Increased Body Mass Index is Associated with Worse Mid- To Long-Term Patient Outcomes after Surgical Repair of Multiligamentous Knee Injuries.

We evaluated the relationship between elevated body mass index (BMI) and mid- to long-term outcomes after surgical treatment of multiligamentous knee injury (MLKI). Records identified patients treated surgically for MLKI at a single institution. Inclusion criteria: minimum 2 years since surgery, complete demographics, surgical data, sustained injuries to two or more ligaments in one or both knees, and available for follow-up.

Arthroscopic Bone Graft Technique for Two-Stage Revision Anterior Cruciate Ligament Reconstruction.

Revision anterior cruciate ligament reconstruction is an increasingly common procedure, with 2-stage surgery often required to address large bone defects and malpositioned tunnels. The arthroscopic bone grafting technique described herein uses morselized allograft bone to provide reproducible fill of asymmetrical bone defects without autograft harvest or additional loss of native bone. The second stage of the anterior cruciate ligament reconstruction can typically proceed 6 months following bone grafting.

Tensioning Ligament and Tendon Repairs to Bone Using a Modified Screw-post Technique.

Purpose: The purpose of this study was to demonstrate how to tension tendon and ligament repairs or reconstructions to bone by using an oblique screw-post. A controlled experiment simulating this repair technique is reported, followed by 5 case examples.

Methods: A wood frame model was used to test 5 initial exposed screw lengths (4, 8, 12, 16, 20 mm) and 5 screw angles [90 (perpendicular to wood plane), 75, 60, 45, 30 degrees].

Timing of Physical Therapy Referral in Adolescent Athletes With Acute Spondylolysis: A Retrospective Chart Review.

Objectives: The purposes of this study were (1) to determine whether the duration of rest before referral to physical therapy (PT) affects the time to make a full return to activity for patients with an acute spondylolysis, (2) to assess the safety of an early referral to PT in patients with an acute spondylolysis.

Study Design: Retrospective chart review.

Setting: Hospital-based sports medicine clinic.