Journal ArticleDOI
Clinical Results and Risk Factors for Reinjury 15 Years After Anterior Cruciate Ligament Reconstruction A Prospective Study of Hamstring and Patellar Tendon Grafts
Reads0
Chats0
TLDR
At 15 years, the HT graft–reconstructed ACLs have shown a lower rate of radiological osteoarthritis and continues to show excellent results in terms of patient satisfaction, symptoms, function, activity level, and stability.Abstract:
Background: There is a lack of prospective studies comparing the long-term outcome of endoscopic anterior cruciate ligament (ACL) reconstruction with either a patellar tendon or hamstring tendon autograft.Purpose: This prospective longitudinal study compared the results of isolated endoscopic ACL reconstruction utilizing a 4-strand hamstring tendon (HT) or patellar tendon (PT) autograft over a 15-year period with respect to reinjury, clinical outcomes, and the development of osteoarthritis.Study Design: Cohort study; Level of evidence, 2.Methods: Ninety consecutive patients with isolated ACL rupture were reconstructed with a PT autograft, and 90 patients received an HT autograft, with an identical surgical technique. Patients were assessed at 2, 5, 7, 10, and 15 years. Assessment included the International Knee Documentation Committee (IKDC) knee ligament evaluation including radiographic evaluation, KT-1000 arthrometer testing, and Lysholm knee score.Results: Patients who received the PT graft had signif...read more
Citations
More filters
Journal ArticleDOI
Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors
TL;DR: Return to sport varied according to different physical functioning and contextual factors, which could warrant additional emphasis in postoperative rehabilitation programmes to maximise participation.
Journal ArticleDOI
Risk of Secondary Injury in Younger Athletes After Anterior Cruciate Ligament Reconstruction A Systematic Review and Meta-analysis
Amelia J. Wiggins,Ravi K. Grandhi,Daniel K. Schneider,Denver Stanfield,Kate E. Webster,Gregory D. Myer +5 more
TL;DR: The combined data indicate that activity modification, improved rehabilitation and return-to-play guidelines, and the use of integrative neuromuscular training may help athletes more safely reintegrate into sport and reduce second injury in this at-risk population.
Journal ArticleDOI
Incidence of Second ACL Injuries 2 Years After Primary ACL Reconstruction and Return to Sport.
TL;DR: Data support the hypothesis that in the 24 months after ACLR and RTS, patients are at a greater risk to suffer a subsequent ACL injury compared with young athletes without a history of ACL injuries, and the contralateral limb of female patients appears at greatest risk.
Journal ArticleDOI
Younger Patients Are at Increased Risk for Graft Rupture and Contralateral Injury After Anterior Cruciate Ligament Reconstruction
TL;DR: Patients younger than 20 years who undergo ACL reconstruction are at significantly increased risk for both graft rupture and contralateral ACL injury.
Journal ArticleDOI
Current Concepts for Injury Prevention in Athletes After Anterior Cruciate Ligament Reconstruction
TL;DR: The authors propose an EBM paradigm shift in postoperative rehabilitation and return-to-sport training after ACLR that is focused on the resolution of neuromuscular deficits that commonly persist after surgical reconstruction and standard rehabilitation of athletes.
References
More filters
Journal ArticleDOI
Rating systems in the evaluation of knee ligament injuries.
Yelverton Tegner,Jack Lysholm +1 more
TL;DR: A new activity grading scale, where work and sport activities were graded numerically, was constructed as complement to the functional score, showing that the symptom-related score gave a more differentiated picture of the disability.
Journal ArticleDOI
Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale
Jack Lysholm,Jan Gillquist +1 more
TL;DR: A scoring scale for knee ligament surgery follow-up emphasizing evaluation of symp toms of instability better than the modified Larson scale, which gave basically the same results in patients with menis cus rupture.
Journal ArticleDOI
Knee Osteoarthritis After Anterior Cruciate Ligament Injury A Systematic Review
TL;DR: No universal methodological radiologic classification method exists, making comparisons of the studies and stating firm conclusions on the prevalence of knee osteoarthritis more than 10 years after anterior cruciate ligament injury difficult.
Journal ArticleDOI
A Randomized Trial of Treatment for Acute Anterior Cruciate Ligament Tears
TL;DR: In young, active adults with acute ACL tears, a strategy of rehabilitation plus early ACL reconstruction was not superior to a strategyof rehabilitation plus optional delayed ACL reconstruction, but the latter strategy substantially reduced the frequency of surgical reconstructions.