Anterior Cruciate Ligament Reconstruction

SAN DIEGO — Results showed use of blood flow restriction therapy in the early postoperative period after ACL reconstruction may improve short-term pain scores and quadriceps strength within the first 3 months after surgery.

For patients undergoing ACL reconstruction, a multimodal nonopioid pain protocol effectively lowered VAS pain scores with no differences in complications or satisfaction compared with traditional opioid analgesics.

Tranexamic acid decreases postoperative pain, swelling, drainage output, joint aspirations and hemarthrosis in patients undergoing arthroscopic surgery, with no increase in complications or operative time, results showed.

SAN DIEGO — Results presented at the American Academy of Orthopaedic Surgeons Annual Meeting showed bridge-enhanced ACL repair may lead to higher outcome scores and hamstring strength compared with ACL reconstruction.

NASHVILLE, Tenn. — An elevated or “steep” posterior tibial slope, confirmed with imaging, increased the graft re-rupture risk in patients undergoing revision ACL reconstruction, according to an orthopedic sports medicine specialist.

NASHVILLE, Tenn. — Compared with patients who undergo isolated ACL reconstruction, patients who undergo ACL plus anterolateral ligament reconstruction experience better graft survivorship, lower reoperation rates and similar complications.

NASHVILLE, Tenn. — Use of interference screws, high baseline scores, non-smokers and low body mass index predicted positive outcomes in patients who undergo revision ACL reconstruction while “ideal” tibial tunnel predicted worse outcomes, according to a speaker, here.

Young athletes who underwent ACL reconstruction had a low risk of moderate and severe post-traumatic osteoarthritis 10-years after surgery, according to study results.

Published results showed age and psychological readiness had a better predictive value of return to sport 2 years after ACL reconstruction than functional tests, which had no predictive value.

More than 20 years after patients underwent ACL reconstruction with hamstring tendon graft and femoral cortical button fixation, they had a low failure rate, low awareness of the operated knee and good clinical stability.