Better Safe Than Sorry? A Systematic Review with Meta-analysis on Time to Return to Sport After ACL Reconstruction as a Risk Factor for Second ACL Injury

Piussi, Ramana; Simonson, Rebecca; Zsidai, Bálint; Grassi, Alberto; Karlsson, Jon; Della Villa, Francesco; Samuelsson, Kristian; Senorski, Eric Hamrin

doi:10.2519/jospt.2023.11977

Cited by 6 publications

(1 citation statement)

References 73 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…ACL rupture is a debilitating injury, and the subsequent ACLR results in the passive stability of the knee, leading to good patient-reported outcomes in the short-to-medium term [10]. However, even with appropriate surgery and rehabilitation, only approximately 65-75% of recreational ACLR patients return to their preinjury sporting level [11].…”

Section: Pearlsmentioning

confidence: 99%

Superolateral Capsule Portal: A New Arthroscopic Viewing Approach for Spotting Femoral Fixation Device in Anterior Cruciate Ligament Reconstruction

Ding,

Liao,

Shangguan

et al. 2024

Preprint

View full text Add to dashboard Cite

Background this study aimed to describe the arthroscopic superlateral capsule portal technique for spotting femoral fixation device deployment, and to compare the results with normal procedure. Methods: A total of 69 patients underwent ACLR (Anterior Cruciate Ligament Reconstruction) with or without the SCP (superolateral capsule portal) during procedure were retrospectively selected and evaluated. A total of 36 patients underwent SCP and 33 patients underwent ACLR without SCP. Mean follow-up was 6 months after surgery. All patient noted joint fluid, underwent VAS and Lysholm score at follow-up, and statistical analysis was performed. Results: No statistically significant differences were found in patient demographics, ACLR duration time (p = 0.076) and Lysholm score (p = 0.296). Significantly less postoperation pain was reported in the SCP group(p = 0.000), and fluid volume in SCP group was significantly lower (p = 0.001). The postoperative complications were rare in both group. Conclusions: The superolateral capsule portal approach is a minimally invasive and safe technique that can be used to accurately locate and implant suture button-based femoral fixation devices in anterior cruciate ligament reconstruction.

show abstract

Section: Pearlsmentioning

confidence: 99%

Superolateral Capsule Portal: A New Arthroscopic Viewing Approach for Spotting Femoral Fixation Device in Anterior Cruciate Ligament Reconstruction

Ding,

Liao,

Shangguan

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

A new neural network model that detects graft ruptures and contralateral anterior cruciate ligament injuries

Usami,

Kimura,

Matsuzaka

et al. 2024

Knee surg. sports traumatol. arthrosc.

View full text Add to dashboard Cite

PurposeThe purpose of this study was to develop a neural network model for predicting second anterior cruciate ligament (ACL) injury risk following ACL reconstruction using patient features from medical records.MethodsOf 486 consecutive patients who underwent primary unilateral ACL reconstruction, 386 patients (198 women, 188 men) with a mean age of 25.1 ± 11.6 years were included in this study. Fifty‐eight features, including demographic data, surgical, preoperative and postoperative data, were retrospectively collected from medical records, and features with an incidence of less than 5% were excluded. Finally, 14 features were used for the analysis. The multilayer perceptron was composed of four hidden layers with a rectified linear unit as activation and was trained to maximise the area under the receiver‐operating characteristic curve (auROC). Subsequently, validation was carried out through a rigorous threefold cross‐validation process. To ascertain the most efficacious combination of features with the highest auROC, a single feature with the least impact on auROC maximisation was systematically eliminated from the comprehensive variable set, ultimately resulting in the retention of a mere two variables.ResultsThe median follow‐up period was 50.5 (24–142) months. Fifty‐seven knees had a second ACL injury, with a graft rupture rate of 7.7% and a contralateral injury rate of 6.9%. The maximum auROC for predicting graft rupture was 0.81 with two features: young age and hamstring graft. Meanwhile, the maximum auROC for predicting contralateral ACL injury was 0.74 with seven features, including young age, presence of medial meniscus tear, small body mass index, hamstring graft, female sex and medial meniscus repair or treatment.ConclusionA neural network model with patient features from medical records detected graft ruptures and contralateral ACL injuries with acceptable accuracy. This model can serve as a new, useful tool in clinical practice to inform decisions about ACL reconstruction and retuning to sports postoperatively.Level of EvidenceLevel IV.

show abstract

Injury prevention in Brazilian women's football: Perceptions of physiotherapists and practices within elite clubs

Vianna,

Ribas,

Rodrigues

et al. 2024

Physical Therapy in Sport

View full text Add to dashboard Cite

Better Safe Than Sorry? A Systematic Review with Meta-analysis on Time to Return to Sport After ACL Reconstruction as a Risk Factor for Second ACL Injury

Cited by 6 publications

References 73 publications

Superolateral Capsule Portal: A New Arthroscopic Viewing Approach for Spotting Femoral Fixation Device in Anterior Cruciate Ligament Reconstruction

Superolateral Capsule Portal: A New Arthroscopic Viewing Approach for Spotting Femoral Fixation Device in Anterior Cruciate Ligament Reconstruction

A new neural network model that detects graft ruptures and contralateral anterior cruciate ligament injuries

Injury prevention in Brazilian women's football: Perceptions of physiotherapists and practices within elite clubs

Contact Info

Product

Resources

About