Publications by authors named "G Myer"
Background: While allografts are commonly used for anterior cruciate ligament reconstruction (ACLR), evidence to guide specific allograft selection is lacking.
Purpose: To compare clinical and graft failure rates after ACLR using soft tissue-only allografts and bone-soft tissue allografts in adults.
Study Design: Systematic review and meta-analysis; Level of evidence, 4.
Background: There are limited evidence-based guidelines to predict which osteochondritis dissecans (OCD) lesions will heal with nonoperative treatment.
Purpose: To train a set of classification algorithms to predict nonoperative OCD healing while identifying new clinically meaningful predictors.
Study Design: Case-control study; Level of evidence, 3.
Graft selection for anterior cruciate ligament reconstruction (ACLR) remains controversial. In addition, an increasing number of ACLRs are being performed in an aging population, creating a potential gap in evidence. The goal is to restore functional stability to the knee; minimize the likelihood of graft failure; and provide patient satisfaction, achieved primarily by a patient's ability to return to unrestricted physical activity.
View Article and Find Full Text PDFBackground: Osteochondritis dissecans (OCD) of the knee is a focal idiopathic alteration of subchondral bone and/or its precursor with risk for instability and disruption of adjacent cartilage. Treatment options focused on preventing premature osteoarthritis vary depending on multiple patient and lesion characteristics, including lesion mobility.
Purpose: To differentiate lesion mobility before arthroscopy using a multivariable model that includes patient demographic characteristics and physical examination findings.
Article Synopsis
- Young athletes (≤18 years) face a high risk of ACL graft failure, with current studies indicating significant variation in failure rates among different autograft types used for reconstruction.
- A systematic review analyzed 24 studies and found that hamstring tendon (HT) autografts had the highest failure rate at 11.8%, while bone-patellar tendon-bone (BPTB) and quadriceps tendon (QT) had lower failure rates at 7.9% and 2.7%, respectively.
- The findings suggest that while HT is commonly used, BPTB and QT may be more effective options for reducing reinjury risk in young athletes undergoing ACL reconstruction.