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Knee Ligament Surgery: Future Perspectives

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Sports Injuries

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Abstract

Ligament injuries are commonly encountered in sports medicine. Current research is focused upon the augmentation of healing after ligament injury and reconstruction (an emphasis placed on anterior cruciate ligament (ACL) reconstruction) with the use of biological substances or biomechanical techniques. The evolution of surgical techniques to more anatomical reconstructions and rehabilitation focused upon graft healing can possibly decrease the rate of failure. An objective assessment of graft healing with tools such as magnetic resonance imaging may provide valuable insight as to when a person should be cleared to return to athletic participation. Ultimately, the goal of ligament repair and reconstruction is to individualize both the surgery and the recovery to meet each patient’s anatomy and lifestyle.

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References

  • Borden PS, Kantaras AT, Caborn DNM (2002) Medial collateral ligament reconstruction with allograft using a double-bundle technique. Arthroscopy 18(4):1–6

    Article  Google Scholar 

  • Bosch G, Lin YL, van Schie HT, van De Lest CH et al (2007) Effect of extracorporeal shock wave therapy on the biochemical composition and metabolic activity of tenocytes in normal tendinous structures in ponies. Equine Vet J 39(3):226–231

    Article  CAS  Google Scholar 

  • Coobs BR, Wijdicks CA, Armitage BM et al (2010) An in vitro analysis of an anatomical medial knee reconstruction. Am J Sports Med 38(2):339–347

    Article  Google Scholar 

  • Cook SD, Salkeld SL, Popich-Patron LS et al (2001) Improved cartilage repair after treatment with low-intensity pulsed ultrasound. Clin Orthop Relat Res 391:S231–S243

    Article  Google Scholar 

  • de Almeida AM, Demange MK, Sobrado MF et al (2012) Patellar tendon healing with platelet-rich plasma: a prospective randomized controlled trial. Am J Sports Med 40(6):1282–1288

    Article  Google Scholar 

  • Feeley BT, Muller MS, Allen AA et al (2009) Biomechanical comparison of medial collateral ligament reconstructions using computer-assisted navigation. Am J Sports Med 37(6):1123–1130

    Article  Google Scholar 

  • Figueroa D, Melean P, Calvo R et al (2010) Magnetic resonance imaging evaluation of the integration and maturation of semitendinosus-gracilis graft in anterior cruciate ligament reconstruction using autologous platelet concentrate. Arthroscopy 26(10):1318–1325

    Article  Google Scholar 

  • Geeslin AG, LaPrade RF (2011) Outcomes of treatment of acute grade-III isolated and combined posterolateral knee injuries: a prospective case series and surgical technique. J Bone Joint Surg Am 93(18):1672–1683

    Article  Google Scholar 

  • Harner CD, Vogrin TM, Hoher J et al (2000) Biomechanical analysis of a posterior cruciate ligament reconstruction. Deficiency of the posterolateral structures as a cause of graft failure. Am J Sports Med 28(1):32–39

    Article  CAS  Google Scholar 

  • Howell SM, Taylor MA (1993) Failure of reconstruction of the anterior cruciate ligament due to impingement by the intercondylar roof. J Bone Joint Surg Am 75(7):1044–1055

    Article  CAS  Google Scholar 

  • Hussein M, van Eck CF, Cretnik A et al (2012) Individualized anterior cruciate ligament surgery: a prospective study comparing anatomic single- and double-bundle reconstruction. Am J Sports Med 40(8):1781–1788

    Article  Google Scholar 

  • Joshi SM, Mastrangelo AN, Magarian EM et al (2009) Collagen-platelet composite enhances biomechanical and histologic healing of the porcine anterior cruciate ligament. Am J Sports Med 37(12):2401–2410

    Article  Google Scholar 

  • Kannus P (1989) Nonoperative treatment of grade II and III sprains of the lateral ligament compartment of the knee. Am J Sports Med 17(1):83–88

    Article  CAS  Google Scholar 

  • Kim SJ, Lee DH, Kim TE et al (2008) Concomitant reconstruction of the medial collateral and posterior oblique ligaments for medial instability of the knee. J Bone Joint Surg (Br) 90(10):1323–1327

    Article  Google Scholar 

  • Kim S, Bosque J, Meehan JP et al (2011) Increase in outpatient knee arthroscopy in the United States: a comparison of National Surveys of Ambulatory Surgery, 1996 and 2006. J Bone Joint Surg Am 93(11):994–1000

    Article  Google Scholar 

  • Ko JY, Chen HS, Chen LM (2001) Treatment of lateral epicondylitis of the elbow with shock waves. Clin Orthop Relat Res 387:60–67

    Article  Google Scholar 

  • Kopf S, Forsythe B, Wong AK et al (2010) Nonanatomic tunnel position in traditional transtibial single-bundle anterior cruciate ligament reconstruction evaluated by three-dimensional computed tomography. J Bone Joint Surg Am 92(6):1427–1431

    Article  Google Scholar 

  • Kopf S, Pombo MW, Szczodry M et al (2011) Size variability of the human anterior cruciate ligament insertion sites. Am J Sports Med 39(1):108–113

    Article  Google Scholar 

  • Krukhaug Y, Molster A, Rodt A et al (1998) Lateral ligament injuries of the knee. Knee Surg Sports Traumatol Arthrosc 6(1):21–25

    Article  CAS  Google Scholar 

  • LaPrade RF, Burnett QM (1994) Femoral intercondylar notch stenosis and correlation to anterior cruciate ligament injuries. A prospective study. Am J Sports Med 22(2):198–202

    Article  CAS  Google Scholar 

  • Laprade RF, Wijdicks CA (2012) Surgical technique: development of an anatomic medial knee reconstruction. Clin Orthop Relat Res 470(3):806–814

    Article  Google Scholar 

  • LaPrade RF, Gilbert TJ, Bollom TS et al (2000) The magnetic resonance imaging appearance of individual structures of the posterolateral knee. A prospective study of normal knees and knees with surgically verified grade III injuries. Am J Sports Med 28(2):191–199

    Article  CAS  Google Scholar 

  • LaPrade RF, Muench C, Wentorf F et al (2002) The effect of injury to the posterolateral structures of the knee on force in a posterior cruciate ligament graft: a biomechanical study. Am J Sports Med 30(2):233–238

    Article  Google Scholar 

  • LaPrade RF, Ly TV, Wentorf FA et al (2003) The posterolateral attachments of the knee: a qualitative and quantitative morphologic analysis of the fibular collateral ligament, popliteus tendon, popliteofibular ligament, and lateral gastrocnemius tendon. Am J Sports Med 31(6):854–860

    Article  Google Scholar 

  • LaPrade RF, Engebretsen AH, Ly TV et al (2007) The anatomy of the medial part of the knee. J Bone Joint Surg Am 89(9):2000–2010

    Article  Google Scholar 

  • LaPrade RF, Johansen S, Agel J et al (2010) Outcomes of an anatomic posterolateral knee reconstruction. J Bone Joint Surg Am 92(1):16–22

    Article  Google Scholar 

  • Laprade RF, Griffith CJ, Coobs BR et al (2014) Improving outcomes for posterolateral knee injuries. J Orthop Res 32(4):485–491

    Article  Google Scholar 

  • Levy BA, Dajani KA, Morgan JA et al (2010) Repair versus reconstruction of the fibular collateral ligament and posterolateral corner in the multiligament-injured knee. Am J Sports Med 38(4):804–809

    Article  Google Scholar 

  • Lewis PB, Parameswaran AD, Rue JP et al (2008) Systematic review of single-bundle anterior cruciate ligament reconstruction outcomes: a baseline assessment for consideration of double-bundle techniques. Am J Sports Med 36(10):2028–2036

    Article  Google Scholar 

  • Lind M, Jakobsen BW, Lund B et al (2009) Anatomical reconstruction of the medial collateral ligament and posteromedial corner of the knee in patients with chronic medial collateral ligament instability. Am J Sports Med 37(6):1116–1122

    Article  Google Scholar 

  • Lundberg M, Messner K (1996) Long-term prognosis of isolated partial medial collateral ligament ruptures. A ten-year clinical and radiographic evaluation of a prospectively observed group of patients. Am J Sports Med 24(2):160–163

    Article  CAS  Google Scholar 

  • Mirzatolooci F, Alamdari MT, Khalkhali HR (2013) The impact of platelet-rich plasma on the prevention of tunnel widening in anterior cruciate ligament reconstruction using quadrupled autologous hamstring tendon: a randomized clinical trial. Bone Joint J 95B:65–69

    Article  Google Scholar 

  • Muramatsu K, Hachiya Y, Izawa H (2008) Serial evaluation of human anterior cruciate ligament grafts by contrast-enhanced magnetic resonance imaging: comparison of allografts and autografts. Arthroscopy 24(9):1038–1044

    Article  Google Scholar 

  • Murray MM, Spindler KP, Ballard P et al (2007) Enhanced histologic repair in a central wound in the anterior cruciate ligament with a collagen-platelet-rich plasma scaffold. J Orthop Res 25(8):1007–1017

    Article  CAS  Google Scholar 

  • Murray MM, Palmer M, Abreu E et al (2009) Platelet-rich plasma alone is not sufficient to enhance suture repair of the ACL in skeletally immature animals: an in vivo study. J Orthop Res 27(5):639–645

    Article  Google Scholar 

  • Nin JR, Gasque GM, Azcarate AV et al (2009) Has platelet-rich plasma any role in anterior cruciate ligament allograft healing? Arthroscopy 25(11):1206–1213

    Article  Google Scholar 

  • Ntoulia A, Papadopoulou F, Ristanis S et al (2011) Revascularization process of the bone–patellar tendon–bone autograft evaluated by contrast-enhanced magnetic resonance imaging 6 and 12 months after anterior cruciate ligament reconstruction. Am J Sports Med 39(7):1478–1486

    Article  Google Scholar 

  • O’Brien SJ, Warren RF, Pavlov H et al (1991) Reconstruction of the chronically insufficient anterior cruciate ligament with the central third of the patellar ligament. J Bone Joint Surg Am 73(2):278–286

    Article  Google Scholar 

  • Orrego M, Larrain C, Rosales J et al (2008) Effects of platelet concentrate and a bone plug on the healing of hamstring tendons in a bone tunnel. Arthroscopy 24(12):1373–1380

    Article  Google Scholar 

  • Pacheco RJ, Ayre CA, Bollen SR (2011) Posterolateral corner injuries of the knee: a serious injury commonly missed. J Bone Joint Surg (Br) 93(2):194–197

    Article  CAS  Google Scholar 

  • Petersen W, Forkel P, Achtnich A et al (2013) Technique of anatomical footprint reconstruction of the ACL with oval tunnels and medial portal aimers. Arch Orthop Trauma Surg 133(6):827–833

    Article  Google Scholar 

  • Radice F, Yanez R, Gutierrez V et al (2010) Comparison of magnetic resonance imaging findings in anterior cruciate ligament grafts with and without autologous platelet-derived growth factors. Arthroscopy 26(1):50–57

    Article  Google Scholar 

  • Salmon LJ, Russell VJ, Refshauge K et al (2006) Long-term outcome of endoscopic anterior cruciate ligament reconstruction with patellar tendon autograft: minimum 13-year review. Am J Sports Med 34(5):721–732

    Article  Google Scholar 

  • Schreiber VM, van Eck CF, Fu FH (2010) Anatomic double-bundle ACL reconstruction. Sports Med Arthrosc 18(1):27–32

    Article  Google Scholar 

  • Sonnery-Cottet B, Archbold P, Cucurulo T et al (2011) The influence of the tibial slope and the size of the intercondylar notch on rupture of the anterior cruciate ligament. J Bone Joint Surg (Br) 93(11):1475–1478

    Article  CAS  Google Scholar 

  • Spindler KP, Murray MM, Carey JL et al (2009) The use of platelets to affect functional healing of an anterior cruciate ligament (ACL) autograft in a caprine ACL reconstruction model. J Orthop Res 27(5):631–638

    Article  Google Scholar 

  • Stannard JP, Brown SL, Farris RC et al (2005) The posterolateral corner of the knee: repair versus reconstruction. Am J Sports Med 33(6):881–888

    Article  Google Scholar 

  • Thornton GM, Johnson JC, Maser RV et al (2005) Strength of medial structures of the knee joint are decreased by isolated injury to the medial collateral ligament and subsequent joint immobilization. J Orthop Res 23(5):1191–1198

    Article  CAS  Google Scholar 

  • van Eck CF, Lesniak BP, Schreiber VM et al (2010) Anatomic single- and double-bundle anterior cruciate ligament reconstruction flowchart. Arthroscopy 26(2):258–268

    Article  Google Scholar 

  • Walsh WR, Stephens P, Vizesi F et al (2007) Effects of low-intensity pulsed ultrasound on tendon-bone healing in an intra-articular sheep knee model. Arthroscopy 23(2):197–204

    Article  Google Scholar 

  • Wang CJ, Chen HS, Chen CE et al (2001) Treatment of nonunions of long bone fractures with shock waves. Clin Orthop Relat Res 387:95–101

    Article  Google Scholar 

  • Wang CJ, Wang FS, Yang KD et al (2005) The effect of shock wave treatment at the tendon-bone interface-an histomorphological and biomechanical study in rabbits. J Orthop Res 23(2):274–280

    Article  Google Scholar 

  • Warren LF, Marshall JL (1979) The supporting structures and layers on the medial side of the knee: an anatomical analysis. J Bone Joint Surg Am 61(1):56–62

    Article  CAS  Google Scholar 

  • Weiler A, Peters G, Maurer J et al (2001) Biomechanical properties and vascularity of an anterior cruciate ligament graft can be predicted by contrast-enhanced magnetic resonance imaging. A two-year study in sheep. Am J Sports Med 29(6):751–761

    Article  CAS  Google Scholar 

  • Ziegler CG, Pietrini SD, Westerhaus BD et al (2011) Arthroscopically pertinent landmarks for tunnel positioning in single-bundle and double-bundle anterior cruciate ligament reconstructions. Am J Sports Med 39(4):743–752

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, 3471 Fifth Avenue, Kaufman Building, Suite 1011, Pittsburgh, PA, USA

    Megan Wolf, Christopher D. Murawski & Freddie H. Fu

  2. Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands

    Megan Wolf

  3. Department of Trauma Surgery, Medical University of Vienna, Waehringerguertel 18-20, Vienna, Austria

    Marcus Hofbauer

  4. Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    James Ward

  5. Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA

    Bart Muller

  6. Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, NH, Netherlands

    Bart Muller

Authors
  1. Megan Wolf
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  2. Christopher D. Murawski
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  3. Bart Muller
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  4. Marcus Hofbauer
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  5. James Ward
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  6. Freddie H. Fu
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Corresponding author

Correspondence to Megan Wolf .

Editor information

Editors and Affiliations

  1. Department of Orthopaedics and Traumatology and Department of Sports Medicine, Hacettepe University, Istanbul, Turkey

    Mahmut Nedim Doral

  2. Department of Orthopaedic Surgery, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden

    Jon Karlsson

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Wolf, M., Murawski, C.D., Muller, B., Hofbauer, M., Ward, J., Fu, F.H. (2015). Knee Ligament Surgery: Future Perspectives. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_119

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  • DOI: https://doi.org/10.1007/978-3-642-36569-0_119

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36568-3

  • Online ISBN: 978-3-642-36569-0

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