Primary anterior cruciate ligament reconstruction: perioperative considerations and complications

Nadarajah, Vidushan; Roach, Ryan P.; Ganta, Abhishek; Alaia, Michael J.; Shah, Mehul

doi:10.1080/00913847.2017.1294012

Cited by 5 publications

(2 citation statements)

References 124 publications

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“…The reviewed studies inconsistently reported the physical activity of the ACL-R group as well as the (matched) control group, making an intra-group and inter-study comparison difficult. Possible associated injuries as well as intra- or post-operative complications are present [ 29 ] and might affect the sensorimotor function in different ways. The current review showed that four out of ten studies did not report associated injuries [ 18 , 19 , 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

Alterations in sensorimotor function after ACL reconstruction during active joint position sense testing. A systematic review

et al. 2021

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Background The anterior cruciate ligament (ACL) rupture can lead to impaired knee function. Reconstruction decreases the mechanical instability but might not have an impact on sensorimotor alterations. Objective Evaluation of the sensorimotor function measured with the active joint position sense (JPS) test in anterior cruciate ligament (ACL) reconstructed patients compared to the contralateral side and a healthy control group. Methods The databases MEDLINE, CINAHL, EMBASE, PEDro, Cochrane Library and SPORTDiscus were systematically searched from origin until April 2020. Studies published in English, German, French, Spanish or Italian language were included. Evaluation of the sensorimotor performance was restricted to the active joint position sense test in ACL reconstructed participants or healthy controls. The Preferred Items for Systematic Reviews and Meta-Analyses guidelines were followed. Study quality was evaluated using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Data was descriptively synthesized. Results Ten studies were included after application of the selective criteria. Higher angular deviation, reaching significant difference (p < 0.001) in one study, was shown up to three months after surgery in the affected limb. Six months post-operative significantly less error (p < 0.01) was found in the reconstructed leg compared to the contralateral side and healthy controls. One or more years after ACL reconstruction significant differences were inconsistent along the studies. Conclusions Altered sensorimotor function was present after ACL reconstruction. Due to inconsistencies and small magnitudes, clinical relevance might be questionable. JPS testing can be performed in acute injured persons and prospective studies could enhance knowledge of sensorimotor function throughout the rehabilitative processes.

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Section: Discussionmentioning

confidence: 99%

Alterations in sensorimotor function after ACL reconstruction during active joint position sense testing. A systematic review

et al. 2021

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“…5 6 Complications after ACL-R, such as deep vein thrombosis (DVT), hemarthrosis, effusion and synovitis, infection, or arthrofibrosis are not uncommon. 7 DVT and pulmonary embolism (PE) are relatively rare complications following ACL-R but the incidence of asymptomatic DVT is reported to be closed to 15%. 8 Other studies described a 90-day PE rate of 0.08% and 90-day DVT rate of 0.12% in 301,701 elective arthroscopic procedures.…”

Section: Introductionmentioning

confidence: 99%

Uncommon Complications after Anterior Cruciate Ligament Reconstruction

Palazzolo

Rosso

Bonasia

et al. 2018

Joints

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Anterior cruciate ligament reconstruction (ACL-R) is a common surgical procedure, with good outcome in 75 to 97% of the cases. However, different complications have been described including infection, hemarthrosis, deep vein thrombosis (DVT), and pulmonary embolism (PE) with a rate ranging from 1 to 15%. There are few case reports in the literature describing rare complications after ACL-R and they can be divided into: (1) complications related to the fixation device (rupture, migration); (2) fractures (tibial or femoral side); (3) infections due to uncommon bacteria, mycobacterium, and mycosis; (4) rare vascular injuries; (5) nerve injuries; and (6) other rare complications. In case of fixation device rupture or migration, device removal can be easy but the diagnosis may be challenging. Patellar fracture after ACL-R may be related to harvesting and it is not uncommon. Conversely, femoral or tibial fractures are most frequently due to bone weakness related to bone tunnels. Some rare infections related to uncommon bacteria or mycosis are also described with potentially devastating joint damage. Popliteal artery injuries are uncommon in ACL-R but minor vessels damages are described with possible severe consequences for patients. Injuries to the infrapatellar branch of the saphenous nerve are not uncommon in ACL-R. However, there are few case reports also describing injuries to the saphenous nerve, the common peroneal nerve and the sciatic nerve. The aim of this paper is to review the literature describing uncommon complications after ACL-R, giving some more information about diagnosis and treatment.

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Hip abductor tendinitis after ACL reconstruction with patellar tendon graft in soccer players. A new clinical complication

Mouzopoulos

Vlachos

Tsembeli

et al. 2017

Eur J Orthop Surg Traumatol

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Although ACL reconstruction remains a complex procedure with possible complications, affecting mainly the knee function, but no complications affecting the hip function have been already mentioned in the literature. Here in, we discuss the demographics, clinical course and outcomes of a rare complication such as hip abductors tendinitis, developed in soccer amateur athletes after ACL reconstruction with patellar tendon graft.

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Primary anterior cruciate ligament reconstruction: perioperative considerations and complications

Cited by 5 publications

References 124 publications

Alterations in sensorimotor function after ACL reconstruction during active joint position sense testing. A systematic review

Alterations in sensorimotor function after ACL reconstruction during active joint position sense testing. A systematic review

Uncommon Complications after Anterior Cruciate Ligament Reconstruction

Hip abductor tendinitis after ACL reconstruction with patellar tendon graft in soccer players. A new clinical complication

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