ACL autograft reconstruction revisions with tendon allografts: Possibilities and outcomes. A one-year follow-up of 39 patients

Vincelot-Chainard, Caroline; Buisson, Xavier; Taburet, Jean-François; Djian, P.; Robert, H.

doi:10.1016/j.otsr.2021.102832

Cited by 8 publications

(4 citation statements)

References 26 publications

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“…Regarding the degree of postoperative stability, the present study found a mean value of 1.8 mm in SSD of anterior tibial translation under 134 N at postoperative 6 months. In the previous studies [ 12 , 16 , 22 , 23 ], values measured by GNRB arthrometer after ACL reconstruction ranged from 1.5 mm to 3.4 mm. Although different studies cannot be compared directly, the results in the present study suggested that the dynamic anterior stability seemed to be adequate when compared with previous studies [ 12 , 16 , 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the previous studies [ 12 , 16 , 22 , 23 ], values measured by GNRB arthrometer after ACL reconstruction ranged from 1.5 mm to 3.4 mm. Although different studies cannot be compared directly, the results in the present study suggested that the dynamic anterior stability seemed to be adequate when compared with previous studies [ 12 , 16 , 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

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A novel home-based rehabilitative knee brace system is a viable option for postoperative rehabilitation after anterior cruciate ligament reconstruction: a report of 15 cases

et al. 2022

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Purpose To investigate the functional outcomes for patients who used a novel home-based rehabilitative system during the postoperative period after anterior cruciate ligament (ACL) reconstructions. Methods Patients undergoing ACL reconstruction surgeries were prospectively enrolled. A home-based rehabilitation system, which is composed of a knee brace with a motion tracker, a mobile app, and a web portal, was applied. Patients could complete the rehabilitation exercise through the audio guidance and the real-time tracking system which displayed the achieved motions on the user interface of the app. Feedbacks from the patients, including the International Knee Documentation Committee (IKDC) scores, were collected and uploaded to the web portal. Each patient would meet a specialized physical therapist face-to-face once a month. At postoperative 6 months, every patient received a GNRB arthrometer examination and a Cybex isokinetic dynamometer examination. Results A total of 15 patients (10 males and 5 females) were enrolled and followed for at least 6 months. The mean time of return to full knee extension was 1.5 months. The mean difference in laxity measured by GNRB arthrometer at 134 N significantly improved at postoperative 6 months (1.8 ± 1.6 mm) compared to that measured preoperatively (3.4 ± 1.9 mm) (p = 0.024). The peak torques of flexor and extensor muscles measured by Cybex isokinetic dynamometer remained unchanged at postoperative 6 months (p = 0.733 and 0.394, respectively). The patients’ IKDC score became smaller at postoperative 1 month (p = 0.011) and significantly improved at postoperative 6 months (p = 0.002). Conclusion Using a home-based rehabilitative knee brace system after ACL reconstruction is a viable option as patients maintained their knee muscle strengths maintained their muscle strength and achieve similar or better knee range of motion six months postoperatively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A novel home-based rehabilitative knee brace system is a viable option for postoperative rehabilitation after anterior cruciate ligament reconstruction: a report of 15 cases

et al. 2022

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“…Como enxerto autólogo, o tendão do músculo fibular longo é uma opção antiga, entretanto tem recebido uma atenção maior nos últimos anos devido às suas propriedades biomecânicas semelhantes ao ligamento nativo do LCA e ao enxerto dos isquiotibiais. [34][35][36] Na ►Figura 3 são demonstrados o enxerto e sua retirada.…”

Section: Enxerto Autólogo Do Tendão Do Músculo Fibular Longounclassified

“…As an autologous graft, the peroneus longus muscle tendon is an old option, however it has received greater attention in recent years due to its biomechanical properties similar to the native ACL ligament and the hamstring graft.. 34 35 36 Figure 3 shows the graft and its removal.…”

Section: Peroneus Longus Tendon Autologous Graftmentioning

confidence: 99%

Novas técnicas de enxertia para reconstrucão do LCA: Artigo de atualização

Lara,

Novaretti,

Nunes

et al. 2024

Rev Bras Ortop (Sao Paulo)

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ResumoA reconstrução do ligamento cruzado anterior (LCA) é um procedimento comum para lesões desse ligamento, especialmente em atletas. Existem diferentes tipos de enxertos utilizados, e a escolha depende de vários fatores. Os enxertos autólogos, do próprio paciente, são a opção mais comum, com rápida incorporação e menor taxa de falha. Enxertos aloenxertos, de doadores, têm seu papel em casos específicos. Os enxertos sintéticos, usados na década de 80, têm vantagens como ausência de morbidade no local doador, mas estudos mostraram complicações a longo prazo. Os enxertos híbridos, combinando enxertos autólogos e aloenxertos, têm ganhado interesse, permitindo um diâmetro maior e reduzindo a morbidade. O enxerto autólogo do tendão do músculo fibular longo tem recebido atenção, com resultados positivos, boa função do joelho e menor hipotrofia da coxa no local doador. O enxerto autólogo do tendão quadricipital tem ganhado popularidade, com resultados comparáveis aos enxertos de tendão patelar e de flexores, menor morbidade no local doador e menor taxa de re-ruptura. A escolha do enxerto evoluiu, com os enxertos autólogos de flexores sendo preferidos para pacientes menos ativos e o enxerto patelar com fragmento ósseo para atletas de alta performance. Enxertos aloenxertos, sintéticos e híbridos têm seu papel em circunstâncias específicas. A escolha deve ser baseada em evidências científicas, considerando vantagens e desvantagens. A reconstrução do LCA é um procedimento complexo que requer considerações individuais para selecionar o enxerto mais adequado.

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