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Clinical Outcomes of Isolated ACL Reconstruction Versus Combined ACL and ALL Reconstruction With Indication Guided by Intraoperative Ultrasound: A Propensity Score-Matched Study of 260 Patients With a Minimum 2-Year Follow-up.
Orthop J Sports Med
January 2025
Department of Orthopaedic Surgery, Hôpital Pierre Paul Riquet, CHU de Toulouse, Toulouse, France.
Background: Additional anterolateral ligament (ALL) reconstruction has been associated with improved clinical outcomes and reduced failure rates in anterior cruciate ligament (ACL) reconstruction. Despite the excellent clinical results reported, there is still a heated debate about its indications. Currently, the indications are mainly based on the patient's clinical criteria and not the imaging diagnosis of the injury of this ligament.
View Article and Find Full Text PDFLocal infiltration anesthesia with high dose ropivacaine and dexmedetomidine in major knee surgery is safe.
Arch Orthop Trauma Surg
January 2025
Medical University of Graz, Graz, Austria.
Background: The role of local infiltration anesthesia (LIA) in knee surgery is significant. LIA can be more potent than a nerve block, but without the downsides. A wide range of agents are used for LIA, including some off-label medications such as dexmedetomidine and ropivacaine.
View Article and Find Full Text PDFPatient-Reported Outcomes of Bicruciate Multiligament Versus Single Cruciate Multiligament Knee Injuries.
Am J Sports Med
January 2025
Orthopaedic Division, Oslo University Hospital, Oslo, Norway.
Background: Multiligament knee injuries (MLKIs) are heterogeneous, and bicruciate knee ligament injuries are considered a serious form of this injury. The current literature tends not to distinguish between single and bicruciate MLKI when reporting outcomes.
Purpose: To investigate patient-reported outcomes after surgical treatment of MLKI comparing single cruciate MLKI with bicruciate MLKI.
Anatomic Posterolateral Corner Reconstruction of the Knee Using Single Semitendinosus Autograft: Technical Note for the Borderline-length Graft.
Rev Bras Ortop (Sao Paulo)
December 2024
Serviço de Ortopedia, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal.
The original LaPrade technique for anatomic reconstruction of the posterolateral corner of the knee uses two separate allografts. More recently, a modification of this technique, using an adjustable-length suspension device with a cortical button for tibial fixation, allows anatomic reconstruction with a single semitendinosus autograft. This modification is of utmost relevance when sources of allograft are not available for multiligament knee reconstruction.
View Article and Find Full Text PDFCurrent trends in the medial side of the knee: not only medial collateral ligament (MCL).
J Orthop Traumatol
December 2024
Clinica Ortopedica E Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli, 1, 40136, Bologna, Italy.
Article Synopsis
- The medial collateral ligament (MCL) is the most frequently injured knee ligament, known for its broad coverage and strong healing capacity due to good blood supply.
- Past treatment for MCL injuries was mainly conservative, but recent discoveries about the ligament's complex structure and movement have changed this perspective.
- The review aims to inform readers about new findings on the MCL's anatomy, biomechanics, and the evolving approaches to its treatment.
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