Risk factors for bilateral anterior cruciate ligament injuries

Ristić, Vladimir; Ristić, Siniša; Maljanović, Mirsad; Ðan, Vladimir; Milankov, Vukadin; Harhaji, Vladimir

doi:10.2298/mpns1506192r

Cited by 13 publications

(22 citation statements)

References 18 publications

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“…2,3 Despite it being a wellestablished orthopaedic procedure, there is some concern that those who suffer an ACL tear will eventually require a contralateral reconstruction following their initial procedure. [4][5][6][7][8][9][10][11] With an incidence rate ranging from 2 to 14% (►Table 1), [5][6][7]10,12 contralateral injuries are quite concerning as they have been associated with poorer functional and patient-reported outcomes. 13 Some have reported that women and younger patients have a much higher risk of contralateral tears.…”

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confidence: 99%

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Risk Factors for Contralateral ACL Injury: A Single Institution Case–Control Study

et al. 2018

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Our purpose was to evaluate if there is any association between requiring contralateral anterior cruciate ligament (ACL) reconstruction and various: (1) demographics, (2) patient characteristics, and (3) surgery-specific factors. A prospectively collected database at a single institution was queried to find all patients who underwent primary ACL reconstruction between 2012 and 2014. We identified 312 primary ACL reconstruction patients with a mean age of 24 years and a mean follow-up of 3 years (range, 2-5 years). This cohort was compared with all those who had primary ACL reconstructions during the same time period without a contralateral procedure. We evaluated: (1) incidence, (2) demographic variables, (3) family history, (4) graft choice, (5) activity causing injury, and (6) mechanism of injury (contact versus noncontact). There were 16 patients (4.8%) with a mean age of 21 years and a mean follow-up of 3 years that required a contralateral reconstruction. More females required contralateral reconstruction when compared with the control cohort ( = 0.049). However, there was no difference in the mean age between the cohorts ( = 0.32). Those who underwent reconstruction using a tibialis anterior allograft were far more likely to require a contralateral reconstruction ( = 0.0002). Bone-tendon-bone patellar autograft ( = 0.16), hamstring autograft ( = 0.76), and hamstring allograft ( = 0.68) had similar incidences of contralateral ACL injury. Lacrosse was associated with higher risk of contralateral procedure ( = 0.03). Mechanism of injury had no association of contralateral reconstruction ( = 0.71). We found that those with the highest risk of contralateral ACL reconstruction following their index procedure were females, those with tibialis anterior allografts, and those who had their ipsilateral injury while playing lacrosse. These data may be used by practitioners when educating patients regarding their potential for requiring a contralateral reconstruction following their index procedure.

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“…13 Some have reported that women and younger patients have a much higher risk of contralateral tears. 4,5 However, others have postulated that the activity performed while suffering the injury may be correlated with subsequent contralateral injury. 8 Contralateral ACL reconstructions can still result in satisfactory functional and patient-reported outcomes.…”

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Risk Factors for Contralateral ACL Injury: A Single Institution Case–Control Study

et al. 2018

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“…The most common activities that cause these injuries are skiing, football, handball, basketball, volleyball and traffic accidents (up to 20%) [19]. Regarding the situation in which the injury occurred, our results show a deviation from the literature data, as 96.6% of our patients sustained sports injuries, most often during playing soccer [20,21].…”

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confidence: 59%

Cyclops syndrome - A complication after anterior cruciate ligament reconstruction

Ristić¹,

Ilić²,

Bjelobrk³

et al. 2019

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Introduction. Cyclops syndrome is one of the causes of failure of anterior cruciate ligament reconstruction. The aim of the study was to examine the quality of life of patients who had this complication and its consequences till the return to unrestricted (sports) activities. Material and Methods. During an eighteen-year follow-up of 4330 patients, cyclops syndrome was found in 71 patients (1.64%). This study included 60 of them, who agreed to fill out a questionnaire and functional scoring scales. Results and Discussion. The mean Tegner score was 5.95 and Lysholm score was 86.13 points. After the arthroscopic removal of cyclops lesion, excellent results were found in 22 patients (36.7%), good in 19 (31.7%), poor in 16 (26.7%) and very poor in three cases (5%). On average, athletes lose 10 months from injury to anterior cruciate ligament reconstruction. It takes at least 6 months to return to competitive sports. If cyclops lesion occurs, it takes approximately 10 months to arthroscopy, and on average 3 months of postoperative recovery. Conclusion. Cyclops lesion is a complication that significantly compromises the outcome of anterior cruciate ligament reconstruction, in terms of functional scores, subjective symptoms, the intensity of sports activities, and quality of life. Arthroscopic removal of the cyclops lesion leads to satisfactory postoperative results, but athletes lose 2.5 years on the whole, from injury to return to unrestricted sports activities.

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“…The incidence of ACL injury has been increasing, and the most frequently injured are young, physically active persons [3][4][5][9][10][11][12][13]. Surgical reconstruction is the method of choice in the treatment of these injuries in recreational and professional athletes who have high levels of physical activity.…”

Section: Discussionmentioning

confidence: 99%

Radiographic analysis of the tibial tunnel position after anterior cruciate ligament reconstruction

Ristić¹,

Ristić

Harhaji

et al. 2018

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Introduction. The aim of the study was to analyze the tibial tunnel position after anterior cruciate ligament reconstruction. Material and Methods. The study included 830 patients who underwent this operative procedure. There were four times more male than female patients. The tibial tunnel placement was analyzed on frontal and lateral radiograph images of the knee joint. Results. The average frontal tibial index was 55% (35 -68%), the average frontal tibial angle was 75 degrees (58 -90), the sagittal tibial index was 30% (15 -52%) and the sagittal tibial angle was 68 degrees (50 -89). Conclusion. A significant deviation from these values may potentially lead to failure of the anterior cruciate ligament reconstruction. SažetakUvod. Studija ima za cilj da analizira položaj tunela na golenjači nakon rekonstrukcije prednjeg ukrštenog ligamenta. Materijal i metode. Istraživanje je obuhvatilo 830 pacijenata kojima je izvršena rekonstrukcija ligamenta. U uzorku smo više od četiri puta imali zastupljene muškarce. Položaj tunela na golenjači analiziran je frontalnim i bočnim radiografskim snimcima kolena. Rezultati. Prosečna vrednost frontalnog tibijalnog indeksa iznosi 55% (35-68%), frontalnog tibijalnog ugla 75 stepeni (58-90), sagitalnog tibijalnog indeksa 30% (15-52%) i sagitalnog tibijalnog ugla 68 stepeni (50-89). Zaključak. Značajnija odstupanja od navedenih vrednosti potencijalno mogu dovesti do neuspeha rekonstrukcija prednjeg ukrštenog ligamenta. Ključne

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Risk factors for bilateral anterior cruciate ligament injuries

Cited by 13 publications

References 18 publications

Risk Factors for Contralateral ACL Injury: A Single Institution Case–Control Study

Risk Factors for Contralateral ACL Injury: A Single Institution Case–Control Study

Cyclops syndrome - A complication after anterior cruciate ligament reconstruction

Radiographic analysis of the tibial tunnel position after anterior cruciate ligament reconstruction

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