Optimizing Anterior Cruciate Ligament (ACL) Outcomes: What Else Needs Fixing Besides the ACL?

Optimizing Anterior Cruciate Ligament (ACL) Outcomes: What Else Needs Fixing Besides the ACL? Instr Course Lect. 2020;69:653-660 Authors: Spang RC, Getgood A, Strickland SM, Amendola AN, Gomoll AH Abstract This review focuses on the management of anterior cruciate ligament (ACL) reconstruction patients when other concomitant pathology may need to be addressed at the time of surgery. Given the role of the posterior horn of the medial meniscus in preventing osteoarthritis progression and contributing to knee stability, medial meniscus repair should always be considered when performing ACL reconstruction. Meniscal transplant may also be appropriate in select patients with normal knee alignment and absent of cartilage abnormalities in the compartment. Varus alignment with a varus thrust or increased posterior tibial slope will increase stress on the ACL graft and may predispose to early failure. Alignment should be assessed with appropriate radiographs and corrective osteotomy in isolation or in conjunction with ACL reconstruction should be considered for certain patients. Low-grade medial collateral ligament (MCL) and lateral collateral ligament (LCL) injuries can be treated nonsurgically prior to ACL reconstruction. These are frequently missed with either physical examination or radiographic imaging. High-grade LCL injuries are often treated with repair versus reconstruction in conjunction with ACL reconstruction depending on the timing of the injury. When ...
Source: Instructional Course Lectures - Category: Orthopaedics Tags: Instr Course Lect Source Type: research

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Authors: Kolz JM, Rainer WG, Wyles CC, Houdek MT, Perry KI, Lewallen DG Abstract BACKGROUND: Lymphedema is characterized by fluid buildup and swelling, leading to skin fibrosis and recurring soft-tissue infections. There is a paucity of data examining the impact of lymphedema in total knee arthroplasty (TKA). The purpose of this study was to review the outcomes of TKA in patients with lymphedema compared with a matched cohort with primary osteoarthritis. METHODS: One hundred forty-four knees underwent primary TKA with a preceding diagnosis of ipsilateral lymphedema. The mean follow-up was 7 years. A blinded 1:2...
Source: The Journal of the American Academy of Orthopaedic Surgeons - Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research
Conditions:   Patient Satisfaction;   Hip Osteoarthritis Interventions:   Procedure: large head;   Procedure: dual mobility cup Sponsor:   Tanta University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Symptomatic Osteoarthritis of the Knee With Kellgren-Lawrence Grade II and III Interventions:   Drug: JTA-004;   Device: Hylan G-F 20;   Other: placebo Sponsors:   Bone Therapeutics S.A;   Nordic Bioscience A/S Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Patellofemoral Osteoarthritis Interventions:   Device: Elastic hip strap;   Device: Insole Sponsors:   Universidade Federal de Sao Carlos;   Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionIn patients with symptomatic knee OA, the presence of knee CC did not affect the risk of arthroplasty or disease progression at 5 years.
Source: Arthritis and Rheumatology - Category: Rheumatology Authors: Tags: Original Article Source Type: research
Conditions:   Osteo Arthritis Knee;   Pain, Chronic;   Pain Intervention:   Other: Dry cupping therapy Sponsor:   Universidade Federal do Rio Grande do Norte Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Decision Making, Shared;   Arthroplasty, Replacement, Knee;   Arthroplasty, Replacement, Hip;   Osteoarthritis, Knee;   Osteoarthritis, Hip;   Artificial Intelligence Intervention:   Other: ERVIN Sponsors:   Northern Orthopaedic Division, Denmark;   Aalborg University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Knee Osteoarthritis Interventions:   Other: Standard Physcial Therapy;   Other: Intermittent Mechanical Traction;   Other: Continuous Mechanical Traction Sponsor:   Prince Sultan Military College of Health Sciences Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Osteo Arthritis Knee Intervention:   Drug: allogenic lyophilized growth factors Sponsor:   Rasmia Elgohary Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Osteo Arthritis Knee;   Pain, Chronic;   Pain Intervention:   Other: Dry cupping therapy Sponsor:   Universidade Federal do Rio Grande do Norte Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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