Multiple revision anterior cruciate ligament reconstruction: not the best but still good

D’Ambrosi, Riccardo; Meena, Amit; Raj, Akshya; Ursino, Nicola; Formica, Matteo; Herbort, Mirco; Fink, Christian

doi:10.1007/s00167-022-07197-8

Cited by 28 publications

(15 citation statements)

References 34 publications

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“…After undergoing ACL reconstruction surgery resulting from a rupture of ligament, athletes frequently encounter difficulties in returning to their prior level of sports activity. [42] According to the results of this study, coaches and trainers educate athletes who frequently perform cutting maneuver should be educated on the importance of hamstring muscles, and athletes are provided with injury prevention training programs related to hamstring muscles to improve performance by preventing knee ligaments.…”

Section: Discussionmentioning

confidence: 99%

The effects of knee ligament load using simulated hip abductor and hamstring muscle strengthening during cutting maneuver

Kim,

Han,

Kim

et al. 2023

Medicine

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Background: This study aimed to analyze knee ligament of load and joint moment to simulate the strengthening of the hip abductor and hamstring muscles using musculoskeletal modeling, thereby contributing to decrease of knee ligament load. Methods: Forty participants (age: 21.85 ± 1.90 years; height: 1.76 ± 0.06 m; body mass: 68.5 ± 7.06 kg) were instructed to run at 4.5 ± 0.2 m/s from a 5 m distance posterior to the force plate, land their feet on the force plate, and perform the cutting maneuver on the left. In the musculoskeletal modeling, the hip abductor and hamstring muscles were targeted to construct a model with a 30% increase in the contraction force of the hip abductor, hamstring, and both 2 muscles. The variables were the ligament force and knee joint moment. One-way repeated measure ANOVA and Bonferroni test were used to compare the abductor/hamstring, abductor, hamstring and control models. Results: There were significant differences in anterior bundle of the anterior cruciate ligament (ACL) (P = .001), inferior bundle of the superficial layer of the medial collateral ligament (MCL) (P = .016), and posterior bundle of the superficial layer of the MCL (P = .022) force. The post hoc showed that the hamstring model had lower anterior bundle of the ACL and inferior bundle of the superficial layer of the MCL than the abductor/hamstring and abductor models (P < .05) and lower posterior bundle of the superficial layer of the MCL than the abductor and control models (P < .05). There was a significant difference in the adduction (P = .028) and internal rotation moments (P = .014). The post hoc showed that both moments were lower in the hamstring model than in the other models (P < .05). Conclusions: The hamstring strengthening may contribute significantly to preventing ACL or MCL injury by reducing knee ligament load.

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Section: Discussionmentioning

confidence: 99%

The effects of knee ligament load using simulated hip abductor and hamstring muscle strengthening during cutting maneuver

Kim,

Han,

Kim

et al. 2023

Medicine

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“…The functional outcomes overall were found to be similarly good using both the QT-B and QT-S, regardless of the fixation method used. Good outcomes following reconstructions depend upon the incorporation of the graft into the host bone [7,8]. Graft healing can be either bone-to-bone healing or bone-to-tendon healing based on whether or not the graft is harvested with a bone block.…”

Section: Discussionmentioning

confidence: 99%

Quadriceps tendon autograft with or without bone block have comparable clinical outcomes, complications and revision rate for ACL reconstruction: a systematic review

Meena

D’Ambrosi

Runer

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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Purpose The purpose of this systematic review is to report complications, graft failure, fixation methods, rehabilitation protocol, clinical and patient-reported outcomes, and return to sports with the use of quadriceps tendon graft with the bone block (QT-B) and without bone block (QT-S). Methods According to the PRISMA guidelines a comprehensive search was performed across PubMed/MEDLINE, Scopus, EMBASE, and Cochrane Library databases from inception until April 2022. Only prospective studies using quadriceps tendon autograft with a minimum of 20 patients were considered for inclusion. The outcome measures extracted from the studies were the KT-1000, Lysholm score, Subjective and Objective IKDC, Tegner, Marx Score, complications, failures and/or revision surgery, and rate of return to sports. Cochrane risk of bias and MINORS tool were used for the risk of bias assessment of all included studies. Results A total of 13 studies were included, consisting of 5 randomized controlled trials, 6 cohort studies, 1 case–control and 1 case series. A total of 484 patients received QT-S in 6 studies of which 224 (46.2%) were males and 212 (43.8%) females with a mean age of 21.5 ± 7.5 (range 14–58). While 243 patients received QT-B in 7 studies of which 167 (68.7%) were males and 76 (31.3%) females with a mean age of 28.9 ± 4.5 (range: 18–49). The studies analyzed had a mean MINORS score of 14.6 (range, 12–19). Both QT-B and QT-S for ACL reconstruction reported satisfactory results in terms of patient-reported outcome measures. Although, a slightly higher anterior laxity was found with the QT-S than with the QT-B. Conclusion Quadriceps tendon with a bone block (QT-B) or without bone block (QT-S) for ACL reconstruction is supported by current literature. Both grafts are safe and viable options for ACL reconstruction with comparable clinical outcomes, complications and revision rates. Level of evidence Level IV. Registration PROSPERO-CRD42022347134; https://www.crd.york.ac.uk/prospero/

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“…[4] Throughout the past decades, ACL reconstruction has evolved considerably using various grafts. [5,6] Autografts, allografts, and synthetic grafts have all been tried with varying degrees of success.…”

Section: Introductionmentioning

confidence: 99%

A prospective study of arthroscopic primary ACL reconstruction with ipsilateral peroneus longus tendon graft: Experience of 439 cases

et al. 2023

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Anterior cruciate ligament (ACL) tears are frequent ligamentous injuries that necessitate reconstruction in many cases. The patellar tendon and the hamstring tendon are the most frequently utilized autografts for reconstruction. However, both have certain disadvantages. We hypothesized that the peroneus longus tendon would be an acceptable graft for arthroscopic ACL reconstruction. The aim of this study is to determine whether a peroneus Longus tendon transplant is a functionally viable option for arthroscopic ACL reconstruction without compromising donor ankle activity. In this prospective study 439 individuals aged between 18 to 45 years, who underwent ACL reconstruction using ipsilateral Peroneus longus tendon autograft were observed. The injury to the ACL was initially assessed by physical examinations and further confirmed by magnetic resonance imaging (MRI). The outcome was assessed at 6, 12, and 24 months after the surgery using Modified Cincinnati, International Knee Documentation Committee (IKDC), and Tegner-Lysholm scores. The donor ankle stability was evaluated using foot and ankle disability index (FADI) and AOFAS scores, as well as hop tests. Significant (P < .001) improvement in the result of the IKDC score, Modified Cincinnati, and Tegner-Lysholm score was observed at the final follow-up. The Lachman test was mildly (1+) positive only in 7.70% of cases, the anterior drawer became negative in all cases, and the pivot shift test was negative in 97.43% of cases at 24 months after the surgery. FADI and AOFAS scores for donor’s ankle functional assessment were impressive, as were single hop test, triple hop test, and cross over hop test results at 2 years. None of the patients had any neurovascular deficit. However, 6 cases of superficial wound infection were observed, 4 at the port site and 2 at the donor site. All resolved after appropriate oral antibiotic therapy. The peroneus longus tendon can be considered a safe, effective, and promising graft of choice for arthroscopic primary single-bundle ACL reconstruction because it has a good functional outcome and impressive donor ankle function after surgery.

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Multiple revision anterior cruciate ligament reconstruction: not the best but still good

Cited by 28 publications

References 34 publications

The effects of knee ligament load using simulated hip abductor and hamstring muscle strengthening during cutting maneuver

The effects of knee ligament load using simulated hip abductor and hamstring muscle strengthening during cutting maneuver

Quadriceps tendon autograft with or without bone block have comparable clinical outcomes, complications and revision rate for ACL reconstruction: a systematic review

A prospective study of arthroscopic primary ACL reconstruction with ipsilateral peroneus longus tendon graft: Experience of 439 cases

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