Management of Intraoperative Complications in Arthroscopic Primary Anterior Cruciate Ligament Reconstruction

J Knee SurgDOI: 10.1055/s-0034-1373739Arthroscopic anterior cruciate ligament reconstruction is a commonly performed procedure which is technically demanding and involves multiple surgical steps with the potential for a wide range of intraoperative complications. In this article, we review these potential complications and give algorithms for dealing with them based on our experience and published evidence. We discuss the use of both bone-patellar tendon-bone and hamstring grafts and examine complications associated with suspensory button and interference screw fixation.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Abstract  |  Full text
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

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ConclusionsThe present meta-analysis shows that patients older than 40  years achieve comparable clinical outcomes to those of younger patients following primary ACL reconstruction. This evidence may push the surgeons toward a more aggressive approach in this specific cohort of patients.Level of evidenceIII.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
ConclusionsThis comparative study shows that flexible reamers can reproduce a desired femoral tunnel position with only small improvements of no clinical relevance. As this can be achieved without hyperflexing the knee, these systems can be used for  all patients (even when hyperflexion is a challenge).Level of evidenceI.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
This study aimed to analyse the evolvement of joint laxity and graft compliance of short hamstring tendon grafts after ACL reconstruction (ACLR).MethodsForty-seven patients that underwent ACLR were retrospectively enrolled. Joint laxity was quantified with a GNRB® arthrometer before surgery, then at 15  days, at 1/3/6/9 months (M1–M9), at 1 year postoperatively and then again at the last mean follow-up (FU) of 14.7 ± 3.0 months. The side-to-side laxity difference (ΔL in mm) was measured at 30 and 60  N at every FU, additionally at 90 N from M3 on and at 134...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
We appreciate the interest and comments from Manara et al. regarding our published technical note “Hamstring Braid Graft Technique for Anterior Cruciate Ligament Reconstruction”.1 In our published article we described a step-by-step technical note presenting a novel “in vivo” hamstring braid graft configuration for anterior cruciate ligament (ACL) reconstruction that could potentially ov ercome some of the known disadvantages of hamstring autograft.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research
We took interest in reading the article “Hamstring Braid Graft Technique for Anterior Cruciate Ligament Reconstruction” (1) published in Arthroscopy Techniques in Aug 2019 and would like to make a number of observations. We agree that when choosing the type and preparation technique of ACL reconstruction grafts, there are desirable ef fects in ensuring a sufficient graft diameter to maximize strength, and novel solutions to the current limitations in hamstring autografts are welcomed. The authors describe a technique to do this by braiding the graft strands, which they hypothesize would lead to a stronger graft...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research
AbstractPurposeTo study the effect of age, duration of injury, type of graft and concomitant knee injuries on return to sports after anterior cruciate ligament (ACL) reconstruction.MethodOne-hundred and sixteen athletes underwent ACL reconstruction using either bone –patellar tendon–bone graft (BPTB;n = 58) or semitendinosus-gracilis graft (n = 58), depending upon their random number sequences. Five variables were analyzed in terms of their effect on return to sports-age, type of graft, time interval between injury and surgery, chondral damage and meniscal tears.ResultsFifty-three ou...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
AbstractPurposeTo determine the prevalence of a deep lateral femoral notch sign (LFNS) in magnetic resonance imaging (MRI) in patients with anterior cruciate ligament (ACL) and concomitant posterior root tears of the lateral meniscus (PLRT).MethodsA retrospective chart review was conducted to identify all patients undergoing ACL reconstruction between 2016 and 2018. Based on the arthroscopic appearance of the lateral meniscus, patients were assorted to one of three groups: isolated ACL tear (ACL-Group), ACL tear with concomitant lateral meniscus tear not involving the posterolateral root (Meniscus-Group), and ACL tear with...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
ConclusionsOrthopedic surgeons should be aware of the safe zone of tibial tunnel reaming for avoiding injury to the ARLM. Both the ARLM and MTS might be reliable landmarks for identifying the center of the tibial ACL footprint and may facilitate tibial tunnel placement during anatomical single-bundle ACL reconstruction, especially in cases of revision where the tibial ACL stump is not available.Level of EvidenceLevel III.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Publication date: Available online 14 May 2020Source: Arthroscopy TechniquesAuthor(s): Alejandro Espejo-Reina, María Josefa Espejo-Reina, Jaime Dalla Rosa-Nogales, Joaquina Ruiz-Del Pino, Alejandro Espejo-Baena
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
This study included 94 patients who had rehabilitation with CERP after knee surgery for a knee injury from a recreational sport. There were 49 patients in Group 1 (mean age, 36.5 years) who had CERP after SB ACLR, and 45 patients in Group 2 (mean age, 35.6 years) who had CERP after DB ACLR. Functional condition was tested using the Lysholm Knee Scoring Scale, and knee stability was measured using KT-2000. The first examination was performed before CERP and the second examination was performed 12 weeks later. RESULTS The level of functional condition in both groups was similar before rehabilitation with CERP, with no significant difference (P
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
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