Risk Factors for Requiring a Revision Anterior Cruciate Ligament Reconstruction: A Case-Control Study

J Knee Surg DOI: 10.1055/s-0039-3402075Anterior cruciate ligament (ACL) reconstruction is considered as a successful orthopaedic procedure that attempts to help patients return to their preinjury level of activity. However, some patients may need to undergo revision surgery, and this potentially may be associated with certain surgery-specific or patient risk factors. Therefore, the purpose of this study was to assess the potential role of (1) demographics, (2) family history, (3) graft choice, (4) sport, and (5) mechanism of injury (contact vs. noncontact) in the risk for needing a revision ACL for improved clinical outcomes. All patients who had undergone a primary ACL reconstruction between 2012 and 2016 were identified from at a single institution. About 312 patients who had a mean age of 24 years (range, 9–62 years) and a mean follow-up of 4 years (range, 1–10). Patients were further evaluated to identify those who had a revision. There were 19 patients (6.1%) with a mean age of 22 years (range, 13–38 years) and a mean follow-up of 5 years (range, 1–10) that required a revision reconstruction. Gender ratios (p = 0.56) and mean age (p = 0.44) were similar among the cohorts. Family history of ACL reconstruction had no association with revision risk (p = 0.57). Those with tibialis anterior allografts (37 vs. 4%; p = 0.0001) and hamstring allografts (16 vs. 1%; p = 0.0001) were far m...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

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This study aimed to investigate...
Source: BMC Musculoskeletal Disorders - Category: Orthopaedics Authors: Tags: Research article Source Type: research
CONCLUSION: Patients take most pain medication during the first postoperative week after adolescent ACLR, although patient and surgical variables had no notable influence on pill consumption. LEVEL OF EVIDENCE: Level IV, case series. PMID: 32213778 [PubMed - in process]
Source: The Journal of the American Academy of Orthopaedic Surgeons - Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research
Publication date: Available online 25 March 2020Source: Journal of OrthopaedicsAuthor(s): M. Sakti, K.T. Biakto, M.A. Usman, M.J. Tedjajuwana, P. Pasallo, E.S. Subagio
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
AbstractIntroductionResults of iterative ACL reconstructions are lower than after primary reconstructions. Our aim was to report the results of a retrospective series of revision using pedicled quadruple hamstring autograft. The hypothesis was that the results were satisfactory and comparable to the literature.MethodsThe study period was from January 2012 to December 2014. Fourteen patients (average age 26) were included. A fascia lata graft was used 12 times for primary reconstruction. Trauma was the cause of failure 12 times. The time interval between primary reconstruction and revision was 6.2  years. Preoperative ...
Source: European Journal of Orthopaedic Surgery and Traumatology - Category: Orthopaedics Source Type: research
The article Vancomycin ‑soaked autografts during ACL reconstruction reduce the risk of post‑operative infection without affecting return to sport or knee function, written by Yoann Bohu.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Conditions:   Anterior Cruciate Ligament Injuries;   Anterior Cruciate Ligament Rupture;   Anterior Cruciate Ligament Tear Interventions:   Procedure: ACL Reconstruction with Semitendinosus graft;   Procedure: ACL Reconstruction with Quadriceps tendon-bone graft Sponsor:   Karolinska Institutet Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionOne year after ACL-R, muscle strength is affected by autograft type, with StG leading to impairments of KE and KF muscle strength, while QTB results in more pronounced impairments of KE only. Functional capacity and patient-reported outcome were unaffected by autograft type, with the former showing impairment compared to healthy controls.Clinical Trials Registration NumberNCT02173483.
Source: Sports Medicine - Category: Sports Medicine Source Type: research
We would like to thank Dr. Min for his interest in our recent study “Adductor Canal Nerve Versus Femoral Nerve Blockade for Pain Control and Quadriceps Function Following Anterior Cruciate Ligament Reconstruction With Patellar Tendon Autograft: A Prospective Randomized Trial.”1 The concerns raised are relevant factors to consider when interpreting the results of this randomized controlled study. Dr. Min’s point of standardizing postoperative analgesic consumption was not performed in this study for 2 reasons.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research
We took great interest in reading the article by Bailey et  al.1 entitled “Adductor Canal Nerve Versus Femoral Nerve Blockade for Pain Control and Quadriceps Function Following Anterior Cruciate Ligament Reconstruction With Patellar Tendon Autograft: A Prospective Randomized Trial” published in March 2019 in Arthroscopy. The authors performed a randomi zed controlled trial (RCT) on 90 patients undergoing anterior cruciate ligament reconstruction with patellar tendon autograft and concluded that adductor canal nerve blockade was as effective as femoral nerve blockade at providing pain control while elicitin...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research
Unfortunately, the author Jon Olav Drogset was incorrectly published in the original version and updated here. The original article has been corrected.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
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