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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. 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

5. [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.

6. 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

7. 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

8. 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

9. 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

10. 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 available with Trip Pro

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

11. 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

12. 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 available with Trip Pro

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

13. 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 available with Trip Pro

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

14. 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 available with Trip Pro

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

15. Operative Repair of Medial Patellofemoral Ligament Injury Versus Knee Brace in Children With an Acute First-Time Traumatic Patellar Dislocation: A Randomized Controlled Trial (Abstract)

Operative Repair of Medial Patellofemoral Ligament Injury Versus Knee Brace in Children With an Acute First-Time Traumatic Patellar Dislocation: A Randomized Controlled Trial A lateral patellar dislocation (LPD) is the most common traumatic knee injury with hemarthrosis in children. The redislocation rate is high. Varying operative and nonoperative treatments have been advocated with no consensus on the best treatment.(1) To evaluate if arthroscopic-assisted repair of the medial patellofemoral (...) ligament (MPFL) in patients with an acute first-time traumatic LPD would reduce the recurrence rate and offer better objective/subjective knee function compared with a knee brace without repair. (2) To study the presence of anatomic patellar instability risk factors (APIFs) and their association with a redislocation.Randomized controlled trial; Level of evidence, 1.This was a prospective series of 74 skeletally immature patients aged 9 to 14 years (38 girls and 36 boys; mean age, 13.1 years

2018 EvidenceUpdates

16. Two Different Knee Rotational Instabilities Occur With Anterior Cruciate Ligament and Anterolateral Ligament Injuries: A Robotic Study on Anterior Cruciate Ligament and Extra-articular Reconstructions in Restoring Rotational Stability. (Abstract)

Two Different Knee Rotational Instabilities Occur With Anterior Cruciate Ligament and Anterolateral Ligament Injuries: A Robotic Study on Anterior Cruciate Ligament and Extra-articular Reconstructions in Restoring Rotational Stability. To determine the effect of 2 extra-articular reconstructions on pivot-shift rotational stability and tibial internal rotation as a basis for clinical recommendations.A robotic simulator tested 15 cadaver knees. Group 1 (anterior cruciate ligament [ACL] cut (...) ) underwent ACL bone-patellar tendon-bone reconstruction followed by sectioning the anterolateral structures and an extra-articular, manual-tension iliotibial band (ITB) tenodesis. Group 2 (ACL intact) tested the rotational stabilizing effect of a low-tension ITB tenodesis before and after sectioning the anterolateral ligament/ITB structures. Lateral and medial tibiofemoral compartment translations and internal-external tibial rotations were measured under Lachman, 5N·m tibial rotation, and 2 pivot-shift

2018 Arthroscopy

17. Translation into modern standard Arabic, cross-cultural adaptation and psychometric properties' evaluation of the Lower Extremity Functional Scale (LEFS) in Arabic-speaking athletes with Anterior Cruciate Ligament (ACL) injury. Full Text available with Trip Pro

Translation into modern standard Arabic, cross-cultural adaptation and psychometric properties' evaluation of the Lower Extremity Functional Scale (LEFS) in Arabic-speaking athletes with Anterior Cruciate Ligament (ACL) injury. The Lower Extremity Functional Scale evaluates the functional status of patients that have lower extremity conditions of musculoskeletal origin. Regional Arabic dialects often create barriers to clear communication and comparative research. We aimed to cross-culturally (...) adapt the Lower Extremity Functional Scale in modern standard Arabic that is widely used and understood in the Middle East and North Africa region, and assess its psychometric properties.Cross-cultural adaptation followed a combination of recommended guidelines. For psychometric evaluation 150 patients with anterior cruciate ligament injury and 65 asymptomatic individuals were recruited. All measurement properties as indicated by the Consensus-based Standards for the selection of health status

2019 PLoS ONE

18. Mucoid degeneration of the cruciate ligaments in osteoarthritis under primary total knee arthroplasty Full Text available with Trip Pro

Mucoid degeneration of the cruciate ligaments in osteoarthritis under primary total knee arthroplasty Mucoid degeneration of the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) with osteoarthritis is rarely reported. We experienced two knee osteoarthritic patients who had symptomatic mucoid degeneration of their ACL, and their PCL was also diagnosed as mucoid degeneration in histological evaluation. Preoperative radiological evaluation could not reveal precisely whether (...) the degeneration had extended to the PCL. We obtained good clinical results treating them with posterior-stabilized (PS) total knee arthroplasty (TKA) sacrificing both ligaments. In cases of osteoarthritis with mucoid degenerated ACL, PS TKA should be considered, sacrificing both cruciate ligaments, because mucoid degeneration might expand both cruciate ligaments.

2018 Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology

19. Return to sport and knee functional scores after anterior cruciate ligament reconstruction: 2 to 10 years' follow-up Full Text available with Trip Pro

Return to sport and knee functional scores after anterior cruciate ligament reconstruction: 2 to 10 years' follow-up Anterior cruciate ligament (ACL) reconstruction is one of the most common knee ligament reconstruction sustained by sports players. Previous studies have revealed different rates of returning to play sports depending on study sites, subjects, and time to follow-up; however, this subject has not been adequately investigated in Thailand.This study aimed to assess the percentage (...) effects, and worry about the possibility of re-injury. Overall, total IKDC scores of patients who returned to sport were significantly higher than those of subjects who did not. However, some points such as ability to kneel, ride and bend the knee were not different in the two groups. Bachelor degree education, monthly income lower than 10,000 Thai baht and IKDC score were the factors associated with returning to sport.The rates of return to sport after ACL reconstruction were low compared to those

2018 Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology

20. Clinical Outcomes of the Central Third Patellar Tendon Versus Four-strand Hamstring Tendon Autograft Used for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Subgroup Meta-analysis of Randomized Controlled Trials. (Abstract)

Clinical Outcomes of the Central Third Patellar Tendon Versus Four-strand Hamstring Tendon Autograft Used for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Subgroup Meta-analysis of Randomized Controlled Trials. The most frequently used auto-grafts for ACL reconstruction (ACLR) are bone-patellar tendon-bone (BPTB) and four-strand hamstring tendon (4S-HT), but significant controversy exists about which graft is better. This study aimed to compare the knee outcomes following (...) ACLR with BPTB and 4S-HT autografts.Subgroup meta-analyses were performed basing on available randomised controlled trials (RCTs) according to different follow-up intervals. 23 RCTs were eligible for inclusion, involving 933 participants in each treatment group.Only short-term (≤2 years) knee anteroposterior and rotational stability were significantly poorer with 4S-HT when compared to BPTB autograft, as judged by side-to-side difference on knee laxity (WMD=-0.50, 95%CI -0.81~-0.18, p=0.002

2020 Injury

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