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New data provides direction for ACL injured knee treatments

February 13, 2012

SAN FRANCISCO, CA - Primary Anterior Cruciate Ligament (ACL) reconstruction improves quality of life and sports functionality for athletes, according to research presented today at the American Orthopaedic Society for Sports Medicine's Specialty Day in San Francisco, CA.

"ACL knee injuries have long been a source of problems for athletes, and we are excited to have such a large body of data to evaluate different treatments," said Jüri T Kartus, MD, Department of Orthopaedics, NU-Hospital Organization, Sweden. "To see patients improving in the years following surgery is a great indicator of what we are doing right."

The study examined data from the Swedish National ACL Reconstruction Register, which began compiling patient information in 2005. The Register consists of both patient and surgeon reported data, including the Knee Injury and Osteoarthritis Outcome (KOOS) score for quality and function after surgery, cause of injury, previous surgeries, time between injury and reconstruction, and graft type. Approximately 90 percent of all ACL reconstructions performed annually in Sweden are reported.

"With more than 18,000 people already in the Register, we are excited about the volume of cases we will be able to assess in the future," noted Kartus. "We hope continued evaluation of the data will help us determine the best methods for ACL reconstruction."

Researchers also noted other highlights, including a major risk for young female soccer players reinjuring their ACL after surgery, and lower success rates for smokers over non-smokers in reconstructions. Researchers also found that found that revision ACL reconstructions did worse than primary ones and that patients found to have meniscal or chondral injury at the time of surgery did somewhat worse at 5 years.

American Orthopaedic Society for Sports Medicine




Return to Sports Activity After Postoperative Septic Arthritis in ACL Reconstruction (The Physician and Sportsmedicine)

Return to Sports Activity After Postoperative Septic Arthritis in ACL Reconstruction (The Physician and Sportsmedicine)
by JTE Multimedia


Background Septic arthritis after arthroscopic anterior cruciate ligament (ACL) reconstruction is a rare but potentially serious complication. Several different options have been proposed to treat this condition. Our study aims to report the clinical, radiological, and sports activity results using our original protocol based on outpatient irrigation of the knee as well as parenteral and oral antibiotics. Methods From January 2001 to January 2009, 14 patients (all active in sports) were treated for postoperative septic arthritis of the knee after ACL reconstruction in our institute. The treatment protocol included outpatient irrigation of the knee and parenteral antibiotics, followed by oral antibiotics. Repetitive irrigation was performed if necessary. The average follow-up period for...

Athletic Performance After ACL Reconstruction in the Women's National Basketball Association (DOI: 10.3810/psm.2011.02.1860) (The Physician and Sportsmedicine)

Athletic Performance After ACL Reconstruction in the Women's National Basketball Association (DOI: 10.3810/psm.2011.02.1860) (The Physician and Sportsmedicine)
by JTE Multimedia


Purpose:

Females are at greater risk than males for sustaining an anterior cruciate ligament (ACL) tear. Performance outcomes and attrition rates associated with ACL injury and reconstruction in Women’s National Basketball Association (WNBA) athletes are unclear. The purpose of this study was to compare athletes who underwent ACL reconstruction with pre-injury and matched controls to determine differences in performance and return to play.

Methods:

A retrospective review of 18 WNBA players who underwent ACL reconstruction between 1998 and 2008 was conducted. Performance data for 2 full seasons before and after the index surgery were collected. Data were obtained from 36 matched controls. Within-group and between-group comparisons were performed to assess...

ACL Reconstruction with Double-Bundle Technique: A Review of Clinical Results (DOI: 10.3810/psm.2011.02.1865) (The Physician and Sportsmedicine)

ACL Reconstruction with Double-Bundle Technique: A Review of Clinical Results (DOI: 10.3810/psm.2011.02.1865) (The Physician and Sportsmedicine)
by JTE Multimedia


Anatomical and biomechanical studies have shown that the anterior cruciate ligament (ACL) primarily consists of 2 distinct bundles, the anteromedial (AM) and posterolateral (PL), which act separately during the knee’s range of motion. Conventional ACL reconstruction techniques have focused on restoration of the AM bundle only, while giving limited attention to the PL bundle. The outcomes of these single-bundle techniques have been relatively good in ACL reconstruction. In recent years, many authors have developed double-bundle ACL reconstruction techniques to better replicate ACL anatomy and its 2 bundles. The purpose of this article is to analyze the clinical results of the double-bundle ACL reconstruction according to the current literature. The review focuses primarily on randomized...

Current Concepts in ACL Reconstruction

Current Concepts in ACL Reconstruction
by Freddie Fu MD (Author), Steven Cohen MD (Author)


From evaluation to outcome, Current Concepts in ACL Reconstruction will help you keep pace with the latest techniques for the treatment of anterior cruciate ligament injuries. This text provides the most complete and up-to-date information for the surgical reconstruction of a torn ACL including details about the newer double-bundle procedure. Both American and international perspectives on the treatment of ACL injuries are included to provide the most comprehensive review on the market today.

Inside this richly illustrated text, Drs. Freddie H. Fu and Steven B. Cohen along with contributions from the world’s most experienced knee surgeons review the basic science, kinematic, imaging, and injury patterns surrounding the ACL. Surgical concepts, various techniques for...

Current Concepts in ACL Injuries (The Physician and Sportsmedicine)

Current Concepts in ACL Injuries (The Physician and Sportsmedicine)
by JTE Multimedia


Anterior cruciate ligament (ACL) injuries are common in athletic and physically active populations, and can result in significant functional disability. Female athletes in particular have been found to be at a relatively high risk for noncontact ACL injuries. Many risk factors, both intrinsic and extrinsic, have been identified. Although some individuals may be treated nonoperatively with an aggressive rehabilitation program, athletes desiring to return to physical activities that require use of the ACL need surgical reconstruction. Surgical techniques remain controversial in regard to tunnel placement and optimal graft choices. Recent literature advocates a more oblique ACL reconstruction to more closely recreate normal knee kinematics and eliminate pathologic rotational laxity. A...

ACL Injury and Surgical Treatment Options (DOI: 10.3810/psm.2011.02.1868) (The Physician and Sportsmedicine)

ACL Injury and Surgical Treatment Options (DOI: 10.3810/psm.2011.02.1868) (The Physician and Sportsmedicine)
by JTE Multimedia


The anterior cruciate ligament (ACL) has been the focus of a substantial amount of research. Thousands of studies have evaluated the structure and function of the intact ACL, as well as the best reconstuction techniques. Despite the amount of literature, many controversies remain regarding the ACL and its surgical reconstruction. This article reviews the anatomy and function of the native ACL, the nature of injury, and aspects of ACL reconstruction, including surgical approach, tunnel positioning, graft choice, and graft fixation.

  ACL reconstruction called safe in kids, teens.(Sports Medicine)(anterior cruciate ligament): An article from: Family Practice News
by Timothy F. Kirn (Author)


This digital document is an article from Family Practice News, published by Thomson Gale on October 1, 2005. The length of the article is 650 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.

Citation Details
Title: ACL reconstruction called safe in kids, teens.(Sports Medicine)(anterior cruciate ligament)
Author: Timothy F. Kirn
Publication: Family Practice News (Magazine/Journal)
Date: October 1, 2005
Publisher: Thomson Gale
Volume: 35 Issue: 19 Page: 70(1)

Distributed by Thomson...

  Expeditious ACL reconstruction is best for meniscus repair.(anterior cruciate ligament)(Musculoskeletal Disorders)(Report): An article from: Family Practice News
by Sherry Boschert (Author)


This digital document is an article from Family Practice News, published by International Medical News Group on April 15, 2008. The length of the article is 537 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available immediately after purchase. You can view it with any web browser.

Citation Details
Title: Expeditious ACL reconstruction is best for meniscus repair.(anterior cruciate ligament)(Musculoskeletal Disorders)(Report)
Author: Sherry Boschert
Publication: Family Practice News (Magazine/Journal)
Date: April 15, 2008
Publisher: International Medical News Group
Volume: 38 Issue: 8 Page: 20(1)

Article Type: Report

Distributed by Gale, a part of Cengage...

Rash After ACL Reconstruction: Asking the Right Questions (The Physician and Sportsmedicine)

Rash After ACL Reconstruction: Asking the Right Questions (The Physician and Sportsmedicine)
by JTE Multimedia


A 40-year-old recreational athlete injured his left knee on a "moon bouncer" at his child's birthday party. Before the injury, he regularly went hiking and downhill skiing and played basketball and tennis. Because the injury caused persistent symptoms of knee instability, he elected to undergo an anterior cruciate ligament (ACL) reconstruction using allograft. At the time of surgery, the patient's skin examination was unremarkable, and no surgical complications were noted. The patient went home on the day of surgery.

  Interference Screws for ACL - PCL Reconstruction: An European Market Snapshot
by GlobalData (Author)


Interference Screws for ACL - PCL Reconstruction: An European Market Snapshot

Summary

GlobalData’s report, “Interference Screws for ACL-PCL Reconstruction: An European Market Snapshot” provides key data, information and analysis on the European market for interference screws used for fixation in ACL (Anterior Cruciate Ligament) - PCL (Posterior Cruciate Ligament) reconstruction surgery. The report provides market landscape, procedure numbers and future trend and products information on the interference screws market. The report provides comprehensive information on the key trends affecting the market, and key technology offerings. This report is built using data and information sourced from proprietary databases, primary and secondary research and in-house analysis by...

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