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1. Active knee motion devices in the treatment of anterior cruciate ligament ruptures

Active knee motion devices in the treatment of anterior cruciate ligament ruptures 1 Translation of the key statement of the final report N16-01 Aktive Kniebewegungsschienen in der Behandlung von Rupturen des vorderen Kreuzbands (Version 1.0; Status: 16 March 2017). Please note: This document was translated by an external translator and is provided as a service by IQWiG to English-language readers. However, solely the German original text is absolutely authoritative and legally binding. Extract (...) IQWiG Reports – Commission No. N16-01 Active knee motion devices in the treatment of anterior cruciate ligament ruptures 1 Extract of final report N16-01 Version 1.0 Active knee motion devices for anterior cruciate ligament ruptures 16 March 2017 Institute for Quality and Efficiency in Health Care (IQWiG) - i - Publishing details Publisher: Institute for Quality and Efficiency in Health Care Topic: Active knee motion devices in the treatment of anterior cruciate ligament ruptures Commissioning

2019 Institute for Quality and Efficiency in Healthcare (IQWiG)

4. Do Looks or Measurements Really Matter When It Comes to ACL Tears?: Commentary on an article by Steve Bayer, BA, et al.: "Knee Morphological Risk Factors for Anterior Cruciate Ligament Injury. A Systematic Review". (Full text)

Do Looks or Measurements Really Matter When It Comes to ACL Tears?: Commentary on an article by Steve Bayer, BA, et al.: "Knee Morphological Risk Factors for Anterior Cruciate Ligament Injury. A Systematic Review". 32301860 2020 04 20 1535-1386 102 8 2020 Apr 15 The Journal of bone and joint surgery. American volume J Bone Joint Surg Am Do Looks or Measurements Really Matter When It Comes to ACL Tears?: Commentary on an article by Steve Bayer, BA, et al.: "Knee Morphological Risk Factors (...) for Anterior Cruciate Ligament Injury. A Systematic Review". e37 10.2106/JBJS.20.00103 Davila Jeffrey N JN eng Journal Article United States J Bone Joint Surg Am 0014030 0021-9355 AIM IM 2020 4 18 6 0 2020 4 18 6 0 2020 4 18 6 0 ppublish 32301860 10.2106/JBJS.20.00103 00004623-202004150-00017

2020 The Journal of Bone and Joint Surgery. American Volume PubMed abstract

5. Effect of Intraoperative Platelet-Rich Plasma Treatment on Postoperative Donor Site Knee Pain in Patellar Tendon Autograft Anterior Cruciate Ligament Reconstruction: A Double-Blind Randomized Controlled Trial (Abstract)

Effect of Intraoperative Platelet-Rich Plasma Treatment on Postoperative Donor Site Knee Pain in Patellar Tendon Autograft Anterior Cruciate Ligament Reconstruction: A Double-Blind Randomized Controlled Trial Donor site morbidity in the form of anterior knee pain is a frequent complication after bone-patellar tendon-bone (BPTB) autograft anterior cruciate ligament (ACL) reconstruction. Hypothesis/Purpose: The purpose was to examine the effect of the intraoperative administration of platelet (...) -rich plasma (PRP) on postoperative kneeling pain. It was hypothesized that PRP treatment would reduce knee pain.Randomized controlled trial; Level of evidence, 2.Fifty patients (mean ± SD age, 30 ± 12 years) undergoing BPTB ACL autograft reconstruction were randomized to the PRP (n = 27) or sham (n = 23) treatment. In either case, 10 mL of venous blood was drawn before the induction of anesthesia and either discarded (sham) or processed (PRP) for preparation of a PRP gel to be later mixed

2018 EvidenceUpdates

6. Efficiency of knee ultrasound for diagnosing anterior cruciate ligament and posterior cruciate ligament injuries: a systematic review and meta-analysis. (Abstract)

Efficiency of knee ultrasound for diagnosing anterior cruciate ligament and posterior cruciate ligament injuries: a systematic review and meta-analysis. To evaluate the diagnostic performance of knee ultrasound for anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) injuries.PubMed and EMBASE databases were searched for diagnostic accuracy studies that used ultrasound for diagnosing ACL and PCL injuries. Bivariate and hierarchical summary receiver operating characteristic (...) modeling was used to evaluate diagnostic performance. Subgroup analysis was performed by assessing studies conducted using the ultrasound technique (functional ultrasound versus conventional ultrasound) for diagnosing ACL injury. We performed meta-regression analyses for a potential source of heterogeneity.Eleven (938 ultrasound/878 patients) and six articles (281 ultrasound/237 patients) were included for ACL and PCL injuries respectively. The summary sensitivity, summary specificity, and area under

2020 Skeletal radiology

7. Passive anterior tibia translation in anterior cruciate ligament-injured, anterior cruciate ligament-reconstructed and healthy knees: a systematic review. (Full text)

Passive anterior tibia translation in anterior cruciate ligament-injured, anterior cruciate ligament-reconstructed and healthy knees: a systematic review. Anterior tibia translation (ATT) is mainly prevented by the anterior cruciate ligament. Passive ATT tests are commonly used to diagnose an anterior cruciate ligament (ACL) injury, to select patients for an ACL reconstruction (ACLR), and as an outcome measure after an ACLR. The aim of this review was to present an overview of possible factors (...) . Two articles measured the ATT in healthy as well as ACL-injured knees, 51 in ACL-injured as well as in ACLR knees, three in ACLR as well as in healthy knees and three in healthy, ACL-injured and ACLR knees. A difference in ATT is found between healthy, contralateral, ACLR and ACL-injured knees and between chronic and acute ACL injury. Graft choices and intra-articular injuries are factors which could affect the ATT. The mean ATT was lowest to highest in ACLR knees using a bone-patella tendon-bone

2020 Musculoskeletal surgery PubMed abstract

8. [Active knee motion devices in the treatment of anterior cruciate ligament ruptures]

[Active knee motion devices in the treatment of anterior cruciate ligament ruptures] Aktive kniebewegungsschienen in der behandlung von rupturen des vorderen kreuzbands: abschlussbericht; auftrag N16-01 [Active knee motion devices in the treatment of anterior cruciate ligament ruptures] Aktive kniebewegungsschienen in der behandlung von rupturen des vorderen kreuzbands: abschlussbericht; auftrag N16-01 [Active knee motion devices in the treatment of anterior cruciate ligament ruptures] Institut (...) of anterior cruciate ligament ruptures] Cologne: Institut fuer Qualitaet und Wirtschaftlichkeit im Gesundheitswesen (IQWiG). IQWiG-Berichte 497. 2017 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Anterior Cruciate Ligament; Humans; Knee; Knee Joint; Movement Language Published German Country of organisation Germany English summary There is no English language summary available. Address for correspondence IQWiG, Im Mediapark 8, DE-50670 Cologne, GERMANY, Tel: +49 (0) 221

2017 Health Technology Assessment (HTA) Database.

9. LARS for reconstructing damaged intra-articular cruciate knee ligaments

no reported cases of synovitis or infection in either group. Anterior knee pain occurred in 2 patients (6.7%) from the BPTB group which lasted for around 18 months after surgery. Conclusions Authors concluded BPTP and the LARS had similar clinical outcomes at 4 years follow-up and were satisfactory treatment options for ACL rupture. Abbreviations: ACL, anterior cruciate ligament; BPTB, bone-patellar tendon-bone; IKDC, International Knee Documentation Committee; n, number of patients; SD, standard (...) . The estimated incidence in the USA is 2.29 injuries per 1000 people (Gage et al. 2012). Damage to the ligaments is the most common type of injury, causing about 40% of all knee injuries. Of these ligament-specific injuries, approximately 50% involve individual intra-articular ligaments (Bollen 2000). There are 2 main intra-articular ligaments in the knee joint: the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). Both ligaments connect the femur to the tibia. The ACL prevents too

2015 National Institute for Health and Clinical Excellence - Advice

10. Knee hyperextension and a small lateral condyle are associated with greater quantified antero-lateral rotatory instability in the patients with a complete anterior cruciate ligament (ACL) rupture. (Abstract)

Knee hyperextension and a small lateral condyle are associated with greater quantified antero-lateral rotatory instability in the patients with a complete anterior cruciate ligament (ACL) rupture. To identify factors associated with quantified rotatory stability (pivot-shift phenomenon) in the anterior cruciate ligament (ACL)-injured knee joint.A consecutive sample of 54 patients who were diagnosed with an ACL injury and admitted to our hospital to undergo ACL reconstruction were enrolled (...) in this study. Antero-lateral rotatory laxity of the knee joint was quantified using a Kinematic Rapid Assessment device (KiRA; Orthokey LTD) under spinal block before initiating reconstruction of the ACL. Univariate and multivariate regressions were performed assuming relationships between patient characteristics (independent variables) and quantified antero-lateral rotatory stability (a dependent variable).It was observed that a low BMI (t = - 1.659, n.s.), greater passive knee extension angle (t = 2.374

2018 Knee Surgery, Sports Traumatology, Arthroscopy

11. KNEES-ACL has superior responsiveness compared to the most commonly used patient-reported outcome measures for anterior cruciate ligament injury. (Abstract)

KNEES-ACL has superior responsiveness compared to the most commonly used patient-reported outcome measures for anterior cruciate ligament injury. For clinical trials, it is essential that measures are sensitive to change. The aim of this study was to conduct a head-to-head comparison of responsiveness of four PROMs used to measure outcome after anterior cruciate ligament (ACL) reconstruction. The PROMs compared were the knee injury osteoarthritis outcome score (KOOS), the international knee (...) documentation committee subjective form (IKDC), the Lysholm score, and the knee numeric-entity evaluation score (KNEES-ACL). We hypothesized that KNEES-ACL would be more responsive than the other PROMs, as KNEES-ACL was created based on patient interviews and validated using Rasch analysis.One-hundred and sixty-six consecutive adults completed the four PROMs before and 3, 6, and 12 months after ACL-reconstructive surgery. Responsiveness was calculated as Cohen's Effect Size and Standardized Response Means

2018 Knee Surgery, Sports Traumatology, Arthroscopy

12. Recovery of Effusion and Edema in Patients following anterior cruciate ligament (ACL) Reconstruction Surgery and Correlations to Knee-related Outcomes: A Systematic Review

Recovery of Effusion and Edema in Patients following anterior cruciate ligament (ACL) Reconstruction Surgery and Correlations to Knee-related Outcomes: A Systematic Review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability

2020 PROSPERO

13. Increased knee laxity with hamstring tendon autograft compared to patellar tendon autograft: a cohort study of 5462 patients with primary anterior cruciate ligament reconstruction. (Full text)

Increased knee laxity with hamstring tendon autograft compared to patellar tendon autograft: a cohort study of 5462 patients with primary anterior cruciate ligament reconstruction. To compare anterior knee laxity and patient-reported outcome measures (PROMs) between anterior cruciate ligament reconstruction (ACLR) performed with bone-patellar tendon-bone (BPTB) and hamstring tendon (HT) autografts and, moreover, to study any correlation between postoperative anterior knee laxity (...) and PROMs.Patients who underwent primary ACLR at Capio Artro Clinic, Stockholm, Sweden, from January 2000 to October 2015, were identified in our local database. Instrumented laxity measurements and PROMs were reviewed. The KT-1000 arthrometer, with an anterior tibial load of 134-N, was used to evaluate knee laxity preoperatively and at the 6-month follow-up. The Lysholm score was collected preoperatively and at 6 months postoperatively. The Knee injury and Osteoarthritis Outcome Score (KOOS) was collected

2018 Knee Surgery, Sports Traumatology, Arthroscopy PubMed abstract

14. Comparison Between the Onlay and Inlay Techniques for Patellar Resurfacing in Posterior Cruciate Ligament-Substituting Total Knee Arthroplasty

Comparison Between the Onlay and Inlay Techniques for Patellar Resurfacing in Posterior Cruciate Ligament-Substituting Total Knee Arthroplasty Comparison Between the Onlay and Inlay Techniques for Patellar Resurfacing in Posterior Cruciate Ligament-Substituting Total Knee Arthroplasty - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save (...) this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Comparison Between the Onlay and Inlay Techniques for Patellar Resurfacing in Posterior Cruciate Ligament-Substituting Total Knee Arthroplasty The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your

2018 Clinical Trials

15. Knee Osteoarthritis After Anterior Cruciate Ligament Reconstruction With Bone-Patellar Tendon-Bone Versus Hamstring Tendon Autograft: A Systematic Review of Randomized Controlled Trials. (Abstract)

Knee Osteoarthritis After Anterior Cruciate Ligament Reconstruction With Bone-Patellar Tendon-Bone Versus Hamstring Tendon Autograft: A Systematic Review of Randomized Controlled Trials. The primary purpose of this study was to systematically review high-quality studies in the literature to compare the postoperative radiographic incidence of knee osteoarthritis (OA) after anterior cruciate ligament reconstruction (ACLR) with bone-patellar tendon-bone (BPTB) versus hamstring tendon (HT (...) ) autograft. The secondary purpose of this study was to compare other symptoms of postoperative knee OA between these 2 groups through patient-reported outcome scores and knee range of motion.A systematic review was performed by searching PubMed, Embase, and Cochrane Library to locate randomized controlled trials that compared postoperative progression of knee OA in patients who had undergone ACLR with BPTB versus HT autograft. Search terms used were "anterior cruciate ligament reconstruction," "patellar

2018 Arthroscopy

16. Femoral attachment of anterior cruciate ligament remnant tissue influences the stability of the anterior cruciate ligament-injured knee in patients over 40 years old (Full text)

Femoral attachment of anterior cruciate ligament remnant tissue influences the stability of the anterior cruciate ligament-injured knee in patients over 40 years old 29392113 2018 11 13 2214-6873 9 2017 Jul Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology Asia Pac J Sports Med Arthrosc Rehabil Technol Femoral attachment of anterior cruciate ligament remnant tissue influences the stability of the anterior cruciate ligament-injured knee in patients over 40 years (...) University, Shimotsuke, Japan. eng Journal Article 2017 03 12 Singapore Asia Pac J Sports Med Arthrosc Rehabil Technol 101648546 2214-6873 2016 11 06 2017 02 17 2017 03 04 2018 2 3 6 0 2018 2 3 6 0 2018 2 3 6 1 epublish 29392113 10.1016/j.asmart.2017.03.001 S2214-6873(16)30284-9 PMC5780281 Am J Sports Med. 2007 Jul;35(7):1098-104 17351123 Clin Orthop Relat Res. 1985 Sep;(198):43-9 4028566 Knee Surg Sports Traumatol Arthrosc. 2001 Nov;9(6):364-8 11734875 Clin Orthop Relat Res. 2013 Oct;471(10 ):3283-90

2017 Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology PubMed abstract

17. Three-dimensional Magnetic Resonance Imaging of the Anterolateral Ligament of the Knee: An Evaluation of Intact and Anterior Cruciate Ligament-Deficient Knees From the Scientific Anterior Cruciate Ligament Network International (SANTI) Study Group. (Full text)

Three-dimensional Magnetic Resonance Imaging of the Anterolateral Ligament of the Knee: An Evaluation of Intact and Anterior Cruciate Ligament-Deficient Knees From the Scientific Anterior Cruciate Ligament Network International (SANTI) Study Group. To determine the visualization rate of the anterolateral ligament (ALL) in uninjured and anterior cruciate ligament (ACL)-deficient knees using 3-dimensional (3D) magnetic resonance imaging (MRI) and to characterize the spectrum of ALL injury (...) observed in ACL-deficient knees, as well as determine the interobserver and intraobserver reliability of a 3D MRI classification of ALL injury.A total of 100 knees (60 ACL deficient and 40 uninjured) underwent 3D MRI. The ALL was evaluated by 2 blinded orthopaedic surgeons. The ALL was classified as follows: type A, continuous, clearly defined low-signal band; type B, warping, thinning, or iso-signal changes; and type C, without clear continuity. The comparison between imaging performed early after ACL

2018 Arthroscopy PubMed abstract

18. The Menstrual Cycle May Affect Anterior Knee Laxity and the Rate of Anterior Cruciate Ligament Rupture: A Systematic Review and Meta-Analysis. (Abstract)

The Menstrual Cycle May Affect Anterior Knee Laxity and the Rate of Anterior Cruciate Ligament Rupture: A Systematic Review and Meta-Analysis. Women have a higher risk of anterior cruciate ligament (ACL) tears than men, the causes of which are multifactorial. The menstrual cycle and its hormonal effect on the knee may contribute to knee laxity and ACL injury. This work reviewed published studies examining the effects of the phases of the menstrual cycle on anterior knee laxity and the rate (...) of ACL tears.A systematic review with meta-analysis and meta-regression was performed. Studies with data comparing the menstrual cycle phase with ACL injury or anterior knee laxity were included for analysis. Data with regard to patient demographic characteristics, anterior knee laxity, ACL injury, and menstrual cycle phases were extracted from the included studies.In this study, 1,308 search results yielded 396 articles for review, of which 28 met inclusion criteria. Nineteen studies of knee laxity

2019 JBJS reviews

19. Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Outcomes for Quadriceps Tendon Autograft Versus Bone-Patellar Tendon-Bone and Hamstring-Tendon Autografts (Abstract)

Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Outcomes for Quadriceps Tendon Autograft Versus Bone-Patellar Tendon-Bone and Hamstring-Tendon Autografts Comprehensive studies evaluating quadriceps tendon (QT) autograft for anterior cruciate ligament (ACL) reconstruction are lacking. The optimal choice of graft between bone-patellar tendon-bone (BPTB), hamstring tendon (HT), and QT is still debatable.The current literature supports the use of QT as a strong (...) , objective and subjective International Knee Documentation committee (IKDC) scores, donor-site pain, and graft failure.Twenty-seven clinical studies including 2856 patients with ACL reconstruction met the inclusion criteria. Comparison of 581 QT versus 514 BPTB autografts showed no significant differences in terms of instrumented mean side-to-side difference (P = .45), Lachman test (P = .76), pivot-shift test grade 0 (P = .23), pivot-shift test grade 0 or 1 (P = .85), mean Lysholm score (P = .1), mean

2019 EvidenceUpdates

20. High Risk of Further ACL Injury in a 10-Year Follow-up Study of ACL-Reconstructed Soccer Players in the Swedish National Knee Ligament Registry. (Full text)

High Risk of Further ACL Injury in a 10-Year Follow-up Study of ACL-Reconstructed Soccer Players in the Swedish National Knee Ligament Registry. To follow up on soccer players 10 years after a primary anterior cruciate ligament (ACL) reconstruction to find out how many players returned to play soccer, what influenced their decision, and if there are any differences in additional ACL injuries (graft failure and/or contralateral ACL injury) between those who returned to play and those who did (...) not.The study cohort consists of 1661 soccer players from the Swedish National Knee Ligament Registry. A questionnaire was sent to each player regarding their return to play and additional knee injuries that may have occurred 10 years after their primary ACL. The results are based on the 684 responders. Data such as age, sex, surgical procedural data, associated injuries, patient-reported outcome measures, and additional knee surgeries were collected from the registry.In this study, 51% returned

2019 Arthroscopy PubMed abstract

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