Clinical Outcomes of Posterolateral Complex Reconstruction Performed with a Single Femoral Tunnel

The objective of this study is to report the functional outcomes, complications, and reconstruction failure rate of patients undergoing posterolateral complex reconstruction with a single femoral tunnel technique. Patients with posterolateral complex injuries associated with injury of the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), or both undergoing surgical treatment with the single femoral tunnel technique were included in the study. The International Knee Documentation Committee (IKDC) and Lysholm's scales were evaluated, in addition to age, gender, time between trauma and surgery, trauma type, range of motion (ROM) restrictions, peroneal nerve injury, and reconstruction failure. Sixty-six patients were included. Eighteen underwent ACL and posterolateral complex (PLC) reconstruction (group 1), 24 underwent ACL, PCL, and PLC reconstruction (group 2), and 24 underwent PCL and PLC reconstruction (group 3). The mean follow-up was 63 months. The subjective IKDC was 83.7 ± 14.6 for group 1, 74.3 ± 12.6 for group 2, and 66.3 ± 16.0 for group 3 (p 
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

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Publication date: Available online 19 July 2019Source: Arthroscopy TechniquesAuthor(s): Yavuz Kocabey, Sercan Yalçın, Mehmet Erdil, Gökhan PolatAbstractThe aim of this surgical Technical Note is to search for a way to prevent possible graft loosening in all-inside anterior cruciate ligament (ACL) reconstruction. We used a fixed-loop cortical suspensory device on the femoral end and a suspensory cortical fixation technique and sutures on the tibial end. Then we flexed the knee for 150 cycles, reexamined the tightness of the ACL graft, and compared it with the initial tightness. Loosening of the ACL graft, which...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
This article details our technique for performing a modified Lemaire lateral extra-articular tenodesis using iliotibial band autograft as an adjunct to ACL reconstruction.
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 19 July 2019Source: Arthroscopy TechniquesAuthor(s): Gonzalo Samitier, Gustavo VinagreAbstractHamstring autograft is one of the most used grafts for anterior cruciate ligament (ACL) reconstruction, although there are several graft preparation techniques. It is extremely difficult to mimic the biomechanical properties of the native ACL; thus, it is important to achieve a proper graft configuration, diameter, and length. To avoid reruptures, an optimal and reproducible hamstring autograft is desired. Hamstring autograft has been traditionally devalued when compared with other options such a...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 19 July 2019Source: Arthroscopy TechniquesAuthor(s): Eric Choudja Ouabo, Laurent Gillain, Adnan Saithna, Jacques Blanchard, Olivier Siegrist, Bertrand Sonnery-CottetAbstractDespite technical advances in anterior cruciate ligament (ACL) reconstruction surgery, there remains a need to improve postoperative outcomes with respect to graft failure rates. Recently, it has been shown that combined ACL–anterolateral ligament (ALL) reconstruction (using a graft composed of a tripled semitendinosus and single-strand gracilis tendon) is associated with a significant reduction in graft rupture ...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 18 July 2019Source: Arthroscopy TechniquesAuthor(s): Adam Kwapisz, Scott Mollison, Sheila McRae, Peter MacDonaldAbstractA technique for lateral extra-articular tenodesis using proximal staple fixation is described as an adjunct to anterior cruciate ligament (ACL) reconstruction. Lateral extra-articular tenodesis has been used in an effort to decrease failure rates in ACL-deficient patients with ligamentous laxity, prior failed ACL surgery, or grade 3 pivot-shift findings. Numerous surgeons have described combining ACL reconstruction with extra-articular surgery. The approach described in ...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Authors: Zaffagnini S, Grassi A, Adravanti P, Milano G, Schiavone Panni A, Berruto M, Giron F, Ronga M, Madonna V, Condello V, Rossi R, Canata GL, Benazzo F, Zanon G, Mazzola C, Pederzini L, Caraffa A, Tucciarone A, Stefani G, Randelli P Abstract The aim of the present study was to present the demographic and baseline results of the first year of course of the SIGASCOT Italian registry of Revision ACL reconstruction.The data of the patients undergoing revision ACL reconstruction, enrolled in by 20 SIGASCOT members from March 2015 to May 2016, were extracted from the Surgical Outcome System (SOS). Overall, 126 patie...
Source: Acta Orthopaedica Belgica - Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research
Publication date: Available online 17 July 2019Source: Arthroscopy TechniquesAuthor(s): Toshiaki Takahashi, Seiji Watanabe, Hiromasa MiuraAbstractAnterior cruciate ligament reconstruction using an all-inside method to reduce bone damage caused by drill hole preparation and enhance the stability of the reconstructed ligament in the drill hole has been reported in recent years. We made a custom-designed drill guide pin and reamer, which are assembled in the joint, to create drill holes in the femur and tibia. For the transtibial method, our femoral drill hole–positioning technique, which uses a laser, is extremely conv...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
ConclusionUTC imaging is a reliable tool to characterize the quality of most aspects of unharvested and harvested patellar tendons in subjects undergoing ACLR.
Source: BMC Sports Science, Medicine and Rehabilitation - Category: Sports Medicine Source Type: research
ConclusionGood mid-term results were obtained for combined revision ACL reconstruction and lateral extra-articular procedures. Despite the fact that in clinical practice LET are a common indication associated with revision ACL, there are no high-level studies supporting this technique.Level of evidenceIV.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
BACKGROUND: The misuse of opioid medications has contributed to a significant national crisis affecting public health as well as patient morbidity and medical costs. After orthopaedic surgical procedures, patients may require prescription (Rx) opioid medic...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
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