Corpus ID: 35731625

Factors contributing to function of the knee joint after injury or reconstruction of the anterior cruciate ligament.

@article{Dye1999FactorsCT,
  title={Factors contributing to function of the knee joint after injury or reconstruction of the anterior cruciate ligament.},
  author={Scott F. Dye and Edward M. Wojtys and Freddie H. Fu and Donald C. Fithian and I Gillquist},
  journal={Instructional course lectures},
  year={1999},
  volume={48},
  pages={
          185-98
        }
}
Restoration of musculoskeletal function is a fundamental goal of orthopaedic treatment. Until now, clinical orthopaedic concepts of injury, repair, and restoration of function of musculoskeletal systems have been described and understood primarily in structural and biomechanical terms. This perception probably evolved because the structural characteristics are the most readily visualized factors, both in the clinical setting (for example, pathological laxity due to a ruptured ligament or a… Expand
The envelope of function in anterior cruciate ligament injuries
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Surgical approaches that restore the normal anatomy of the ACL may further contribute to the improvement of outcomes and may further diminish the discrepancy between the postoperative envelope of function and the physiologic envelope offunction. Expand
ACL Deficient Knee, an Approach to Patient Selection and Reconstruction.
Rupture of the anterior cruciate ligament (ACL) is one of the most common injuries of the knee in the athletes and other group of patients who present to the knee clinics each year . Near toExpand
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Important knowledge gaps are identified that contribute directly to this long-standing clinical dilemma and appear to warrant explicit research attention moving forward in order to successfully maintain/restore optimal knee joint function and long-term life quality in a large number of otherwise healthy individuals. Expand
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The purpose of this study was to present our clinical experience in terms of regained joint stability and its functional benefit following anterior cruciate ligament (ACL) reconstruction using theExpand
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One possible factor to help reduce the frequency of anterior cruciate ligament injuries in women may be in proper instruction for performing cutting and landing maneuvers which will lower their center of gravity thereby denying the quadriceps the opportunity to shift the tibia anteriorly. Expand
Articular and meniscal pathology associated with primary anterior cruciate ligament reconstruction.
TLDR
Patients' age and chronicity of ACL tear greater than 8 weeks are both significant factors in medial compartment chondral pathology, and patients with delayed reconstruction may have greater associated pathology. Expand
Functional assessment and muscle strength before and after reconstruction of chronic anterior cruciate ligament lesions.
TLDR
Data suggest that quadriceps strength deficit is related to the ACL injury and is increased by ACL reconstruction, and functional assessment is improved at 9 and 12 months postoperatively compared with preoperatively regardless of graft type. Expand
Consequences of a ligament injury on neuromuscular function and relevance to rehabilitation - using the anterior cruciate ligament-injured knee as model.
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  • Medicine
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  • 2002
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The purpose of this article is to survey current knowledge concerning the consequences of a ligament injury on neuromuscular function and its relevance to rehabilitation, in relation to clinical practice, and to discuss the clinical significance of this injury. Expand
Natural history of ACL tears: From rupture to osteoarthritis
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The anterior cruciate ligament was originally identifi ed and described as far back as the time of Galen, but the routine treatment of ACL tears did not become mainstream until the genesis of sports medicine as a medical discipline in the 1970s. Expand
Reconstruction does not reduce tibial translation in the cruciate-deficient knee an in vivo study.
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The reduction of TT may not be an appropriate objective in surgery on the ACL and it may be that the increased translation results from relaxation of excess contraction of the hamstring muscles, since compensatory muscle activity no longer is required in a reconstructed knee. Expand
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References

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The future of anterior cruciate ligament restoration.
  • S. Dye
  • Medicine
  • Clinical orthopaedics and related research
  • 1996
TLDR
Advancements in the understanding of anatomy, kinematics, and physiology should improve future treatment of anterior cruciate ligament injured knees, and future development of 3-dimensional arthroscopic visualization and robotic surgical techniques have the potential for improvement in graft placement. Expand
Current Concepts Review - The Science of Reconstruction of the Anterior Cruciate Ligament*
TLDR
In the present review, the current scientific understanding of reconstruction of the anterior cruciate ligament is discussed in a sequence based on the order in which clinical decisions are made, to help orthopaedic surgeons to understand the reasons for previous and current successes and failures of reconstruction. Expand
Five- to ten-year follow-up evaluation after reconstruction of the anterior cruciate ligament.
TLDR
Long-term follow-up evaluation of a large number of patients who had undergone reconstruction of the anterior cruciate ligament was performed, finding Patients who had the least motion and the best check or end points to the Lachman and anterior drawer tests had the best functional results. Expand
Longitudinal Effects of Anterior Cruciate Ligament Injury and Patellar Tendon Autograft Reconstruction on Neuromuscular Performance
TLDR
Interestingly, in this group of stable knees, quadriceps and hamstring muscle reaction times appeared to be the best objective indicators of subjective knee function. Expand
Arthroscopy-assisted Anterior Cruciate Ligament Reconstruction Using Patellar Tendon Substitution
TLDR
Early results demonstrate excellent stability, preservation of motion, and encouraging evaluations by scoring scales and arthrometric evaluation in patellar reconstruction without extraarticular augmentation. Expand
Surgical or non-surgical treatment of acute rupture of the anterior cruciate ligament. A randomized study with long-term follow-up.
TLDR
It is believed that early arthroscopic examination is essential for patients who have an acute rupture of the anterior cruciate ligament and these patients had better function of the knee and a higher level of activity than the patients in the other two groups. Expand
Ligament Stability Two to Six Years After Anterior Cruciate Ligament Reconstruction with Autogenous Patellar Tendon Graft and Participation in Accelerated Rehabilitation Program
TLDR
It is concluded that an accelerated rehabilitation program after anterior cruciate ligament reconstructive surgery does not affect long-term stability as measured by the KT-1000 arthrometer. Expand
The long-term course after treatment of acute anterior cruciate ligament ruptures
TLDR
Only patients with good knee stability were able to perform demanding sports and could continue at their desired activity level with special emphasis on manual and instrumented stability testing, knee function score, and activity level. Expand
Long-term study of anterior cruciate ligament reconstruction for chronic instability using the central one-third patellar tendon and a lateral extraarticular tenodesis
TLDR
It is believed that the operation gives reliable stability in the majority of the cases, but the results may be improved with more attention to isometry, earlier postoperative mobilization with complete extension, and a faster rehabilitation course. Expand
Early Versus Late Reconstruction for Anterior Cruciate Ligament Rupture
TLDR
The patients who had reconstruction during the early phase returned to sports activities sooner and had better clinical and laxity testing results. Expand
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