Download PDF
J Knee Surg 2019; 32(06): 519-524
DOI: 10.1055/s-0038-1655764
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Trends in Anterior Cruciate Ligament Reconstruction in the Last Decade: A Web-Based Analysis

Mehmet Yucens
1   Department of Orthopaedics, Medicine Faculty, Pamukkale University, Denizli, Turkey
,
Ahmet Nadir Aydemir
1   Department of Orthopaedics, Medicine Faculty, Pamukkale University, Denizli, Turkey
› Author Affiliations
Further Information

Publication History

31 January 2018

21 April 2018

Publication Date:
31 May 2018 (online)

    Permissions and Reprints

Abstract

Anterior cruciate ligament (ACL) injury is known to be one of the most common knee joint injuries. ACL reconstruction can be similar to the native ACL in respect of graft morphology, tension, position, and orientation. ACL reconstruction can be applied with different surgery techniques, graft and fixation devices, and rehabilitation as ACL reconstruction is just as important as surgery. Although commonly known as a sports injury, ACL injuries are increasingly seen in the general population. The aim of this study was to investigate the trends in ACL injury treatment in the last decade especially the graft choice. The abstracts of a total of 2,622 papers which stated ACL in the title were investigated through a search on the Web of Knowledge. Main topics were created as the ACL reconstruction theme. ACL reconstruction was examined in the abstracts with graft choice as the main theme followed by single bundle, double bundle, sports, rehabilitation, revision, complication, skeletally immature, biomechanics and kinematics, fixation devices, meniscus, anesthesia and pain, tunnel, cell, and intra-articular injection. Of the total 2,622 documents, 2,129 were original articles and 181 were reviews. Most of the documents, 436 in number (16.6%), were published in the American Journal of Sports Medicine, followed by the Journal of Knee Surgery, Sports Traumatology, Arthroscopy at 264. Of the total documents published, 36.3% were from the United States followed by 8.5% from Japan. The author with the most publications was F.H. Fu with 94 publications followed by B.R. Bach with 41 publications. The hamstring graft was most used at 187 single use and comprising 52% of the total graft combinations. Most papers were published in 2016. In 2012, single and double bundle grafts were determined to a total of 23. The most common title investigated in papers was biomechanics and kinematics with a total of 241 publications followed by rehabilitation at 208. Throughout the years of the study period, the most common graft choice was hamstring autograft. Biomechanics and kinematics was the most common title investigated as biomechanics and rehabilitation are known to be just as important as surgery for a successful outcome and patient satisfaction.

Keywords

anterior cruciate ligament - trends - reconstruction - graft choice

Authors' Contributions

All the authors declare that they have all participated in the design, execution, and analysis of the article, and that they have approved the final version.


 

  • References

  • 1 Sofu H, Yildirim T, Gürsu S, Issin A, Şahin V. Short-term effects of partial meniscectomy on the clinical results of anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2015; 23 (01) 184-187
    CrossrefPubMedGoogle Scholar
  • 2 Buller LT, Best MJ, Baraga MG, Kaplan LD. Trends in anterior cruciate ligament reconstruction in the United States. Orthop J Sports Med 2014; 3 (01) 2325967114563664
    PubMedGoogle Scholar
  • 3 Ellman MB, Sherman SL, Forsythe B, LaPrade RF, Cole BJ, Bach Jr BR. Return to play following anterior cruciate ligament reconstruction. J Am Acad Orthop Surg 2015; 23 (05) 283-296
    CrossrefPubMedGoogle Scholar
  • 4 Śmigielski R, Zdanowicz U, Drwięga M, Ciszek B, Williams A. The anatomy of the anterior cruciate ligament and its relevance to the technique of reconstruction. Bone Joint J 2016; 98-B (08) 1020-1026
    CrossrefPubMedGoogle Scholar
  • 5 Filardo G, de Caro F, Andriolo L, Kon E, Zaffagnini S, Marcacci M. Do cartilage lesions affect the clinical outcome of anterior cruciate ligament reconstruction? A systematic review. Knee Surg Sports Traumatol Arthrosc 2017; 25 (10) 3061-3075
    CrossrefPubMedGoogle Scholar
  • 6 Desai N, Alentorn-Geli E, van Eck CF. , et al. A systematic review of single- versus double-bundle ACL reconstruction using the anatomic anterior cruciate ligament reconstruction scoring checklist. Knee Surg Sports Traumatol Arthrosc 2016; 24 (03) 862-872
    CrossrefPubMedGoogle Scholar
  • 7 McGuire DA, Barber FA, Elrod BF, Paulos LE. Bioabsorbable interference screws for graft fixation in anterior cruciate ligament reconstruction. Arthrosc J Arthrosc Relat Surg 1999; 15: 463-473
    PubMedGoogle Scholar
  • 8 Grassi A, Nitri M, Moulton SG. , et al. Does the type of graft affect the outcome of revision anterior cruciate ligament reconstruction? a meta-analysis of 32 studies. Bone Joint J 2017; 99-B (06) 714-723
    CrossrefPubMedGoogle Scholar
  • 9 Shelbourne KD, Beck MB, Gray T. Anterior cruciate ligament reconstruction with contralateral autogenous patellar tendon graft: evaluation of donor site strength and subjective results. Am J Sports Med 2015; 43 (03) 648-653
    CrossrefPubMedGoogle Scholar
  • 10 Colvin A, Sharma C, Parides M, Glashow J. What is the best femoral fixation of hamstring autografts in anterior cruciate ligament reconstruction?: a meta-analysis. Clin Orthop Relat Res 2011; 469 (04) 1075-1081
    CrossrefPubMedGoogle Scholar
  • 11 Hao ZC, Wang SZ, Zhang XJ, Lu J. Stem cell therapy: a promising biological strategy for tendon-bone healing after anterior cruciate ligament reconstruction. Cell Prolif 2016; 49 (02) 154-162
    CrossrefPubMedGoogle Scholar
  • 12 Björnsson H, Andernord D, Desai N. , et al. No difference in revision rates between single- and double-bundle anterior cruciate ligament reconstruction: a comparative study of 16,791 patients from the Swedish national knee ligament register. Arthroscopy 2015; 31 (04) 659-664
    CrossrefPubMedGoogle Scholar
  • 13 Davis DL, Almardawi R, Mitchell JW. Analysis of the tibial epiphysis in the skeletally immature knee using magnetic resonance imaging: an update of anatomic parameters pertinent to physeal-sparing anterior cruciate ligament reconstruction. Orthop J Sports Med 2016; 4 (06) 2325967116655313
    CrossrefPubMedGoogle Scholar
  • 14 Budny J, Fox J, Rauh M, Fineberg M. Emerging trends in anterior cruciate ligament reconstruction. J Knee Surg 2017; 30 (01) 63-69
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 Mall NA, Chalmers PN, Moric M. , et al. Incidence and trends of anterior cruciate ligament reconstruction in the United States. Am J Sports Med 2014; 42 (10) 2363-2370
    CrossrefPubMedGoogle Scholar
  • 16 Paterno MV, Schmitt LC, Ford KR. Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport. Am J Sports Med 2010; 38 (10) 1968-1978
    CrossrefPubMedGoogle Scholar
  • 17 Bartels T, Proeger S, Brehme K. , et al. The SpeedCourt system in rehabilitation after reconstruction surgery of the anterior cruciate ligament (ACL). Arch Orthop Trauma Surg 2016; 136 (07) 957-966
    CrossrefPubMedGoogle Scholar
  • 18 Järvelä S, Kiekara T, Suomalainen P, Järvelä T. Double-bundle versus single-bundle anterior cruciate ligament reconstruction: a prospective randomized study with 10-year results. Am J Sports Med 2017; 45 (11) 2578-2585
    CrossrefPubMedGoogle Scholar
  • 19 Mayr HO, Benecke P, Hoell A. , et al. Single-bundle versus double-bundle anterior cruciate ligament reconstruction: a comparative 2-year follow-up. Arthroscopy 2016; 32 (01) 34-42
    CrossrefPubMedGoogle Scholar
  • 20 Dodds AL, Halewood C, Gupte CM, Williams A, Amis AA. The anterolateral ligament: anatomy, length changes and association with the Segond fracture. Bone Joint J 2014; 96-B (03) 325-331
    CrossrefPubMedGoogle Scholar
  • 21 Ferretti A, Monaco E, Wolf MR, Guzzini M, Carli A, Mazza D. Surgical treatment of Segond fractures in acute anterior cruciate ligament reconstruction. Orthop J Sports Med 2017; 5 (10) 2325967117729997
    CrossrefPubMedGoogle Scholar
  • 22 McRae S, Leiter J, McCormack R, Old J, MacDonald P. Ipsilateral versus contralateral hamstring grafts in anterior cruciate ligament reconstruction: a prospective randomized trial. Am J Sports Med 2013; 41 (11) 2492-2499
    CrossrefPubMedGoogle Scholar
  • 23 Koh E, Oe K, Takemura S, Iida H. Anterior cruciate ligament reconstruction using a bone-patellar tendon-bone autograft to avoid harvest-site morbidity in knee arthroscopy. Arthrosc Tech 2015; 4 (02) e179-e184
    CrossrefPubMedGoogle Scholar
  • 24 Bissell L, Tibrewal S, Sahni V, Khan WS. Growth factors and platelet rich plasma in anterior cruciate ligament reconstruction. Curr Stem Cell Res Ther 2015; 10 (01) 19-25
    PubMedGoogle Scholar
  • 25 Sonnery-Cottet B, Saithna A, Azeem A. , et al. Analgesia after ACL reconstruction: hamstring donor-site injection versus intra-articular local anaesthetic injection. Orthop Traumatol Surg Res 2017; 103 (02) 235-238
    CrossrefPubMedGoogle Scholar
  • 26 Culvenor AG, Perraton L, Guermazi A. , et al. Knee kinematics and kinetics are associated with early patellofemoral osteoarthritis following anterior cruciate ligament reconstruction. Osteoarthritis Cartilage 2016; 24 (09) 1548-1553
    CrossrefPubMedGoogle Scholar
  • 27 Widener DB, Wilson DJ, Galvin JW, Marchant BG, Arrington ED. The prevalence of meniscal tears in young athletes undergoing revision anterior cruciate ligament reconstruction. Arthroscopy 2015; 31 (04) 680-683
    CrossrefPubMedGoogle Scholar
  • 28 Pérez-Prieto D, Torres-Claramunt R, Gelber PE, Shehata TMA, Pelfort X, Monllau JC. Autograft soaking in vancomycin reduces the risk of infection after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2016; 24 (09) 2724-2728
    CrossrefPubMedGoogle Scholar
  • 29 Haviv B, Yassin M, Rath E, Bronak S. Prevalence and clinical implications of nerve injury during bone patellar tendon bone harvesting for anterior cruciate ligament reconstruction. J Orthop Surg (Hong Kong) 2017; 25 (01) 2309499016684988
    PubMedGoogle Scholar
  • 30 Werner BC, Yang S, Looney AM, Gwathmey Jr FW. Trends in pediatric and adolescent anterior cruciate ligament injury and reconstruction. J Pediatr Orthop 2016; 36 (05) 447-452
    CrossrefPubMedGoogle Scholar
  • 31 Chicorelli AM, Micheli LJ, Kelly M, Zurakowski D, MacDougall R. Return to sport after anterior cruciate ligament reconstruction in the skeletally immature athlete. Clin J Sport Med 2016; 26 (04) 266-271
    CrossrefPubMedGoogle Scholar