Anterior cruciate ligament reconstruction by over-the-top repair combined with popliteus tendon plasty

Mitsou, A.; Vallianatos, P; Piskopakis, Nikolaos; Maheras, S

doi:10.1302/0301-620x.72b3.2341436

Cited by 63 publications

(42 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Mean IKDC-subjective and Lysholm knee scores demonstrated excellent (ie, above 90 points) [23][24][25] function in patients with MCL reconstruction and primary ACL reconstruction. This is comparable to the mean Lysholm score reported by others when creating a double-bundle MCL reconstruction with the semitendinosus, preserving its tibial insertion (Table 3) [17].…”

Section: Tegnermentioning

confidence: 92%

Surgical Technique: Medial Collateral Ligament Reconstruction Using Achilles Allograft for Combined Knee Ligament Injury

Marx

Hetsroni

2012

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Previous approaches for medial collateral ligament (MCL) reconstruction have been associated with extensive exposure, risk of donor site morbidity with autografts, loss of motion, nonanatomic graft placement, and technical complexity with double-bundle constructs. Therefore, we implemented a technique that uses Achilles allograft, small incisions, and anatomic insertions to reconstruct the MCL. Description of Technique The MCL femoral insertion was identified, and a socket reamed over a guide pin. The Achilles bone plug was fixed in the socket and the tendon passed distally under the skin and fixed on the tibia, creating isometric reconstruction. In cases of MCL with primary ACL reconstruction, IKDCsubjective, Lysholm, and KOOS-sports scores were 91 ± 6, 92 ± 6, and 93 ± 12, respectively, and return to preinjury activity levels was achieved. In cases of MCL with revision ACL reconstruction, function was inferior, and patients did not return to their preinjury activity levels. Conclusions This technique uses allograft that provides bone-to-bone healing on the femur, requires small incisions, and creates isometric reconstruction. When performed with a cruciate reconstruction, knee stability can be restored at 2 to 5 years followup. In patients with MCL with primary ACL reconstruction, return to preinjury activity level in recreational athletes can be achieved. Patients and Methods

show abstract

Section: Tegnermentioning

confidence: 92%

Surgical Technique: Medial Collateral Ligament Reconstruction Using Achilles Allograft for Combined Knee Ligament Injury

Marx

Hetsroni

2012

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…The validated patient-reported questionnaires, assessed preoperatively and at the postoperative interview, included the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Tegner Lysholm Knee Scoring Scale [26]. Patient outcomes also were graded as poor, fair, good, or excellent according to the Tegner Lysholm Knee Scoring Scale (Table 1) [17]. Excellent and good outcomes were considered successes and fair and poor outcomes were considered clinical failures.…”

Section: Methodsmentioning

confidence: 99%

Subchondral Calcium Phosphate is Ineffective for Bone Marrow Edema Lesions in Adults With Advanced Osteoarthritis

Chatterjee

McGee

Strauss

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Injury to subchondral bone is associated with knee pain and osteoarthritis (OA). A percutaneous calcium phosphate injection is a novel approach in which subchondral bone marrow edema lesions are percutaneously injected with calcium phosphate. In theory, calcium phosphate provides structural support while it is gradually replaced by bone. However, little clinical evidence supports the efficacy of percutaneous calcium phosphate injections. Questions/purposes We asked: (1) Does percutaneous calcium phosphate injection improve validated patient-reported outcome measures? (2) What proportion of patients experience failure of treatment (defined as a low score on the Tegner Lysholm Knee Scoring Scale)? (3) Is there a relationship between outcome and age, sex, BMI, and preoperative grade of OA? Methods Between September 2012 and January 2014, we treated 33 patients with percutaneous calcium phosphate injections. Twenty-five satisfied our study inclusion criteria; of those, three patients were lost to followup and 22 (88%; 13 men, nine women) with a median age of 53.5 years (range, 38-70 years) were available for retrospective chart review and telephone evaluation at a minimum of 6 months (median, 12 months; range, 6-24 months). Our general indications for this procedure were the presence of subchondral bone marrow edema lesions observed on MR images involving weightbearing regions of the knee associated with localized pain on weightbearing and palpation and failure to respond to conservative therapy ([ 3 months). Patients with pain secondary to extensive nondegenerative meniscal tears with a flipped displaced component at the level of bone marrow edema lesions, or with mechanical axis deviation greater than 8°were excluded. All patients had Grades III or IV chondral lesions (modified Outerbridge grading system for chondromalacia) overlying MRI-identified subchondral bone marrow edema lesions. Percutaneous calcium phosphate injection was performed on the medial tibial condyle (15 patients), the medial femoral condyle (five patients), and the lateral femoral condyle (two patients). Concomitant partial meniscectomy was performed in 18 patients. Preoperative and postoperative scores from the Knee Injury and Arthritis Outcome Score (KOOS) and the Tegner Lysholm Knee Scoring Scale were analyzed. Results For patients available for followup, the outcome scores improved after treatment. The KOOS improved from a mean of 39.5 ± 21.8 to 71.3 ± 23 (95% CI, 18.6-45.2; p \ 0.001) and the Tegner and Lysholm score from 48 ± 15.1 to 77.5 ± 20.6 (95% CI, 18.8-40.2; p \ 0.001).

show abstract

“…The Lysholm score was scored between 0 and 100, where 0 indicates a very poor score and 100 an excellent score [5,6]. The Lysholm score was categorized as "excellent (N 90)," "good (84-90)," "reasonable (65-83)," and "bad (b65)" [7]. With the help of a native speaker in English, who is a sport physician, the Lysholm score was translated into Dutch.…”

Section: Outcome Variablesmentioning

confidence: 99%

Factors associated with a more rapid recovery after anterior cruciate ligament reconstruction using multivariate analysis

et al. 2016

View full text Add to dashboard Cite

Anterior cruciate ligament reconstruction by over-the-top repair combined with popliteus tendon plasty

Abstract: We used the Macintosh over-the-top repair combined with a popliteal tendon plasty in 273 athletically active patients with chronic incapacitating functional instability due to anterior cruciate ligament rupture;

Cited by 63 publications

References 16 publications

Surgical Technique: Medial Collateral Ligament Reconstruction Using Achilles Allograft for Combined Knee Ligament Injury

Surgical Technique: Medial Collateral Ligament Reconstruction Using Achilles Allograft for Combined Knee Ligament Injury

Subchondral Calcium Phosphate is Ineffective for Bone Marrow Edema Lesions in Adults With Advanced Osteoarthritis

Factors associated with a more rapid recovery after anterior cruciate ligament reconstruction using multivariate analysis

Contact Info

Product

Resources

About