Protocol and descriptive epidemiology of the SIGASCOT Italian multicentric registry of revision ACL reconstruction: a 1-year pilot study.
Protocol and descriptive epidemiology of the SIGASCOT Italian multicentric registry of revision ACL reconstruction: a 1-year pilot study. Acta Orthop Belg. 2019 Jun;85(2):159-168 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 patients were enrolled; 18 were excluded due to incomplete data. Mean age at surgery was 30.4 ± 9.3 years (median 29; 23-38), mean BMI was 22.6 ± 2.3 kg/m2 and 77% were males. Revision was performed with a single-bundle technique in 94%, using allograft in 57% of cases and autograft in 43%. Only 28% had both menisci intact, and meniscal repair or replacement was performed in 25% of patients for medial meniscus and 8% for lateral meniscus. During the first year of enrollment, the SIGASCOT Italian ACL revision registry was able to collect the data of more than 100 patients. The revision ACL reconstruction was usually performed with a single-bundle technique, usin...
CONCLUSION: This rehabilitation programme after ACL repair with IBLA successfully enabled a professional soccer player to return to his pre-injury playing level. PMID: 31373377 [PubMed - as supplied by publisher]
This article details our technique for performing a modified Lemaire lateral extra-articular tenodesis using iliotibial band autograft as an adjunct to ACL reconstruction.
ConclusionMore than 60% of the patients reported an acceptable symptom state on four of the five KOOS subscales 2 years after primary ACLR. Age ≥ 30 years and female gender were the non-modifiable factors that consistently increased and reduced, respectively, the odds of achieving a PASS. A symmetrical 6-month isokinetic quadriceps strength and single-leg-hop test performance were the modifiable factor s that consistently increased the opportunity of achieving a PASS 2 years after primary ACLR.Level of evidenceIII.
Unsatisfactory long-term results with synthetic grafts for anterior crucial ligament (ACL) reconstruction led knee surgeons to switch to more stable, better compatible and longer lasting autografts . As urogynecologists nowadays are confronted with similar challenges regarding synthetic meshes, intellectual cross-fertilization between orthopedics and gynecologists could help solving these problems. Because native tissue repair is less effective in apical prolapse surgery, currently used repairing techniques for pelvic organ prolapse in Europe mostly employ synthetic meshes .
CONCLUSION: In conclusion, similar clinical results, in terms of stability and subjective measures, can be obtained after ACL reconstruction both with a free quadriceps and a 4-strand hamstring tendons autograft. LEVEL OF EVIDENCE: Level III, Therapeutic Study. PMID: 30905626 [PubMed - as supplied by publisher]
Miach Orthopaedics said that a study of its bio-engineered implant for autograft anterior cruciate ligament (ACL) repair revealed results similar to those achieved by traditional ACL repair surgeries two years post-procedure. The non-randomized, two-arm study conducted at Boston Children’s Hospital enrolled 10 patients treated with Miach Orthopaedics’ bridging scaffold-enhanced ACL repair (BEAR) implant with hamstring autograft ACL reconstruction and was conducted under an FDA Investigational Device Exemption. The BEAR implant was designed to be surgically placed between the torn ACL ends at the time of re...
AbstractPurposeTo assess the percentage of patients achieving symmetrical knee function 6 months after primary anterior cruciate ligament (ACL) reconstruction (ACLR) and to identify factors affecting its achievement, in a large cohort.MethodsData were extracted from our clinic database. Patients who underwent primary ACLR from 2000 to 2015 and were assessed with the isokinetic quadriceps and hamstring muscles strength tests and single-leg-hop test at the 6-month follow-up were included in the study. Demographic data, information on the graft used, cartilage injuries and concomitant meniscal surgery were reviewed. Patients ...
Conclusions: The shortest time to RTS and the highest RTS rate were observed after partial meniscectomy. The time to RTS was shorter, and the RTS rate was higher after meniscal repair than after MAT. Concurrent procedures such as ACLR prolonged the time to RTS, but it had no effect on the RTS rate and the level of sports activity at the time of RTS.
Condition: Anterior Cruciate Ligament Tear Interventions: Procedure: ACL Reconstruction (Bone Patellar Tendon Bone Graft); Device: Bridge Enhanced ACL Repair (BEAR) Sponsors: The Cleveland Clinic; National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS); Boston Children’s Hospital Not yet recruiting
ConclusionACL reconstruction in patient with popliteal artery ligation is challenging. A tourniquet-less technique using a cold saline and epinephrine solution can be successfully done for pressure controlled into the knee to preserve the collateral arteries flow to the distal limb while still permitting acceptable visual in operative field with good outcome after the surgery.Graphical abstract