Postoperative range of motion following anterior cruciate ligament reconstruction using autograft hamstrings: a prospective, randomized clinical trial of early versus delayed reconstructions

The American Journal of Sports Medicine
Craig R BottoniKenneth K Lindell

Abstract

There is a common belief that surgical reconstruction of an acutely torn anterior cruciate ligament (ACL) should be delayed for at least 3 weeks because of the increased incidence of postoperative motion loss (arthrofibrosis) and suboptimal clinical results. There is no difference in postoperative range of motion or stability after ACL reconstructions performed either acutely or delayed. Randomized controlled trial; Level of evidence, 1. Patients with an acute ACL tear were prospectively randomized to either early (within 21 days) or delayed (beyond 6 weeks) reconstruction using autograft hamstring tendon. Previous knee surgery on the index extremity and a multiligamentous injury were exclusionary criteria. Surgical technique and postoperative rehabilitation were identical for all patients. Postoperative assessments included range of motion and KT-1000 arthrometer measurements compared with the contralateral knee. Standardized outcome measures were used including single assessment numeric evaluation (SANE), Lysholm, and Tegner Activity Score. Seventy consecutive patients were enrolled, and 1 patient was dropped after a postoperative infection. Sixty-nine patients (34 acute, 35 delayed) with an average age of 27 years composed t...Continue Reading

References

Sep 1, 1992·The American Journal of Sports Medicine·C D HarnerF H Fu
May 1, 1982·The American Journal of Sports Medicine·J Lysholm, J Gillquist
Mar 1, 1994·The American Journal of Sports Medicine·K D Shelbourne, G E Johnson
May 1, 1993·The American Journal of Sports Medicine·S A WasilewskiS Cohen
Nov 1, 1995·The American Journal of Sports Medicine·M MarcacciA Petitto
May 1, 1996·The American Journal of Sports Medicine·R A Majors, B Woodfin
Jan 1, 1995·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·K D Shelbourne, D V Patel
Dec 1, 1996·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·R E HunterR H Jones
Sep 24, 1999·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·T MunetaK Shinomiya
May 16, 2000·Clinical Orthopaedics and Related Research·G N WilliamsR A Arciero
Nov 12, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·John J Klimkiewicz, Benjamin Shaffer
Jan 18, 2003·The American Journal of Sports Medicine·Michelle L CameronJ Richard Steadman
Dec 16, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Bernard R Bach
Feb 20, 2004·The Journal of Knee Surgery·Paul R BeckJennifer K Hayden
Oct 4, 2005·The American Journal of Sports Medicine·Bruce D BeynnonClaude E Nichols
Jul 22, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michael E HantesKonstantinos N Malizos

❮ Previous
Next ❯

Citations

Oct 20, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Toby O SmithCaroline B Hing
Nov 11, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Martina Ahlén, Mattias Lidén
Mar 17, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jung Ho NohJun Suk Lee
Jan 6, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Olufemi R AyeniSheila Sprague
Aug 14, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Björn BareniusKarl Eriksson
Jan 19, 2011·Pediatric Radiology·Arthur B MeyersAndrew M Zbojniewicz
Sep 28, 2012·Sports Health·Timothy L Uhl, Cale A Jacobs
Dec 10, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Neel DesaiMagnus Forssblad
Jan 28, 2012·The Journal of Orthopaedic and Sports Physical Therapy·Dharmesh VyasChristopher D Harner
May 9, 2015·Advances in Orthopedics·David SimonPeter MacDonald
Aug 24, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Elmar HerbstChristian Fink
Sep 28, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Thomas L SandersAaron J Krych
Oct 22, 2013·São Paulo Medical Journal = Revista Paulista De Medicina·Diego Costa AsturMoises Cohen
Jan 1, 2012·Acta ortopedica brasileira·Camila DambrosMoisés Cohen
Jul 25, 2017·The American Journal of Sports Medicine·Anchal BansalRobert H Brophy
Dec 1, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Karl ErikssonBjörn Barenius
Apr 14, 2016·British Journal of Hospital Medicine·Sulaiman AlazzawiFares S Haddad
Oct 21, 2016·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Hamidreza YazdiArmin Ghadi
Feb 15, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Christoffer von EssenKarl Eriksson
Mar 1, 2012·Revista Brasileira De Ortopedia·Gustavo Gonçalves ArlianiMoises Cohen
Jul 30, 2014·The Open Orthopaedics Journal·Nigel T MabvuureWasim S Khan
Feb 1, 2012·Scandinavian Journal of Medicine & Science in Sports·J KongtharvonskulA Thakkinstian
May 17, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·D FergusonH Atkinson
Sep 29, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Christoffer von EssenBjörn Barenius
Mar 10, 2017·The Physician and Sportsmedicine·Vidushan NadarajahMehul R Shah
Mar 20, 2019·Orthopaedic Journal of Sports Medicine·Andrew GageJohn M Marzo
Mar 6, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Seper EkhtiariOlufemi R Ayeni
Aug 5, 2017·The American Journal of Sports Medicine·Keiko AmanoUNKNOWN Arthritis Foundation-ACL Consortium
Oct 23, 2019·Orthopaedic Journal of Sports Medicine·Mitchell C HarrisCraig R Bottoni
Aug 13, 2020·Orthopaedic Journal of Sports Medicine·Jasmijn V KorpershoekDaniel B F Saris
Nov 10, 2020·The American Journal of Sports Medicine·Apostolos D ProdromidisCharalambos P Charalambous
Feb 5, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Camilo Partezani HelitoGilberto Luis Camanho
Nov 20, 2019·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Graeme MatthewsonPeter MacDonald
Sep 16, 2021·The American Journal of Sports Medicine·Apostolos D ProdromidisCharalambos P Charalambous

❮ Previous
Next ❯

Software Mentioned

SPSS
Excel

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.