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Advancements in Anterior Cruciate Ligament Injury: From Diagnosis to the...
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Advancements in Anterior Cruciate Ligament Injury: From Diagnosis to the Return-to-Sports

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Sports Medicine".

Deadline for manuscript submissions: 15 December 2024 | Viewed by 357

Special Issue Editors

Dr. Alexandre Hardy

E-Mail Website
Guest Editor
Clinique du Sport, Universidad de París V Descartes, 75005 Paris, France
Interests: sports medicine; anterior cruciate ligament reconstruction (ACLR); timing of ACLR; ramp lesion; meniscal lesion; lateral extraarticular procedure; hamstring surgery; ankle reconstruction
Dr. Nicolas Bouguennec

E-Mail Website
Guest Editor
Clinique du Sport de Bordeaux-Merignac, 33700 Merignac, France
Interests: sports medicine; anterior cruciate ligament reconstruction (ACLR); timing of ACLR; ramp lesion; meniscal lesion; lateral extraarticular procedure; hamstring surgery; ankle reconstruction

Special Issue Information

Dear Colleagues,

Anterior cruciate ligament (ACL) reconstruction remains a critical aspect of orthopedic sports medicine, as the ACL is the most reconstructed ligament in the body. The evolution of ACL reconstruction has seen remarkable advancements from traditional techniques to more anatomically aligned and biomechanically sound procedures, enhancing patient outcomes and reducing recovery times.

Furthermore, the integration of techniques such as the lateral extra-articular procedure (LEAP) has further tailored the approach to patients with high rotational instability and shows promising results in reducing re-rupture rates. Despite these advancements, challenges remain, such as the ideal indications for LEAPs; the long-term impact of these procedures, such as osteoarthritis and stiffness; the effective management of complex multiligament injuries; and optimizing the timing and techniques of ACL reconstruction. New techniques and materials in ACL reconstruction are continually evolving, from biologic augmentations to novel imaging and post-operative protocols. The aim is to ensure the highest return-to-sports rate, at the same pre-injury level, with the least risk of re-rupture.

To enable this, we are soliciting original research articles, reviews, cohort studies, and meta-analyses that contribute to understanding ACL injuries from diagnosis to the return to sports.

Dr. Alexandre Hardy
Dr. Nicolas Bouguennec
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • anterior cruciate ligament reconstruction (ACLR)
  • timing of ACLR
  • ramp lesion
  • meniscal lesion
  • lateral extra-articular procedure

Published Papers (1 paper)

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Research

16 pages, 2268 KiB  
Article
Combined Anterolateral Ligament Reconstruction Results in Better Knee Stability and More Satisfactory Subjective Outcomes in Non-Athlete Patients Undergoing Revision Anterior Cruciate Ligament Reconstruction
by Se-Han Jung, Ji-Soo Park, Min Jung, Kwangho Chung, Tae-Ho Ha, Chong Hyuk Choi and Sung-Hwan Kim
J. Clin. Med. 2024, 13(14), 4087; https://doi.org/10.3390/jcm13144087 - 12 Jul 2024
Viewed by 204
Abstract
Background: Consensus has not yet been reached regarding combined anterior cruciate ligament reconstruction (ALLR) with revisional anterior cruciate ligament reconstruction (RACLR). We aimed to compare the clinical outcomes between patients who underwent isolated RACLR and those who underwent RACLR combined with ALLR. [...] Read more.
Background: Consensus has not yet been reached regarding combined anterior cruciate ligament reconstruction (ALLR) with revisional anterior cruciate ligament reconstruction (RACLR). We aimed to compare the clinical outcomes between patients who underwent isolated RACLR and those who underwent RACLR combined with ALLR. Methods: Between June 2010 and June 2021, 49 patients who underwent RACLR were retrospectively reviewed over a 24-month follow-up. Patients were categorized into the isolated RACLR (n = 37, group 1) or combined ALLR group (n = 12, group 2). Clinical outcomes were evaluated with several patient-reported outcome measures (PROMs) and minimal clinically important differences (MCIDs) for each PROM. The side-to-side difference (SSD) of the anterior instability was measured. The pivot-shift test was performed. Results: Baseline characteristics showed no differences between the groups. PROMs showed no significant differences between the groups at the 2-year follow-up. Group 2 was superior to group 1 in the MCID achievement rate for Lysholm knee and International Knee Documentation Committee (IKDC) subjective scores at 24 months postoperatively. At the final follow-up, the proportion of IKDC grade A in SSD for anterior laxity was higher in group 2 than in group 1 (58.3% versus [vs.] 18.3%, p = 0.009), and the proportion of pivot-shift grade 0 was also higher in group 2 (66.7% vs. 27.0%, p = 0.013). The “near return to activity” rate was also higher in group 2 than in group 1 (83.3% vs. 45.9%, p = 0.043). Conclusions: Combining ALLR with RACLR in non-athletes results in a higher proportion of patients with less mechanical graft failure and satisfactory clinical outcomes. Full article
(This article belongs to the Special Issue Advancements in Anterior Cruciate Ligament Injury: From Diagnosis to the Return-to-Sports)
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