Diagnosis and Treatment of Injuries to the Knee Ligaments

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Sports Medicine and Sports Traumatology".

Deadline for manuscript submissions: closed (31 July 2024) | Viewed by 1559

Special Issue Editor

Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul 02841, Republic of Korea
Interests: knee joint; arthroscopy; arthroplasty; ligaments; meniscus; cartilage; sports medicine; osteoarthritis
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Special Issue Information

Dear Colleagues,

The knee joint is a complex joint that relies on a network of ligaments to provide stability. The knee ligaments play a vital role in maintaining the joint’s integrity. Knee ligament injuries are a common concern, especially in athletes and individuals engaged in physical activities. Accurate diagnosis and appropriate treatment are essential for these injuries. Various conservative and operative treatments have been applied for acute and chronic knee ligament injuries, and numerous surgical procedures that consider the nature of these injuries have recently been developed.

In this Special Issue of Medicina, we intend to introduce cutting-edge concepts and techniques, as well as clinical outcomes related to the diagnosis and treatment of knee ligament injuries. For this Special Issue, we would like to invite authors to submit their original research articles, meta-analyses, review articles, technical notes, and case reports regarding the diagnosis and treatment of injuries to the knee ligaments. This Special Issue is open to including all types of articles regarding the diagnosis of knee ligament injuries, physical and radiological examinations, and operative and non-operative treatment for knee ligament injuries. This Special Issue will also include the clinical outcomes of various orthopaedic rehabilitation strategies in the context of knee ligament injuries.

Dr. Ki-Mo Jang
Guest Editor

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Keywords

  • knee joint
  • arthroscopy
  • arthroplasty
  • ligaments
  • meniscus
  • cartilage
  • sports medicine
  • osteoarthritis

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Published Papers (1 paper)

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Research

12 pages, 626 KiB  
Article
Superior Biological Healing of Hamstring Autografts Compared with Tibialis Allografts after Anterior Cruciate Ligament Reconstruction: A Propensity Score Matching Analysis Based on Second-Look Arthroscopy
by Seo-Jun Lee, Jun-Gu Park, Seung-Beom Han, Ji-Hoon Bae and Ki-Mo Jang
Medicina 2024, 60(10), 1631; https://doi.org/10.3390/medicina60101631 - 6 Oct 2024
Viewed by 1136
Abstract
Background and Objectives: Remodeling and healing of the graft are crucial processes for long-term graft survival after anterior cruciate ligament reconstruction (ACLR). However, few studies have objectively evaluated the differences in graft healing between autografts and allografts. This study aimed to compare the [...] Read more.
Background and Objectives: Remodeling and healing of the graft are crucial processes for long-term graft survival after anterior cruciate ligament reconstruction (ACLR). However, few studies have objectively evaluated the differences in graft healing between autografts and allografts. This study aimed to compare the status of the anterior cruciate ligament (ACL) grafts between hamstring tendon (HT) autografts and tibialis anterior tendon (TAT) allografts using second-look arthroscopy. Materials and Methods: The outcomes of 193 consecutive patients (153 males and 40 females, with an average age of 30.38 and BMI of 25.43 kg/m2) who underwent second-look arthroscopy following primary ACLR were retrospectively reviewed. Prior to participating in this study, all patients provided written informed consent. The patients were divided into two groups: those with HT autografts and those with TAT allografts. Confounding factors were matched between the two groups using propensity score matching (PSM). ACL graft status was assessed during second-look arthroscopy using a numeric scale system based on the degree of four parameters: graft tension, continuity, synovium coverage, and vascular marking. Clinical outcomes were assessed using the Lysholm and International Knee Documentation Committee (IKDC) scores. Graft status and clinical outcomes were compared between the two groups. Additionally, a subgroup analysis based on the timing of the second-look arthroscopy (12–24 months vs. >24 months after the initial ACLR) was conducted. Results: After PSM, 62 patients were included in each group. The second-look arthroscopy was conducted at 23.6 ± 6.6 months for the HT group and at 24.0 ± 7.9 months for the TAT group (p = 0.749). The continuity and tension of the ACL graft were not significantly different between the two groups (p = 0.146 and 0.075, respectively). However, the TAT group exhibited significantly inferior synovial coverage and vascular marking of the ACL graft compared with the HT group (p = 0.021 and 0.007, respectively). These findings were consistent regardless of the timing of the second-look arthroscopy. Clinical outcomes, according to the Lysholm and IKDC scores, significantly improved in both groups with no significant differences (p = 0.386 and 0.733, respectively). Conclusions: Although there were no differences in graft tension and continuity between HT autografts and TAT allografts, the biological healing of ACL grafts, in terms of synovialization and vascularization, was superior in HT autografts compared to TAT allografts. Full article
(This article belongs to the Special Issue Diagnosis and Treatment of Injuries to the Knee Ligaments)
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