Multiple ACL Revision: Failure Analysis and Clinical Outcomes

J Knee Surg DOI: 10.1055/s-0039-3400741Anterior cruciate ligament (ACL) reconstruction represents one of the most successful orthopedic surgical procedures. Nevertheless, ACL revisions are still very frequent, with a small but relevant number of failures. The purpose of this study is to analyze the failure causes and the clinical outcomes of patients who underwent a re-revision ACL reconstruction. Between January 2009 and December 2017, 263 ACL revisions were performed by a single senior surgeon. Seventeen patients (12 males and 5 females) underwent re-revision ACL reconstruction meeting the inclusion criteria. The mean age was 28.4 years (range, 19–41 years). Before the re-revision, the patients were evaluated preoperatively and after a mean follow-up of 29 months (range, 13–58 months). Assessment included subjective and objective evaluations (Lysholm and International Knee Documentation Committee [IKDC]), KT-2000 arthrometer, radiographic study, and preoperative computed tomography scan. Five patients showed a too anterior previous femoral tunnel and seven a too vertical and posterior tibial tunnel; eight meniscal tears were found. Five patients had grade III–IV according to Outerbridge cartilage lesions. IKDC showed a statistically significant improvement (A + B 35%, C + D 65% preop, A + B 82%, C + D 18% postop, odds ratio: 0.1169; p = 0.0083). The mean Lysholm score ranged from 43&thin...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Osteo Arthritis Knee Interventions:   Other: KneeBright Group;   Other: Standard Rehabilitation group Sponsors:   University of Virginia;   National Institutes of Health (NIH);   Barron Associates, Inc. Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Publication date: Available online 4 December 2019Source: Joint Bone SpineAuthor(s): Alice Courties, Francis BerenbaumAbstractOne quarter of 45-year-old adults will develop symptomatic hip osteoarthritis (OA). Therefore, hip OA affects a very significant number of patients and, together with knee OA, is associated with increased cardiovascular mortality. Primary prevention involves the identification and management of its modifiable risk factors. Those that we know of today include anatomical abnormalities, joint trauma, certain occupations and, to a lesser extent, obesity. Screening for hip dysplasia as early as possible,...
Source: Joint Bone Spine - Category: Orthopaedics Source Type: research
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Source: Clinics in Orthopedic Surgery - Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research
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Source: Clinics in Orthopedic Surgery - Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research
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Source: Journal of Musculoskeletal Neuronal Interactions - Category: Neurology Tags: J Musculoskelet Neuronal Interact Source Type: research
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Source: Journal of Rheumatology - Category: Rheumatology Tags: J Rheumatol Source Type: research
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Source: Journal of Rheumatology - Category: Rheumatology Tags: J Rheumatol Source Type: research
OBJECTIVES: Falls are associated with several negative outcomes. Early identification of those who are at risk of falling is of importance in geriatrics, and comprehensive geriatric assessment (CGA) seems to be promising in this regard. Therefore, the pres...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news
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