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Background: Accurate femoral tunnel positioning is essential for successful anterior cruciate ligament (ACL) reconstruction. Tunnel malposition can happen due to limited arthroscopic visibility as well as anatomic variance. The use of customized patient-specific guides can optimize surgical planning and enhance accuracy.
View Article and Find Full Text PDFIdentifying Risk Factors from Preoperative MRI Measurements for Failure of Primary ACL Reconstruction: A Nested Case-Control Study with 5-Year Follow-up.
J Bone Joint Surg Am
March 2025
Department of Sports Medicine, Peking University Third Hospital, Beijing, People's Republic of China.
Background: Identifying patients at high risk for failure of primary anterior cruciate ligament reconstruction (ACLR) on the basis of preoperative magnetic resonance imaging (MRI) measurements has received considerable attention. In this study, we aimed to identify potential risk factors for primary ACLR failure from preoperative MRI measurements and to determine optimal cutoff values for clinical relevance.
Methods: Retrospective review and follow-up were conducted in this nested case-control study of patients who underwent primary single-bundle ACLR using hamstring tendon autograft at our institution from August 2016 to January 2018.
Efficacy of an evidence-based telehealth-delivered weight-loss intervention to expand reach and enhance access to underserved groups after stroke.
Contemp Clin Trials Commun
April 2025
Baylor Scott and White Research Institute, 3434 Live Oak Street, Dallas, TX, 75204, USA.
Obesity is a risk factor for stroke, and survivors of stroke have a high rate of obesity and greater burden of obesity-related chronic conditions (e.g., heart disease, hypertension, re-occurring stroke) compared to the general population.
View Article and Find Full Text PDFQuadriceps motor unit properties following ACL reconstruction are associated with corticospinal excitability and motor cortex activations.
J Appl Physiol (1985)
March 2025
Cognition, Neuroplasticity, & Sarcopenia (CNS) Lab, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, FL, USA.
Quadriceps weakness is a primary concern following anterior cruciate ligament reconstruction (ACLR), and neuroimaging studies have revealed higher motor inhibition and structural atrophy of the corticospinal tract. To investigate the contributions of supraspinal mechanisms underlying spinal motoneuron impairments and quadriceps weakness, this study explored the firing patterns of motor units (MUs) in the vastus medialis muscle following ACLR. Twenty individuals with primary ACLR and twenty matched controls performed a unilateral knee extension torque-control task at 50% of maximal voluntary effort.
View Article and Find Full Text PDFCorticosteroid injection up to 8 weeks prior to ACL reconstruction doubles the incidence of post-operative infection.
Arthroscopy
March 2025
University of Texas Medical Branch, Department of Orthopaedic Surgery and Rehabilitation, 301 University Blvd., Galveston, TX; Shriners Children's Texas, 815 Market St., Galveston, TX 77550.
Purpose: This study was performed to determine if at least one corticosteroid injection (CSI) within 8-weeks prior to Anterior Cruciate Ligament Reconstruction (ACL-R) increases the incidence of postoperative infection.
Methods: A large globally federated research database (TriNetX) containing over 200 million patient records was retrospectively queried for patients undergoing ACL-R between October 1st, 2010, and January 1st, 2024 using diagnosis and procedure codes. A cohort of patients receiving CSI up to 8-weeks prior to ACL-R were compared to a cohort of patients who did not receive a CSI prior to ACL-R.
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