging abnormalities present. The PLC (Calaxo screw, Smith
and Nephew, Andover, MA) screw used in these patients has been recalled in the United States and Europe by the manufacturer
after a greater than ......
POSTED 08/25/2010 at 01:08 AM --

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Surgery for ACL deficiency in patients over 50
Conclusions When faced with ACL deficiency, physiological age, condition of the knee at the time of examination, life expectancy and activity
level are probably more important than chronologic age. In the present study, arthroscopic surgery for the management of ACL
tear and secondary lesions provides comparable clinical outcomes in middle-aged patients and in patients aged below 30.
Content Type Journal ArticleDOI 10.1007/s00167-010-1242-xAuthors
Leonardo Osti, Unit of Arthroscopy and Sports Trauma Surgery, Hesperia Hospital, Via Arquà 80/b, Modena, ItalyRocco Papalia, Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, ItalyAngelo Del Buono, Department of Orthopaedic and Trauma Surgery, Campus Biom......
POSTED 08/24/2010 at 01:00 AM --

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Radiographic description of femoral tunnel placement expressed as intercondylar clock time in double-bundle anterior cruciate ligament reconstruction
Conclusion This simple radiographic assessment is reproducible and reliable for clinical use, and useful for the evaluation of ACL reconstructive
procedures.
Content Type Journal ArticleDOI 10.1007/s00167-010-1243-9Authors
Junya Yamazaki, Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital, Tokyo, JapanTakeshi Muneta, Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital, Tokyo, JapanHideyuki Koga, Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital, Tokyo, JapanIchiro Sekiya, Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital, Tokyo, JapanYoung-Jin Ju, Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital, Tokyo, JapanToshiyuki Mor......
POSTED 08/24/2010 at 01:00 AM --

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Comments on Alentorn-Geli et al.: Anteromedial portal versus transtibial drilling techniques in ACL reconstruction: a blinded cross-sectional study at two- to five-year follow-up
Content Type Journal ArticleDOI 10.1007/s00264-010-1114-5Authors
Sunil Gurpur Kini, Department of Orthopaedics, Guru Teg Bahadur Hospital, University College of Medical Sciences, 26, Canara Bank Appartments, South Patel Nagar, New Delhi, 110008 India
Journal International OrthopaedicsOnline ISSN 1432-5195Print ISSN 0341-2695 (Source: International Orthopaedics)...
POSTED 08/23/2010 at 12:55 PM --

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Comparative study on anterior cruciate ligament reconstruction: determination of isometric points with and without navigation
CONCLUSION: No differences in tunnel position were observed between the groups. Nonetheless, better isometry was achieved in the Orthopilot group than with conventional instruments. (Source: Clinics)...
POSTED 08/21/2010 at 01:39 AM --

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Reliability of computed tomography measurements in assessment of thigh muscle cross-sectional area and attenuation
Background:
Advancement in technology of computer tomography (CT) and introduction of new medical imaging softwares enables easy and rapid assessment of muscle cross-sectional area (CSA) and attenuation. Before using these techniques in clinical studies there is a need for evaluation of the reliability of the measurements. The purpose of the study was to evaluate the inter- and intra-observer reliability of ImageJ in measuring thigh muscles CSA and attenuation in patients with anterior cruciate ligament (ACL) injury by computer tomography.
Methods:
31 patients from an ongoing study of rehabilitation and muscle atrophy after ACL reconstruction were included in the study. Axial CT images with slice thickness of 10 mm at the level of 150 mm above the knee joint were analyzed by two investigat......
POSTED 08/10/2010 at 06:00 PM --

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The combination of radiostereometric analysis and the telos stress device results in poor precision for knee laxity measurements after anterior cruciate ligament reconstruction
Conclusion Even though the NSP improved the positioning of the TSD on patientsâ extremities, the combination of NSP-TSD and RSA was not
able to provide acceptable knee laxity measurements in a clinical setting compared with published precision data for other
devices on the market. Therefore, the Telos Stress Device is not recommendable for use in knee laxity measurements following
ACL reconstruction.
Content Type Journal ArticleCategory KneeDOI 10.1007/s00167-010-1205-2Authors
O. G. Sørensen, Hospital Unit West Orthopaedic Research Unit Laegaardvej 12 7500 Holstebro DenmarkK. Larsen, Hospital Unit West Orthopaedic Research Unit Laegaardvej 12 7500 Holstebro DenmarkB. W. Jakobsen, Science Center Skejby Eira Private Hospital Brendstrupgaardsvej 21 8200 Aarhus N De......
POSTED 08/03/2010 at 09:49 AM --

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Serial dilation reduces graft slippage compared to extraction drilling in anterior cruciate ligament reconstruction: a randomized controlled trial using radiostereometric analysis
Conclusion This study found less slippage of the hamstring graft in the tibial bone canal in the serial dilated group compared to the
extraction drilling group. The clinical relevance of the difference is unknown. No difference in stress radiographic knee
laxity was found between the two groups.
Content Type Journal ArticleCategory KneeDOI 10.1007/s00167-010-1220-3Authors
O. G. Sørensen, Hospital Unit West Department of Orthopaedics Gl. Landevej 61 7400 Herning DenmarkK. Larsen, Hospital Unit West Department of Orthopaedics Gl. Landevej 61 7400 Herning DenmarkB. W. Jakobsen, Eira Private Hospital, Science Center Skejby Brendstrupgaardsvej 21 8200 Aarhus N DenmarkS. Kold, University Hospital of Aalborg Department of Orthopaedics Hobrovej 18-22 9100 Aalborg DenmarkT.......
POSTED 08/03/2010 at 09:49 AM --

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Erratum to: Monitoring surgical performance: an application of industrial quality process control to anterior cruciate ligament reconstruction
Content Type Journal ArticleCategory ErratumDOI 10.1007/s00167-010-1226-xAuthors
David J. Biau, Université Paris-Diderot, INSERM UMRâS 717, Assistance Publique-Hôpitaux de Paris, Hôpital Saint-Louis Département de Biostatistique et Informatique Médicale 1 avenue Claude Vellefaux Paris FrancePhilippe Landreau, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital P.O. BOX 29222 Doha QatarNicolas Graveleau, Centre Médico-Chirurgical 75005 Paris France
Journal Knee Surgery, Sports Traumatology, ArthroscopyOnline ISSN 1433-7347Print ISSN 0942-2056 (Source: Knee Surgery, Sports Traumatology, Arthroscopy)...
POSTED 08/03/2010 at 09:49 AM --

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