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J Knee Surg 2019; 32(02): 118-122
DOI: 10.1055/s-0038-1676565
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Military ACL

David Jackson Tennent
1   Department of Orthopaedic Surgery and Sports Medicine, Keller Army Community Hospital, West Point, New York
,
Matthew Adam Posner
1   Department of Orthopaedic Surgery and Sports Medicine, Keller Army Community Hospital, West Point, New York
› Author Affiliations
Further Information

Publication History

28 September 2018

28 October 2018

Publication Date:
28 December 2018 (online)

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Abstract

Anterior cruciate ligament (ACL) injuries in the U.S. Military Service members have a 10-fold higher incidence than that of the general population due to the physically demanding aspects of military duties. Although some controversy exists on the specific techniques or reconstruction, these injuries are uniformly reconstructed due to the requirements of their occupation and the effect of these injuries on their future careers. As such, understanding the care of the military Service member's ACL may help optimize the care of the physically active injured knee.

Keywords

anterior cruciate ligament - ACL - military
 

  • References

  • 1 Hauret KG, Jones BH, Bullock SH, Canham-Chervak M, Canada S. Musculoskeletal injuries description of an under-recognized injury problem among military personnel. Am J Prev Med 2010; 38 (1, Suppl): S61-S70
    CrossrefPubMedGoogle Scholar
  • 2 Teyhen DS, Goffar SL, Shaffer SW. , et al. Incidence of musculoskeletal injury in U.S. army unit types: a prospective cohort study. J Orthop Sports Phys Ther 2018; 48 (10) 749-757
    CrossrefPubMedGoogle Scholar
  • 3 Bottoni CR. Anterior cruciate ligament reconstructions in active-duty military patients. Oper Tech Sports Med 2005; 13 (03) 169-175
    CrossrefPubMedGoogle Scholar
  • 4 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
  • 5 Sanders TL, Maradit Kremers H, Bryan AJ. , et al. Incidence of anterior cruciate ligament tears and reconstruction: a 21-year population-based study. Am J Sports Med 2016; 44 (06) 1502-1507
    CrossrefPubMedGoogle Scholar
  • 6 Nielsen AB, Yde J. Epidemiology of acute knee injuries: a prospective hospital investigation. J Trauma 1991; 31 (12) 1644-1648
    CrossrefPubMedGoogle Scholar
  • 7 Gianotti SM, Marshall SW, Hume PA, Bunt L. Incidence of anterior cruciate ligament injury and other knee ligament injuries: a national population-based study. J Sci Med Sport 2009; 12 (06) 622-627
    CrossrefPubMedGoogle Scholar
  • 8 Owens BD, Mountcastle SB, Dunn WR, DeBerardino TM, Taylor DC. Incidence of anterior cruciate ligament injury among active duty U.S. military servicemen and servicewomen. Mil Med 2007; 172 (01) 90-91
    CrossrefPubMedGoogle Scholar
  • 9 Barrack RL, Buckley SL, Bruckner JD, Kneisl JS, Alexander AH. Partial versus complete acute anterior cruciate ligament tears. The results of nonoperative treatment. J Bone Joint Surg Br 1990; 72 (04) 622-624
    PubMedGoogle Scholar
  • 10 Dunn WR, Lyman S, Lincoln AE, Amoroso PJ, Wickiewicz T, Marx RG. The effect of anterior cruciate ligament reconstruction on the risk of knee reinjury. Am J Sports Med 2004; 32 (08) 1906-1914
    CrossrefPubMedGoogle Scholar
  • 11 Smith HC, Vacek P, Johnson RJ. , et al. Risk factors for anterior cruciate ligament injury: a review of the literature - part 1: neuromuscular and anatomic risk. Sports Health 2012; 4 (01) 69-78
    CrossrefPubMedGoogle Scholar
  • 12 Smith HC, Vacek P, Johnson RJ. , et al. Risk factors for anterior cruciate ligament injury: a review of the literature-part 2: hormonal, genetic, cognitive function, previous injury, and extrinsic risk factors. Sports Health 2012; 4 (02) 155-161
    CrossrefPubMedGoogle Scholar
  • 13 Webb JM, Salmon LJ, Leclerc E, Pinczewski LA, Roe JP. Posterior tibial slope and further anterior cruciate ligament injuries in the anterior cruciate ligament-reconstructed patient. Am J Sports Med 2013; 41 (12) 2800-2804
    CrossrefPubMedGoogle Scholar
  • 14 Todd MS, Lalliss S, Garcia E, DeBerardino TM, Cameron KL. The relationship between posterior tibial slope and anterior cruciate ligament injuries. Am J Sports Med 2010; 38 (01) 63-67
    CrossrefPubMedGoogle Scholar
  • 15 Kaeding CC, Pedroza AD, Reinke EK, Huston LJ, Spindler KP. ; MOON Consortium. Risk factors and predictors of subsequent ACL injury in either knee after acl reconstruction: prospective analysis of 2488 primary acl reconstructions from the MOON cohort. Am J Sports Med 2015; 43 (07) 1583-1590
    CrossrefPubMedGoogle Scholar
  • 16 Beutler A, de la Motte S, Marshall S, Padua D, Boden B. Muscle strength and qualitative jump-landing differences in male and female military cadets: the jump-ACL study. J Sports Sci Med 2009; 8: 663-671
    PubMedGoogle Scholar
  • 17 Evans KN, Kilcoyne KG, Dickens JF. , et al. Predisposing risk factors for non-contact ACL injuries in military subjects. Knee Surg Sports Traumatol Arthrosc 2012; 20 (08) 1554-1559
    CrossrefPubMedGoogle Scholar
  • 18 Bell DR, Blackburn JT, Hackney AC, Marshall SW, Beutler AI, Padua DA. Jump-landing biomechanics and knee-laxity change across the menstrual cycle in women with anterior cruciate ligament reconstruction. J Athl Train 2014; 49 (02) 154-162
    CrossrefPubMedGoogle Scholar
  • 19 Swanik CB, Covassin T, Stearne DJ, Schatz P. The relationship between neurocognitive function and noncontact anterior cruciate ligament injuries. Am J Sports Med 2007; 35 (06) 943-948
    CrossrefPubMedGoogle Scholar
  • 20 Hewett TE, Myer GD, Ford KR. , et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med 2005; 33 (04) 492-501
    CrossrefPubMedGoogle Scholar
  • 21 Mountcastle SB, Posner M, Kragh Jr JF, Taylor DC. Gender differences in anterior cruciate ligament injury vary with activity: epidemiology of anterior cruciate ligament injuries in a young, athletic population. Am J Sports Med 2007; 35 (10) 1635-1642
    CrossrefPubMedGoogle Scholar
  • 22 Hill OT, Bulathsinhala L, Scofield DE, Haley TF, Bernasek TL. Risk factors for soft tissue knee injuries in active duty U.S. Army soldiers, 2000–2005. Mil Med 2013; 178 (06) 676-682
    CrossrefPubMedGoogle Scholar
  • 23 Uhorchak JM, Scoville CR, Williams GN, Arciero RA, St Pierre P, Taylor DC. Risk factors associated with noncontact injury of the anterior cruciate ligament: a prospective four-year evaluation of 859 West Point cadets. Am J Sports Med 2003; 31 (06) 831-842
    CrossrefPubMedGoogle Scholar
  • 24 Pollard CD, Sigward SM, Powers CM. ACL injury prevention training results in modification of hip and knee mechanics during a drop-landing task. Orthop J Sports Med 2017; 5 (09) 2325967117726267
    CrossrefPubMedGoogle Scholar
  • 25 DiStefano LJ, Marshall SW, Padua DA. , et al. The effects of an injury prevention program on landing biomechanics over time. Am J Sports Med 2016; 44 (03) 767-776
    CrossrefPubMedGoogle Scholar
  • 26 Everard E, Lyons M, Harrison AJ. Examining the association of injury with the Functional Movement Screen and Landing Error Scoring System in military recruits undergoing 16 weeks of introductory fitness training. J Sci Med Sport 2018; 21 (06) 569-573
    CrossrefPubMedGoogle Scholar
  • 27 Thompson JA, Tran AA, Gatewood CT. , et al. Biomechanical effects of an injury prevention program in preadolescent female soccer athletes. Am J Sports Med 2017; 45 (02) 294-301
    CrossrefPubMedGoogle Scholar
  • 28 Owens BD, Cameron KL, Duffey ML. , et al. Military movement training program improves jump-landing mechanics associated with anterior cruciate ligament injury risk. J Surg Orthop Adv 2013; 22 (01) 66-70
    CrossrefPubMedGoogle Scholar
  • 29 Shelbourne KD, Patel DV. Timing of surgery in anterior cruciate ligament-injured knees. Knee Surg Sports Traumatol Arthrosc 1995; 3 (03) 148-156
    CrossrefPubMedGoogle Scholar
  • 30 Mather III RC, Hettrich CM, Dunn WR. , et al. Cost-effectiveness analysis of early reconstruction versus rehabilitation and delayed reconstruction for anterior cruciate ligament tears. Am J Sports Med 2014; 42 (07) 1583-1591
    CrossrefPubMedGoogle Scholar
  • 31 Sanders TL, Kremers HM, Bryan AJ. , et al. Is anterior cruciate ligament reconstruction effective in preventing secondary meniscal tears and osteoarthritis?. Am J Sports Med 2016; 44 (07) 1699-1707
    CrossrefPubMedGoogle Scholar
  • 32 Shelbourne KD, Wilckens JH, Mollabashy A, DeCarlo M. Arthrofibrosis in acute anterior cruciate ligament reconstruction. The effect of timing of reconstruction and rehabilitation. Am J Sports Med 1991; 19 (04) 332-336
    CrossrefPubMedGoogle Scholar
  • 33 Lee YS, Lee OS, Lee SH, Hui TS. Effect of the timing of anterior cruciate ligament reconstruction on clinical and stability outcomes: a systematic review and meta-analysis. Arthroscopy 2018; 34 (02) 592-602
    CrossrefPubMedGoogle Scholar
  • 34 Kwok CS, Harrison T, Servant C. The optimal timing for anterior cruciate ligament reconstruction with respect to the risk of postoperative stiffness. Arthroscopy 2013; 29 (03) 556-565
    CrossrefPubMedGoogle Scholar
  • 35 Bottoni CR, Liddell TR, Trainor TJ, Freccero DM, Lindell KK. Postoperative range of motion following anterior cruciate ligament reconstruction using autograft hamstrings: a prospective, randomized clinical trial of early versus delayed reconstructions. Am J Sports Med 2008; 36 (04) 656-662
    CrossrefPubMedGoogle Scholar
  • 36 Raviraj A, Anand A, Kodikal G, Chandrashekar M, Pai S. A comparison of early and delayed arthroscopically-assisted reconstruction of the anterior cruciate ligament using hamstring autograft. J Bone Joint Surg Br 2010; 92-B (04) 521-526
    CrossrefPubMedGoogle Scholar
  • 37 Meighan AAS, Keating JF, Will E. Outcome after reconstruction of the anterior cruciate ligament in athletic patients. J Bone Joint Surg Br 2003; 85-B (04) 521-524
    CrossrefPubMedGoogle Scholar
  • 38 Hunter RE, Mastrangelo J, Freeman JR, Purnell ML, Jones RH. The impact of surgical timing on postoperative motion and stability following anterior cruciate ligament reconstruction. Arthroscopy 1996; 12 (06) 667-674
    CrossrefPubMedGoogle Scholar
  • 39 Synovec J, Shaw KA, Antosh IJ. , et al. Current practices in anterior cruciate ligament reconstruction in the U.S. Military: a survey of the society of military orthopaedic surgeons. Mil Med 2018; 0 (00) 1-7
    PubMedGoogle Scholar
  • 40 Zeng C, Gao SG, Li H. , et al. Autograft versus allograft in anterior cruciate ligament reconstruction: a meta-analysis of randomized controlled trials and systematic review of overlapping systematic reviews. Arthroscopy 2016; 32 (01) 153-63.e18
    CrossrefPubMedGoogle Scholar
  • 41 Mariscalco MW, Magnussen RA, Mehta D, Hewett TE, Flanigan DC, Kaeding CC. Autograft versus nonirradiated allograft tissue for anterior cruciate ligament reconstruction: a systematic review. Am J Sports Med 2014; 42 (02) 492-499
    CrossrefPubMedGoogle Scholar
  • 42 Spindler KP, Huston LJ, Chagin KM. , et al; MOON Knee Group. Ten-year outcomes and risk factors after anterior cruciate ligament reconstruction: a MOON longitudinal prospective cohort study. Am J Sports Med 2018; 46 (04) 815-825
    CrossrefPubMedGoogle Scholar
  • 43 Lamblin CJ, Waterman BR, Lubowitz JH. Anterior cruciate ligament reconstruction with autografts compared with non-irradiated, non-chemically treated allografts. Arthroscopy 2013; 29 (06) 1113-1122
    CrossrefPubMedGoogle Scholar
  • 44 Pallis M, Svoboda SJ, Cameron KL, Owens BD. Survival comparison of allograft and autograft anterior cruciate ligament reconstruction at the United States Military Academy. Am J Sports Med 2012; 40 (06) 1242-1246
    CrossrefPubMedGoogle Scholar
  • 45 Bottoni CR, Smith EL, Shaha J. , et al. Autograft versus allograft anterior cruciate ligament reconstruction: a prospective, randomized clinical study with a minimum 10-year follow-up. Am J Sports Med 2015; 43 (10) 2501-2509
    CrossrefPubMedGoogle Scholar
  • 46 Salem H, Varzhapeyan V, Patel N, Chaundhry Z, Dodson CC, Tjoumakaris FP, Freedman KB. Anterior cruciate ligament reconstruction in young females: patellar versus hamstring tendon autografts. Orthop J Sports Med 2018; 6 (07) (Suppl. 04) DOI: 2325967118S00061.
    CrossrefPubMedGoogle Scholar
  • 47 Brophy RH, Wright RW, Huston LJ, Nwosu SK, Spindler KP. ; MOON Knee Group. Factors associated with infection following anterior cruciate ligament reconstruction. J Bone Joint Surg Am 2015; 97 (06) 450-454
    CrossrefPubMedGoogle Scholar
  • 48 Ciccotti MC, Secrist E, Tjoumakaris F, Ciccotti MG, Freedman KB. Anatomic anterior cruciate ligament reconstruction via independent tunnel drilling: a systematic review of randomized controlled trials comparing patellar tendon and hamstring autografts. Arthroscopy 2017; 33 (05) 1062-1071.e5
    CrossrefPubMedGoogle Scholar
  • 49 Samuelsen BT, Webster KE, Johnson NR, Hewett TE, Krych AJ. Hamstring autograft versus patellar tendon autograft for acl reconstruction: is there a difference in graft failure rate? a meta-analysis of 47,613 patients. Clin Orthop Relat Res 2017; 475 (10) 2459-2468
    CrossrefPubMedGoogle Scholar
  • 50 Martin-Alguacil JL, Arroyo-Morales M, Martín-Gomez JL. , et al. Strength recovery after anterior cruciate ligament reconstruction with quadriceps tendon versus hamstring tendon autografts in soccer players: a randomized controlled trial. Knee 2018; 25 (04) 704-714
    CrossrefPubMedGoogle Scholar
  • 51 Persson A, Fjeldsgaard K, Gjertsen J-E. , et al. Increased risk of revision with hamstring tendon grafts compared with patellar tendon grafts after anterior cruciate ligament reconstruction: a study of 12,643 patients from the Norwegian Cruciate Ligament Registry, 2004-2012. Am J Sports Med 2014; 42 (02) 285-291
    CrossrefPubMedGoogle Scholar
  • 52 Webster KE, Feller JA, Hartnett N, Leigh WB, Richmond AK. Comparison of patellar tendon and hamstring tendon anterior cruciate ligament reconstruction: a 15-year follow-up of a randomized controlled trial. Am J Sports Med 2016; 44 (01) 83-90
    CrossrefPubMedGoogle Scholar
  • 53 Liu SH, Kabo JM, Osti L. Biomechanics of two types of bone-tendon-bone graft for ACL reconstruction. J Bone Joint Surg Br 1995; 77 (02) 232-235
    PubMedGoogle Scholar
  • 54 Freedman KB, D'Amato MJ, Nedeff DD, Kaz A, Bach Jr BR. Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med 2003; 31 (01) 2-11
    CrossrefPubMedGoogle Scholar
  • 55 Pinczewski LA, Lyman J, Salmon LJ, Russell VJ, Roe J, Linklater J. A 10-year comparison of anterior cruciate ligament reconstructions with hamstring tendon and patellar tendon autograft: a controlled, prospective trial. Am J Sports Med 2007; 35 (04) 564-574
    CrossrefPubMedGoogle Scholar
  • 56 Poehling-Monaghan KL, Salem H, Ross KE. , et al. Long-term outcomes in anterior cruciate ligament reconstruction: a systematic review of patellar tendon versus hamstring autografts. Orthop J Sports Med 2017; 5 (06) 2325967117709735
    CrossrefPubMedGoogle Scholar
  • 57 Christen B, Jakob RP. Fractures associated with patellar ligament grafts in cruciate ligament surgery. J Bone Joint Surg Br 1992; 74 (04) 617-619
    CrossrefPubMedGoogle Scholar
  • 58 Thompson SM, Salmon LJ, Waller A, Linklater J, Roe JP, Pinczewski LA. Twenty-year outcome of a longitudinal prospective evaluation of isolated endoscopic anterior cruciate ligament reconstruction with patellar tendon or hamstring autograft. Am J Sports Med 2016; 44 (12) 3083-3094
    CrossrefPubMedGoogle Scholar
  • 59 Lee S, Seong SC, Jo CH, Han HS, An JH, Lee MC. Anterior cruciate ligament reconstruction with use of autologous quadriceps tendon graft. J Bone Joint Surg Am 2007; 89 (Suppl. 03) 116-126
    CrossrefPubMedGoogle Scholar
  • 60 Geib TM, Shelton WR, Phelps RA, Clark L. Anterior cruciate ligament reconstruction using quadriceps tendon autograft: intermediate-term outcome. Arthroscopy 2009; 25 (12) 1408-1414
    CrossrefPubMedGoogle Scholar
  • 61 Schulz AP, Lange V, Gille J. , et al. Anterior cruciate ligament reconstruction using bone plug-free quadriceps tendon autograft: intermediate-term clinical outcome after 24-36 months. Open Access J Sports Med 2013; 4: 243-249
    PubMedGoogle Scholar
  • 62 Lund B, Nielsen T, Faunø P, Christiansen SE, Lind M. Is quadriceps tendon a better graft choice than patellar tendon? a prospective randomized study. Arthroscopy 2014; 30 (05) 593-598
    CrossrefPubMedGoogle Scholar
  • 63 Antosh IJ, Patzkowski JC, Racusin AW, Aden JK, Waterman SM. Return to Military Duty After Anterior Cruciate Ligament Reconstruction. Mil Med 2018; 183 (1,2): e83-e89
    CrossrefPubMedGoogle Scholar
  • 64 Enad JG, Zehms CT. Return to full duty after anterior cruciate ligament reconstruction: is the second time more difficult?. J Spec Oper Med 2013; 13 (01) 2-6
    PubMedGoogle Scholar
  • 65 Cullison TR, O'Brien TJ, Getka K, Jonson S. Anterior cruciate ligament reconstruction in the military patient. Mil Med 1998; 163 (01) 17-19
    CrossrefPubMedGoogle Scholar
  • 66 Edwards KJ, Goral AB, Hay RM, Kelso T. Functional restoration following anterior cruciate ligament reconstruction in active-duty military personnel. Mil Med 1991; 156 (03) 118-121
    CrossrefPubMedGoogle Scholar
  • 67 Luc B, Gribble PA, Pietrosimone BG. Osteoarthritis prevalence following anterior cruciate ligament reconstruction: a systematic review and numbers-needed-to-treat analysis. J Athl Train 2014; 49 (06) 806-819
    CrossrefPubMedGoogle Scholar
  • 68 Pietrosimone B. Understanding, detecting, and managing the risk of posttraumatic osteoarthritis following anterior cruciate ligament reconstruction in the military. N C Med J 2017; 78 (05) 327-328
    PubMedGoogle Scholar
  • 69 Barenius B, Ponzer S, Shalabi A, Bujak R, Norlén L, Eriksson K. Increased risk of osteoarthritis after anterior cruciate ligament reconstruction: a 14-year follow-up study of a randomized controlled trial. Am J Sports Med 2014; 42 (05) 1049-1057
    CrossrefPubMedGoogle Scholar
  • 70 Svoboda SJ, Harvey TM, Owens BD, Brechue WF, Tarwater PM, Cameron KL. Changes in serum biomarkers of cartilage turnover after anterior cruciate ligament injury. Am J Sports Med 2013; 41 (09) 2108-2116
    CrossrefPubMedGoogle Scholar
  • 71 Davis HC, Spang JT, Loeser RF. , et al. Time between anterior cruciate ligament injury and reconstruction and cartilage metabolism six-months following reconstruction. Knee 2018; 25 (02) 296-305
    CrossrefPubMedGoogle Scholar
  • 72 Pietrosimone B, Nissman D, Padua DA. , et al. Associations between cartilage proteoglycan density and patient outcomes 12 months following anterior cruciate ligament reconstruction. Knee 2018; 25 (01) 118-129
    CrossrefPubMedGoogle Scholar