Medline ® Abstracts for References 1,2,6-8
of 'Anterior cruciate ligament injury'
Gordon MD, Steiner ME.. Anterior cruciate ligament injuries. In: Orthopaedic Knowledge Update Sports Medicine III, Garrick JG (Ed), American Academy of Orthopaedic Surgeons, Rosemont 2004. p.169.
no abstract available
Albright JC, Carpenter JE, Graf BK, et al.. Knee and leg: soft tissue trauma. In: Orthopaedic Knowledge Update 6, Beaty JH (Ed), American Academy of Orthopaedic Surgeons, Rosemont 1999. p.533.
no abstract available
Two-bundle reconstruction of the anterior cruciate ligament using semitendinosus tendon with endobuttons: operative technique and preliminary results.
Muneta T, Sekiya I, Yagishita K, Ogiuchi T, Yamamoto H, Shinomiya K
We carried out two-bundle reconstruction of the anterior cruciate ligament (ACL) using multi-strand semitendinosus tendon for the purpose of getting better stability under aggressive rehabilitation by putting the graft in the normal anatomy with minimized notch-plasty. The drill guide position was determined using two-directional radiography in hyperextension. The two-bundle procedure was performed using the inside-out technique for grafting and two Endobuttons (Acufex Microsurgical, Mansfield, MA) for femoral graft fixation. The clinical outcomes 2 years postoperatively of 54 of 62 consecutive patients were reported. The preliminary results suggested that the two-bundle procedure showed a better trend with respect to anterior stability compared with those of our previous experience using the single-bundle technique under the same aggressive rehabilitation. The two-bundle procedures have several theoretical advantages over single-bundle with multi-strand tendon graft. The present two-bundle reconstruction is recommended to result in better anterior stability with minimized notch-plasty and with no serious complications.
Department of Orthopaedic Surgery, Tokyo Medical and Dental University, Japan. email@example.com
The incidence of knee ligament injuries in the general population
Miyasaka KC, Daniel DM, Stone ML
Am J Knee Surg. 1991; 4:43.
Fate of the ACL-injured patient. A prospective outcome study.
Daniel DM, Stone ML, Dobson BE, Fithian DC, Rossman DJ, Kaufman KR
Am J Sports Med. 1994;22(5):632.
We followed 292 patients who had sustained an acute traumatic hemarthrosis for a mean of 64 months. The KT-1000 arthrometer measurements within 90 days of injury revealed the injured knee was stable in 56 patients and unstable in 236. Forty-five unstable patients had an ACL reconstruction within 90 days of injury. Surgical procedures performed>90 days after injury included ligament reconstruction in 46 patients. Factors that correlated with patients who had late surgery for a meniscal tear or an ACL reconstruction (P<0.05) were preinjury hours of sports participation, arthrometer measurements, and patient age. Follow-up data are presented for the patients divided into four groups: I, early stable, no reconstruction; II, early unstable, no reconstruction; III, early reconstruction; and IV, late reconstruction. No patient changed occupation because of the knee injury. Hours per year of sports participation and levels of sports participation decreased in all groups. Joint arthrosis was documented by radiograph and bone scan. Joint surface injury abnormalities observed at surgery and meniscal surgery showed greater abnormalities by radiograph and bone scan scores (P<0.05). Reconstructed patients had a higher level of arthrosis by radiograph and bone scan.
San Diego Kaiser Medical Center, California.