Background :Disruption of anterior cruciate ligament (ACL) is a common ligamentous injury of the knee. The choice of graft for (ACL) reconstruction remains controversial. This prospective, randomized clinical trial aimed to compare clinical results of bone-patellar tendon-bone (BPTB) grafts and four-strand semitendinosus-gracilis (ST) grafts for ACL reconstruction over a 3-year follow-up inte...

BACKGROUND Patient outcomes and predictors of success after revision anterior cruciate ligament (ACL) reconstruction are currently limited in the literature. Existing studies either have a small study size or are difficult to interpret because of the multiple surgeons involved in the care of the study sample. PURPOSE To determine patient outcomes and predictors of success or failure after a s...

AIM Identify injury-related, patient-reported and treatment-related prognostic factors for 5-year outcomes in acutely ACL-ruptured individuals managed with early reconstruction plus exercise therapy, exercise therapy plus delayed reconstruction or exercise therapy alone. METHODS Exploratory analysis of the Knee Anterior Cruciate Ligament, Nonsurgical versus Surgical Treatment (KANON) trial (I...

BACKGROUND Anterior cruciate ligament (ACL) injuries are significant injuries in elite-level basketball players. In-game statistical performance after ACL reconstruction has been demonstrated; however, few studies have reviewed functional performance in National Basketball Association (NBA)-caliber athletes after ACL reconstruction. PURPOSE To compare NBA Combine performance of athletes after...

The Multicenter Anterior Cruciate Ligament (ACL) Revision Study (MARS) group was formed to study a large cohort of revision ACL reconstruction patients. The purpose of this subset analysis study of the MARS database is to describe specific details of femoral tunnel malposition and subsequent management strategies that surgeons chose in the revision setting. The design of this study is a case se...

All Royal Marine recruits who sustain a significant injury during training are taken out of training and entered into a rehabilitation program (Hunter Company) until they have recovered sufficiently to return to Commando training. Once an ACL rupture has been identified recruits are offered an ACL reconstruction. If recruits choose to undergo an ACL reconstruction, post-operatively they return ...

PURPOSE this study was conducted to evaluate subjective and objective clinical outcomes of partial reconstruction of the anterior cruciate ligament (ACL) in comparison with complete ACL reconstruction. METHODS three groups, each comprising 20 patients, were evaluated at a minimum follow-up of 12 months. The group 1 patients underwent partial ACL reconstruction, while those in group 2 and grou...

BACKGROUND Between 5 and 20% of patients undergoing ACL reconstruction fail and require revision. Animal studies have demonstrated slower incorporation of allograft tissue, which may affect the mechanism of graft failure. The purpose of this study is to determine the location of traumatic graft failure following ACL reconstruction and investigate differences in failure patterns between autograf...

The outcome of an anterior cruciate ligament (ACL) reconstruction surgery is dependent on several factors including the type and source of graft, pretension levels, tunnel position and orientation, knee flexion angle at the time of graft fixation, and the method of fixation. Unfortunately, few previously reported finite element (FE) based simulations of the ACL reconstruction procedure incorpor...

BACKGROUND There is recent evidence that use of allograft tendons for anterior cruciate ligament (ACL) reconstruction in young patients may result in increased failure rates compared with autologous grafts. HYPOTHESIS Allograft ACL reconstruction will result in higher failure rates in young athletes compared with autograft reconstruction. STUDY DESIGN Cohort study; Level of evidence, 2. M...