3,333 results match your criteria lysholm score

The Superficial "Swing-Down" Quadriceps Tendon Autograft is a Viable Option for Medial Patellofemoral Ligament Reconstruction: A Systematic Review.

Arthroscopy 2021 May 4. Epub 2021 May 4.

Department of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, ON, Canada. Electronic address:

Purpose: The purpose of this systematic review is to ascertain the reported clinical outcomes and complication profiles of medial patellofemoral ligament (MPFL) reconstruction performed using a superficial "swing-down" quadriceps tendon autograft.

Methods: Three databases (PubMed, EMBASE, and MEDLINE) were searched from January 1, 2000 to April 06, 2020. Keywords used in the search included: "medial patellofemoral ligament" and "reconstruction". Read More

View Article and Full-Text PDF

[Revision ACL Reconstruction in Our Study Population].

Acta Chir Orthop Traumatol Cech 2021 ;88(2):124-130

Klinika dětské a dospělé ortopedie a traumatologie 2. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.

INTRODUCTION The authors present the long-term clinical outcomes of revision anterior cruciate ligament (ACL) reconstruction. The aim was to compare the surgical technique with respect to the clinical outcomes within 3 years postoperatively. MATERIAL AND METHODS The clinical evaluation of revision anterior cruciate ligament reconstructions performed at our department in 2002-2017 was carried out. Read More

View Article and Full-Text PDF
January 2021

Return to Play and Re-Injury Rates in NCAA Division I Football Players Following Anterior Cruciate Ligament Reconstruction Using Hamstring Autograft.

Arthroscopy 2021 May 3. Epub 2021 May 3.

LSU Team Doctor - Baton Rouge Orthopaedic Clinic, 8080 Bluebonnet Blvd #1000 Baton Rouge, LA 70810.

Purpose: The purpose of this study was to examine the outcomes of ACL reconstruction using quadrupled hamstring (QH) autograft in a cohort of National Collegiate Athletic Association (NCAA) Division I football players.

Methods: A retrospective analysis was performed on NCAA Division I football players at a single institution who had transtibial ACL reconstruction using QH autograft from 2001 to 2016. Primary outcomes were ACL re-injury and return to play (RTP). Read More

View Article and Full-Text PDF

Effect of Leg Dominance on Medium- to Long-Term Functional Outcomes, Quality of Life, and Revision Rates After Isolated ACL Reconstruction.

Orthop J Sports Med 2021 Apr 12;9(4):2325967121995808. Epub 2021 Apr 12.

Department of Orthopedics and Traumatology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.

Background: The effect of leg dominance on short-term functional outcomes and return to sports after arthroscopic anterior cruciate ligament reconstruction (ACLR) has been evaluated. However, postoperative medium- to long-term recovery and revision rates are not well known.

Purpose: To investigate whether leg dominance affects medium- to long-term clinical and functional scores and revision rates after ACLR. Read More

View Article and Full-Text PDF

Intraoperative 3D imaging in intraarticular tibial plateau fractures - Does it help to improve the patients' outcomes?

J Orthop Surg Res 2021 May 5;16(1):295. Epub 2021 May 5.

Affiliation: Department of Orthopedics, Trauma and Plastic Surgery, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.

Background: In tibial plateau fractures (TPF) the restoration of an anatomical joint surface as well as an exact subchondral screw position for postoperative stability is crucial for the outcome. The aim of this study was to determine whether the additional use of an intraoperative 3D imaging intensifier (3D) might help to improve the outcome of complex TPF.

Methods: We performed a retrospective case-control study of a level 1 trauma center. Read More

View Article and Full-Text PDF

Arthroscopic Internal Drainage with Cyst Wall Resection and Arthroscopic Internal Drainage with Cyst Wall Preservation to Treat Unicameral Popliteal Cysts: A Retrospective Case-Control Study.

Orthop Surg 2021 May 4. Epub 2021 May 4.

Department of Orthopedics, The Second Hospital of Shanxi Medical University, Taiyuan, China.

Objective: To compare the clinical efficacy and safety of arthroscopic internal drainage for the treatment of unicameral popliteal cysts with or without cyst wall resection.

Methods: This was a retrospective case-control study of 73 patients diagnosed with unicameral popliteal cysts from January 2012 to January 2019 who received arthroscopic treatment. The study included 38 cases with cyst wall resection (CWR group) and 35 cases with cyst wall preservation (CWP group). Read More

View Article and Full-Text PDF

All-inside repair of bucket handle meniscus tears - Mid-term outcomes with postoperative magnetic resonance imaging.

Knee 2021 Apr 30;30:195-204. Epub 2021 Apr 30.

Department of Orthopaedic Surgery, Changi General Hospital, Singapore.

Purpose: The purpose of this study was to evaluate our results of bucket handle meniscus tear (BHMT) repairs with an all-inside repair technique using postoperative radiological imaging to evaluate meniscus reduction and healing and use them as criteria for evaluation of repair success.

Methods: Prospective recruitment of 20 patients with 21 BHMT repairs performed with an all-inside techniqueover a period from 2013 to 2015. All patients had an International Knee Documentation Committee (IKDC) Subjective Knee Form (SKF), Lysholm Score, Knee Injury and Osteoarthritis Outcome Score (KOOS) and Tegner Activity Level Scale obtained pre-operatively and at a minimum of 24 months after surgery. Read More

View Article and Full-Text PDF

Use of the forgotten joint score (FJS)-12 to evaluate knee awareness after isolated anterior cruciate ligament reconstruction with and without meniscus repair or partial meniscectomy.

Eur J Orthop Surg Traumatol 2021 May 3. Epub 2021 May 3.

Department of Forensic Medicine, Tepecik Training and Research Hospital, İzmir, Turkey.

Purpose: The aim of this study was to compare knee awareness, based on the FJS-12 score, among three patient groups: Anterior cruciate ligament reconstruction (ACLR), ACLR + meniscus repair and ACLR + partial meniscectomy. The relationship between FJS-12 scores and scores on other instruments (Lysholm Knee Scoring Scale, Tegner Activity Level Scale, KOOS and WOMAC) was also evaluated.

Methods: Forty-three patients were divided into group A (isolated ACLR) group B (ACLR + meniscectomy) and group C (ACLR + meniscus repair). Read More

View Article and Full-Text PDF

Bifocal treatment for peri-articular femoral nonunions: A retrospective case series review.

OTA Int 2019 Dec 20;2(4):e023. Epub 2019 Apr 20.

Royal Liverpool University Hospital, Liverpool, England.

Aim: This is a retrospective review of complex periarticular femoral nonunions where bone loss from comminution at original fracture, subsequent infection or lysis was identified and treated by radical excision, internal fixation, and concurrent femoral lengthening from a different level.

Material And Method: Sixteen patients with a mean age of 41 years were treated. There were 6 infected nonunions. Read More

View Article and Full-Text PDF
December 2019

Outcomes of tibial avulsion fracture of the posterior cruciate ligament treated with a homemade hook plate.

Injury 2021 Apr 20. Epub 2021 Apr 20.

Department of Traumatic Orthopedics, Wuxi Ninth People's Hospital affiliated to Soochow University, China. Electronic address:

Objective: To compare the clinical effects of an inverted L-shaped postero-medial approach with a homemade hook plate and arthroscopic fixation with Endobutton for tibial avulsion fractures of the posterior cruciate ligament.

Methods: The clinical data of 36 patients with PCL tibial avulsion fractures from January 2012 to December 2019 were analyzed retrospectively. The fractures were classified into Meyers-McKeever types II and III. Read More

View Article and Full-Text PDF

Comparative Efficacy of Root Repair versus Partial Meniscectomy and Observation for Patients with Meniscus Root Tears.

J Knee Surg 2021 May 1. Epub 2021 May 1.

Beijing Key Laboratory of Sports Injuries, Institute of Sports Medicine, Peking University Third Hospital, Beijing, People's Republic of China.

The purpose of this study was to (1) compare the efficacy of root repair versus partial meniscectomy and observation for patients with meniscus root tears; (2) compare osteoarthritis (OA) progression and functional outcomes in patients with isolated repair and with adjuvant surgery; and (3) evaluate OA progression and functional outcomes after pullout repair or all-inside repair of meniscus root tears. We performed a systematic literature search in PubMed, Embase, Scopus, and the Cochrane Library up to September 1, 2020, to identify studies that evaluated the efficacy of root repair versus partial meniscectomy and observation in patients with meniscus root tears. Random-effects meta-analysis was used to pool data. Read More

View Article and Full-Text PDF

Repair versus reconstruction for proximal anterior cruciate ligament tears: a study protocol for a prospective multicenter randomized controlled trial.

BMC Musculoskelet Disord 2021 Apr 30;22(1):399. Epub 2021 Apr 30.

Department of Orthopaedic Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Background: For active patients with a tear of the anterior cruciate ligament (ACL) who would like to return to active level of sports, the current surgical gold standard is reconstruction of the ACL. Recently, there has been renewed interest in repairing the ACL in selected patients with a proximally torn ligament. Repair of the ligament has (potential) advantages over reconstruction of the ligament such as decreased surgical morbidity, faster return of range of motion, and potentially decreased awareness of the knee. Read More

View Article and Full-Text PDF

Treatment of osteochondritis dissecans of the patella in adolescents with nanofractured autologous matrix-induced chondrogenesis (NAMIC): A report of five cases.

Knee 2021 Apr 27;30:157-162. Epub 2021 Apr 27.

Knee Unit, Department of Orthopedic Surgery and Traumatology, Parc Taulí University Hospital, Institut d'Investigació i Innovació Parc Taulí CSPT, Autonomous University of Barcelona, Sabadell, Spain.

Purpose: Osteochondritis dissecans (OCD) of the patella is a very rare affliction. The aim of this case series is to evaluate the effectiveness of the Nanofractured Autologous Matrix-Induced Chondrogenesis (NAMIC) technique for the treatment of OCD in young adults.

Methods: Five consecutive patients with patellar osteochondral lesions treated with NAMIC were prospectively studied. Read More

View Article and Full-Text PDF

Proximal Tibiofibular Joint: A Forgotten Entity in Multi-Ligament Injuries of the Knee.

Indian J Orthop 2021 Apr 8;55(2):425-432. Epub 2020 Nov 8.

Department of Orthopaedics, Maulana Azad Medical College and Lok Nayak Hospital, Room No 407, Old Resident Doctors Hostel, Maulana Azad Medical College, New Delhi, India.

Purpose: The proximal tibiofibular joint (PTJF) can be injured with the structures in the lateral aspect of the knee in a multi-ligament knee injury (MLKI) patient. Such injuries are scarce but require attention in the management of the complex MLKIs. The assessment and management of such injuries are not well described in the English literature. Read More

View Article and Full-Text PDF

Indirect Magnetic Resonance Arthrography May Help Avoid Second Look Arthroscopy for Assessment of Healing After Bucket Handle Medial Meniscus Repairs: A Prospective Clinico-Radiological Observational Study.

Indian J Orthop 2021 Apr 12;55(2):416-424. Epub 2021 Mar 12.

SRM University, Kattankulathur, Tamilnadu India.

Objectives: The objectives were: (1) to analyze the MRI healing rates of bucket-handle meniscus repair; (2) to compare the accuracy of assessment of meniscus healing for conventional MRI and Indirect Magnetic Resonance Arthrography (IMRA); and (3) to identify patients who may require second-look arthroscopy after meniscus repair.

Methods: This is a prospective observational case series of thirty-seven patients with repaired bucket-handle medial meniscus tear with a minimum one year follow-up. Meniscus healing rates were assessed on direct MRI and IMRA using Henning's criteria. Read More

View Article and Full-Text PDF

Pre-operative Joint Inflammation has no Bearing on Outcome of Arthroscopic Anterior Cruciate Ligament Reconstruction at 1-Year Follow-Up; a Prospective Study.

Indian J Orthop 2021 Apr 8;55(2):360-367. Epub 2020 Jun 8.

Department of Biochemistry, Government Medical College Hospital, Chandigarh, 160030 India.

Background: To study the effect of pre-operative joint inflammation on clinical outcome at 1 year follow-up following ACL reconstruction surgery.

Methods: Male patients, aged 18-40 years, suffering from isolated ACL injury were included. All patients were randomly divided into two groups based on the type of graft used: Group A: semitendinosus gracilis graft with preserved insertions (STG-PI), Group B: bone-patellar tendon-bone graft (BPTB). Read More

View Article and Full-Text PDF

Texture analysis to differentiate anterior cruciate ligament in patients after surgery with platelet-rich plasma.

J Orthop Surg Res 2021 Apr 28;16(1):283. Epub 2021 Apr 28.

Medical School, Sao Paulo State University Julio de Mesquita Filho, Av. Prof. Mário Rubens Guimarães Montenegro, s/n - UNESP - Campus de Botucatu, Botucatu, SP, CEP 18618687, Brazil.

Background: Platelet-rich plasma (PRP) has been used to favor anterior cruciate ligament (ACL) healing after reconstruction surgeries. However, clinical data are still inconclusive and subjective about PRP. Thus, we propose a quantitative method to demonstrate that PRP produced morphological structure changes. Read More

View Article and Full-Text PDF

The Presence of high-grade pivot shift test pre-operatively is associated with inferior functional outcomes.

Phys Sportsmed 2021 Apr 29. Epub 2021 Apr 29.

Department of Orthopaedics, Government Medical College Hospital, Chandigarh, India.

Background: The effect of high-grade pre-operative pivot shift test on outcomes of ACL reconstruction surgery is not very well established. The present study was conducted to study the factors associated with high-grade pivot shift test and effect of high-grade pre-operative pivot shift test on functional outcomes after ACL reconstruction surgery.

Methods: Three hundred and sixty-two patients who underwent primary ACL reconstruction surgery were enrolled in the study. Read More

View Article and Full-Text PDF

Treatment results and safety assessment of the LARS system for the reconstruction of the anterior cruciate ligament.

Adv Clin Exp Med 2021 Apr;30(4):379-386

Department of Trauma and Hand Surgery, Faculty of Medicine, Wroclaw Medical University, Poland.

Background: Anterior cruciate ligament (ACL) reconstruction is the prevailing procedure in cases of ACL rupture.

Objectives: To assess the long-term safety of implementing a synthetic ligament with the Ligament Advanced Reinforcement System (LARS) in primary reconstruction of the ACL.

Material And Methods: The retrospective analysis involved 403 patients who had undergone ACL reconstruction with the same results in clinical and functional assessments. Read More

View Article and Full-Text PDF

Psychological, physical and social factors influence decision to return to sport after revision ACL reconstruction with BPTB graft.

Knee Surg Sports Traumatol Arthrosc 2021 Apr 25. Epub 2021 Apr 25.

Gloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK.

Purpose: There is limited evidence in literature regarding the patient-reported factors that influence their return to sport (RTS) in revision anterior cruciate ligament reconstruction (ACLR). The medium-term results of a prospective consecutive cohort of patients undergoing single- and two-stage revision ACLR with bone patellar tendon bone graft (BPTB) and patient-reported factors that influence their decision to return to sport are presented in this study.

Methods: Seventy-two patients were included in this prospective study. Read More

View Article and Full-Text PDF

Anterior Cruciate Ligament Reconstruction Alone Versus With Lateral Extra-articular Tenodesis With Minimum 2-Year Follow-up: A Meta-analysis and Systematic Review of Randomized Controlled Trials.

Am J Sports Med 2021 Apr 22:3635465211004946. Epub 2021 Apr 22.

Department of Orthopaedic Surgery, Box Hill Hospital, Melbourne, Victoria, Australia.

Background: Lateral extra-articular tenodesis (LEAT) aims to improve anterolateral stability of the injured knee during anterior cruciate ligament reconstruction (ACLR) surgery. Inconclusive evidence surrounding the efficacy and safety of LEAT has propelled clinical interest and ongoing discussions.

Purpose: To establish level 1 evidence by assessing randomized controlled trials (RCTs) with minimum 2-year follow-up that directly compared ACLR with LEAT (LEAT group) and ACLR alone (non-LEAT group) in terms of clinical outcomes and complications. Read More

View Article and Full-Text PDF

Evaluation of the 'Spaarne soft tissue procedure' as a treatment for recurrent patellar dislocations: a four-in-one technique.

J Exp Orthop 2021 Apr 20;8(1):31. Epub 2021 Apr 20.

Department, of Orthopaedic Surgery, Spaarne Gasthuis, Spaarnepoort 1, 2134 TM, Hoofddorp, the Netherlands.

Purpose: The 'Spaarne soft tissue procedure', is a 4-in-1 soft tissue procedure that treats recurrent patellar dislocations in the young and active population. The procedure has not yet described elsewhere. The purpose of this study is to analyse the redislocation rate and to evaluate the postoperative knee function and patient satisfaction. Read More

View Article and Full-Text PDF

Application of the multiplanar fracture redactor in the treatment of tibial shaft fractures with intramedullary nails.

Sci Rep 2021 Apr 19;11(1):8428. Epub 2021 Apr 19.

Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, Hebei, 050051, People's Republic of China.

This prospective study aimed to introduce the application of the multiplanar fracture redactor (MFR) in the treatment of tibial shaft fractures with intramedullary nails (IMNs). From February to June 2018, a total of 18 patients with tibial shaft fractures were recruited. MFR was used to help achieve the reduction of tibial shaft fractures with IMN in all patients. Read More

View Article and Full-Text PDF

Anterior Locking Plate Osteosynthesis of Patellar Factures - Analysis of Complications and Functional Outcome.

Z Orthop Unfall 2021 Apr 19. Epub 2021 Apr 19.

Orthopaedic Clinic, Hannover Medical University (MHH), DIAKOVERE Annastift, Hannover, Germany.

Background: Tension band wiring is the standard procedure for patellar fractures, but is associated with a high rate of implant related complications and implant failure. Tension band wiring may fail, especially with multifragmentary and comminuted fractures. Plate fixation of complex patellar fractures seems to be superior to wiring, both clinically and biomechanically. Read More

View Article and Full-Text PDF

Combined Anterolateral and Anterior Cruciate Ligament Reconstruction Improves Pivot Shift Compared to Isolated Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Arthroscopy 2021 Apr 14. Epub 2021 Apr 14.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.

Purpose: The purpose of the current study was to perform a systematic review and meta-analysis of the literature on anterolateral ligament (ALL) reconstruction as it related to techniques, biomechanical properties, and clinical outcomes.

Methods: PubMed, OVID/Medline, and Embase were queried in July 2020. Data pertaining to (1)techniques, (2)biomechanical properties, and (3)clinical outcomes of ALL reconstruction were recorded. Read More

View Article and Full-Text PDF

Comparable outcome for autografts and allografts in primary medial patellofemoral ligament reconstruction for patellofemoral instability: systematic review and meta-analysis.

Knee Surg Sports Traumatol Arthrosc 2021 Apr 16. Epub 2021 Apr 16.

Department of Medicine, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081, Baronissi, SA, Italy.

Purpose: This study updates the current evidence on the role of allografts versus autografts for medial patellofemoral ligament (MPFL) reconstruction in patients with patellofemoral instability.

Methods: The study was performed according to the PRISMA guidelines. In March 2021, a literature search in the main online databases was performed. Read More

View Article and Full-Text PDF

Reconstruction of the Anterior Cruciate Ligament Using Ruler-Assisted Positioning of the Femoral Tunnel Relative to the Posterior Apex of the Deep Cartilage: A Single-Center Case Series.

J Knee Surg 2021 Apr 14. Epub 2021 Apr 14.

Department of Orthopedics, Beijing Chao-yang Hospital, Capital Medical University, Beijing, China.

The techniques available to locate the femoral tunnel during anterior cruciate ligament (ACL) reconstruction have notable limitations. To evaluate whether the femoral tunnel center could be located intraoperatively with a ruler, using the posterior apex of the deep cartilage (ADC) as a landmark. This retrospective case series included consecutive patients with ACL rupture who underwent arthroscopic single-bundle ACL reconstruction at the Department of Orthopedics, Beijing Tongren Hospital between January 2014 and May 2018. Read More

View Article and Full-Text PDF

Influence of reduction quality on functional outcome and quality of life in the surgical treatment of tibial plateau fractures: a retrospective cohort study.

Orthop Traumatol Surg Res 2021 Apr 6:102922. Epub 2021 Apr 6.

MINTOS - Medical Imaging and Navigation in Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen, Heidelberg University Hospital, Ludwig-Guttmann-Str. 13, 67071 Ludwigshafen, Germany. Electronic address:

Background: Despite a substantial improvement in the operative treatment of tibial plateau fractures, the surgical procedure remains controversial and is generally challenging, as patients may develop postoperative arthritis and functional impairment of the knee joint.

Hypothesis: In the surgical treatment of tibial plateau fractures the intraoperative reposition quality has the greatest influence on the postoperative outcome, whereby misalignments of >/= 2 mm lead to a worse result.

Patients And Methods: 41 patients with tibial plateau fractures were postoperatively examined. Read More

View Article and Full-Text PDF

Satisfactory clinical results and low failure rate of medial collagen meniscus implant (CMI) at a minimum 20 years of follow-up.

Knee Surg Sports Traumatol Arthrosc 2021 Apr 9. Epub 2021 Apr 9.

IIa Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli, via Cesare Pupilli 1, 40136, Bologna, Italy.

Purpose: The aim of the study was to evaluate the long-term clinical results, reoperations, surgical failure and complications at a minimum of 20 year of follow-up of the first 8 medial CMI scaffolds implanted by a single surgeon during a pilot European Prospective study.

Methods: Seven (88%) out of 8 patients were contacted. The Cincinnati Score, VAS, and Lysholm score were collected. Read More

View Article and Full-Text PDF

Non-anatomic repair of medial meniscus posterior root tears to the posterior capsule provided favourable outcomes in middle-aged and older patients.

Knee Surg Sports Traumatol Arthrosc 2021 Apr 9. Epub 2021 Apr 9.

Department of Orthopedic Surgery, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No.1665 Kongjiang Road, Shanghai, People's Republic of China.

Purpose: To describe a non-anatomic arthroscopic all-inside repair technique for middle-aged and older patients with medial meniscus posterior root tears (MMPRTs) and to evaluate the short- to mid-term clinical and radiologic results. The hypothesis was that this procedure would yield good clinical outcome results and structural healing in middle- and older-aged patients.

Methods: This was a retrospective study evaluating patients who had undergone MMPRT repair by suturing the meniscal root directly to the capsule, rather than by the transtibial technique, between 2013 and 2016. Read More

View Article and Full-Text PDF