Summary: Decreased time between injury and surgery and more severe injuries may increase the risk of motion loss after MLKI; however, postoperative factors not measured in this secondary analysis might more heavily impact motion loss after surgical treatment for MLKI.

Objectives: Postoperative motion loss is the most common complication following multiple ligament knee injuries (MLKIs). MLKIs are often associated with concomitant musculoskeletal and neurovascular injuries and complex surgical treatment; however, factors that increase the risk of postoperative motion loss remain largely unknown. The purpose of this study was to identify predictors of motion loss following MLKI. We hypothesized that injury classification (Knee Dislocation [KD] grade), and shorter time between injury and surgery would be independent predictors of postoperative motion loss.

Methods

This was a multicenter retrospective review of 773 MLKIs that occurred between 2011 and 2015. MLKI was defined as a complete tear of two or more ligaments where at least 1 ligament was repaired or constructed. Individuals with a MLKI defined as a complete tear (grade III tear) of two or more ligaments that underwent surgical repair or reconstruction of at least one ligament were included. Cases with loss of motion were identified from review of follow-up documentation or the need for subsequent manipulation under anesthesia and/or lysis of adhesions. A multivariable logistic regression with forward variable entry (p<0.05) was performed to determine if any of the following variables were predictive of motion loss after MLKI: biological sex, KD grade, number of days between injury and surgery, graft type, use of external fixation, if staged procedures were performed, and associated vascular, nerve or tendon injury.

Results

Of the 773 patients identified in the multicenter review, 562 (72.7%) had complete data for inclusion in the current analyses with 65 (11.6%) having postoperative motion loss. Of the 562 patients (76.0% male, age=30.7?12.9 y, BMI=29?6.8 kg/m2), the median number of days between injury and surgery was 59 days (IQR=22-192 days). KD I injuries were the most common (59.6%) with 3.6% having KD II, 14.4% KD III-M, 13.9% KD III-L, 5.3% KD IV, and 3.2% KD V injuries. External fixation was used in 8.2% and 6.8% of the patients underwent staged procedures. Multiple graft combinations were used (all allograft = 37.5%, all autograft = 11.4%, combination = 48.9%, all repairs = 2.1%). Associated nerve injuries occurred in 19.8%, tendon injuries in 15.8%, and vascular injuries in 4.1%. Regression analysis identified decreased time between injury and surgery (OR=0.998, 95%CI[0.997-1.00]) and increased injury severity (KDIII OR=2.31, 95%CI[1.19-4.48], KDV OR=5.42, 95%CI[1.84-15.98]) as independent predictors of motion loss after MLKI (p < 0.001, Nagelkerke R2=0.08).

Discussion

While KD grade and time between injury and surgery are predictive of motion loss after MLKI, these variables only explain 8% of the variability in motion loss. This confirms that clinicians should be cognizant that decreased time between injury and surgery and more severe injuries may increase this risk of motion loss; however, postoperative factors not measured in this secondary analysis might more heavily impact motion loss after surgical treatment for MLKI. Future studies are necessary to identify other factors such as pre-operative ROM, the postoperative inflammatory state of the knee, utilization of physical therapy and/or psychosocial factors that might influence motion loss after MLKI reconstruction to better inform postoperative care.

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The Effect of Delaying Anterior Cruciate Ligament Reconstruction More Than 3 or 6 Months on Revision Rates and Knee Stability After 2 Years of Follow-up ePoster Presentation Helena Amstrup Jensen, BSc, DENMARK Torsten G. Nielsen, BSc, DENMARK Martin Lind, MD, PhD, Prof., DENMARK
Spin in the Abstracts of Meta-Analyses and Systematic Reviews: Quadriceps Tendon Graft for Anterior Cruciate Ligament Reconstruction ePoster Presentation Matthew T Gulbrandsen, MD, UNITED STATES Taha Taka, BS, UNITED STATES Joshua Peterson, BS, UNITED STATES Jun Ho Chung, MD, UNITED STATES Hasan Syed, MD Austin V Stone, MD, PhD, UNITED STATES John Xerogeanes, MD, UNITED STATES Joseph N. Liu, MD, UNITED STATES
Which Is Better for Anterior Cruciate Ligament Supplementary Fixation: Suture Anchor Or Staple? A Biomechanical Study ePoster Presentation Gen Lin Foo, MD, SINGAPORE Linyun Zhang, Master of Engineering in Engineering Mechanics, SINGAPORE Desmond Yok Rue Chong, PhD, SINGAPORE
Bone–Patellar Tendon–Bone Autograft and Female Sex are Associated with the Presence of Cyclops Lesions and Syndrome After Anterior Cruciate Ligament Reconstruction ePoster Presentation Tomohiro Tomihara, MD, JAPAN Yusuke Hashimoto, MD, PhD, JAPAN Kazuya Nishino, MD, JAPAN Shuko Tsumoto, MD, JAPAN
Adhesion Between the Anterior Cruciate Ligament Grafts and the Transverse Ligament of the Menisci: An effect of Arthroscopic Release ePoster Presentation Masashi Kusano, MD, PhD, JAPAN Keisuke Kita, MD, PhD, JAPAN Ryohei Uchida, MD, PhD, JAPAN Yukiyoshi Toritsuka, MD, PhD, JAPAN
No Evidence of Racial Disparities in Revision Risk Following ACL Reconstruction in a Single Healthcare Network Despite Increased Social Disadvantage Among Black Patients ePoster Presentation Ian DeYoe Engler, MD, UNITED STATES Sahil Dadoo, BS, UNITED STATES William T. Li, MD, UNITED STATES Robert Tisherman, UNITED STATES Audrey Y. Chang, BA, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES
Double Bundle ACL Revision Reconstruction with Allograft Resulted In a Low Revision Rate At 10 Year ePoster Presentation Luca Macchiarola, MD, ITALY Nicola Pizza, MD, ITALY Alberto Grassi, PhD, ITALY Giacomo Dal Fabbro, ITALY Stefano Zaffagnini, MD, Prof., ITALY
Anterior Cruciate Ligament Repair Using Dynamic Intraligamentary Stabilization Provides a Similarly Successful Outcome As All-Inside Anterior Cruciate Ligament Reconstruction With A Faster Psychological Recovery In Moderately Active Patients ePoster Presentation M. Enes Kayaalp, MD, Assoc. Prof., TURKEY Serkan Surucu, MD, UNITED STATES Mehmet Halis Çerçi, MD, TURKEY Mahmud Aydın, MD, TURKEY Mahir Mahirogullari, MD, Prof., TURKEY
Respective Functions of the ACL and the Medial Structures on the Control of Anterior Translation and Rotations of the Knee. Cadaveric Study of 24 Knees with the Dyneelax® ePoster Presentation Henri E. Robert, MD, FRANCE Baptiste Guegan, FRANCE Harold Common, MD, FRANCE
Contralateral ACL Rupture is More Common than ACL Graft Rupture in Australian Netballers After ACL Reconstruction ePoster Presentation Conor Honeywill, MD, B. Phty, AUSTRALIA Lucy J. Salmon, PhD, AUSTRALIA Leo A. Pinczewski, MBBS, FRACS, FAOA, AUSTRALIA Keran Sundaraj, MBBS MCs (Trauma) FRACS FAOA, AUSTRALIA Justin P. Roe, FRACS, A/Prof., AUSTRALIA
High Return to Sport Rate and Few Re-Ruptures at Long Term in Professional Footballers After Anterior Cruciate Ligament Reconstruction with Hamstrings ePoster Presentation Tommaso Bonanzinga, MD, PhD, ITALY Alberto Grassi, PhD, ITALY Gian Andrea Lucidi, MD, ITALY Luca Macchiarola, MD, ITALY Marianna Viotto, ITALY Stefano Zaffagnini, MD, Prof., ITALY
Acceptable Clinical Outcomes Despite High Reoperation Rate at Minimum 12-Month Follow-Up after Concomitant Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction and Medial Meniscal Allograft Transplantation ePoster Presentation Dhruv Sundar Shankar, BS, UNITED STATES Kinjal Vasavada, BA, UNITED STATES Amanda Avila, MPH, UNITED STATES Brittany DeClouette, MD, UNITED STATES Hadi Aziz, BS, UNITED STATES Eric Jason Strauss, MD Michael J Alaia, MD, UNITED STATES Laith M. Jazrawi, MD, UNITED STATES Guillem Gonzalez-Lomas, MD, UNITED STATES Kirk Anthony Campbell, MD, UNITED STATES
The Relationship Between Preoperative Static Anterior Tibial Subluxation and Graft Maturation on MRI After Double-Bundle Anterior Cruciate Ligament Reconstruction ePoster Presentation Shigehiro Asai, MD, JAPAN Hideaki Fukuda, MD, JAPAN Takahiro Ogura, MD, JAPAN Kenji Takahashi, MD, PhD, JAPAN
Differences in Temporospatial Hop Characteristics Between Limbs at Return to Sport After ACL Reconstruction ePoster Presentation Alex Gabriel Gavia, BS, UNITED STATES Dave Werner, PT, DPT, OCS, CSCS, UNITED STATES Michael Wellsandt, PT, DPT, UNITED STATES Michael Rosenthal, UNITED STATES Matthew Tao, MD, UNITED STATES Elizabeth Wellsandt, DPT, PhD, UNITED STATES
Comparing Safety and Physical Activity Profiles of Institutional Standard of Care Versus Arthroscopic Electrocautery Approaches for ACL Reconstruction ePoster Presentation Claire Giachino, BA, UNITED STATES Hannah Rossing, BS, UNITED STATES David Howell, PhD, UNITED STATES Curtis D. Vandenberg, MD, UNITED STATES Jay C. Albright, MD, UNITED STATES
Changing the ACL Reconstruction Algorithm from Transtibial Hamstring to Transportal Patellar Tendon Is Associated With a More Physiological Knee Laxity At 5-To-10 Year Follow-Up, But Maintaining Activity Levels Remains A Greater Challenge ePoster Presentation Iftach Hetsroni, MD, Associate Prof., ISRAEL Eyal Arami, MD, ISRAEL Guy Maoz, MD, ISRAEL Niv Marom, MD, ISRAEL Nissim Ohana, MD, ISRAEL Gideon Mann, MD, Prof., ISRAEL
Automated, Video-Based Analysis of Motion Patterns to Diagnose Anterior Cruciate Ligament Injuries in In-Game Video Footage ePoster Presentation Attila Schulc, UNITED STATES Chilan Bou Ghosson Leite, MD, PhD, UNITED STATES Máté Csákvári, UNITED STATES Luke Lattermann, UNITED STATES Molly Zgoda, MS, UNITED STATES Evan M Farina, MD, UNITED STATES Christian Lattermann, MD, UNITED STATES Zoltán Tősér, UNITED STATES Gergo B Merkely, MD, PhD, UNITED STATES
Functional Results in Anterior Cruciate Ligament Reconstruction with Hybrid Grafts ePoster Presentation David H. Figueroa, MD, CHILE Maria Loreto Figueroa Berrios, MD, CHILE Alexandra Feuereisen, MD, CHILE Rafael Calvo, MD, CHILE Alex Vaisman, MD, Prof., CHILE
An Analysis Of Repeat Anterior Cruciate Ligament Injury and Return to Sport in Australian Soccer Players Demonstrates Hamstring Autografts to be a Reliable Option ePoster Presentation Jonathan R Manara, BMBS, FRCS (Tr & Orth), UNITED KINGDOM Lucy J. Salmon, PhD, AUSTRALIA Faisal Kilani, BSc, AUSTRALIA Claire Monk, BS, AUSTRALIA Keran Sundaraj, MBBS MCs (Trauma) FRACS FAOA, AUSTRALIA Leo A. Pinczewski, MBBS, FRACS, FAOA, AUSTRALIA Justin P. Roe, FRACS, A/Prof., AUSTRALIA
Clinical And Patient-Reported Outcomes Of Arthroscopic Repair Versus Reconstruction Of The Cruciate Ligaments In The Multiligamentous Injured Knee ePoster Presentation Sebastian Rilk, MD, UNITED STATES Gabriel C Goodhart, BsC, UNITED STATES Kurt S. Holuba, BA, UNITED STATES Harmen D. Vermeijden, MD, UNITED STATES Robert O'Brien, MHS, PA-C, UNITED STATES Jelle P. van der List, MD, PhD, NETHERLANDS Gregory S. Difelice, MD, UNITED STATES
Comparison of Clinical Outcomes between a Bone-Patellar Tendon-Bone and Quadriceps Tendon-Bone Autografts in Anatomic Rectangular Tunnel Anterior Cruciate Ligament Reconstruction ePoster Presentation Kazunori Shimomura, MD, PhD, Prof., JAPAN Yasukazu Yonetani, MD, PhD, JAPAN Ayaka Tanaka, MD, JAPAN Akira Tsujii, MD, PhD, JAPAN Masayuki Hamada, MD, JAPAN
Clinical and Functional Outcomes of Augmented Repair Versus Primary Repair in Anterior Cruciate Ligament Injury: A Systematic Review and Meta-Analysis ePoster Presentation Bing Howe Lee, MBBS, MRCS, SINGAPORE Michael Xuanrong Shen, MBBS, MRCS, MMED, SINGAPORE Mohammad Ashik, MBBS, MRCSEd, MMed (Ortho), FRCSEd(Orth), SINGAPORE Hamid Rahmatullah Bin Abd Razak, MBBS, FRCSEd (Ortho), FRCSGlasg (Tr & Orth), FAMS, SINGAPORE
Return to Sports in Anterior Cruciate Ligament Reconstruction Revision Surgery ePoster Presentation David H. Figueroa, MD, CHILE Maria Loreto Figueroa Berrios, MD, CHILE Alexandra Feuereisen, MD, CHILE Javier Ignacio González, MD, CHILE Rafael Calvo, MD, CHILE
The Statistical Fragility Of Clinical Trials Comparing Bone-Patellar Tendon-Bone Versus Hamstring Tendon Autografts In Anterior Cruciate Ligament Reconstruction Surgery: A Systematic Review ePoster Presentation Jeffrey Okewunmi, BS, UNITED STATES Zakaria Chakrani, BA, UNITED STATES John K Cordero, MD, UNITED STATES Robert L Parisien, MD, UNITED STATES
Early Results of ACL Reconstruction with Quadriceps Tendon Autograft All-Inside Technique ePoster Presentation Amogh Iyer, BS, UNITED STATES Galo Bustamante, BS, UNITED STATES Eric Milliron, BS, UNITED STATES Parker Cavendish, BS, UNITED STATES James C. Kirven, BS, UNITED STATES Spencer E. Talentino, MD, UNITED STATES Charles Qin, MD, UNITED STATES Ryan H. Barnes, MD, UNITED STATES David C. Flanigan, MD, UNITED STATES Christopher C. Kaeding, MD, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES Robert A. Duerr, MD, UNITED STATES
Hamstring Allograft versus Autograft in Primary Anterior Cruciate Ligament Reconstruction ePoster Presentation Paul Ruckenstuhl, MD, Msc, AUSTRIA Patrick Sadoghi, MD, AUSTRIA Gerald Gruber, MD, Prof., AUSTRIA Andreas Leithner, MD, Prof., AUSTRIA Stefan Fischerauer, MD, MSc, PhD, AUSTRIA
Clinical Outcome Of Bicruciate Ligament Reconstruction In Multiple Knee Ligament Injuries: Comparison With Bicruciate And Collateral Ligament Reconstructions ePoster Presentation Zenta Jotoku, MD, PhD, JAPAN Eiji Kondo, MD, PhD, JAPAN Koji Iwasaki, MD, PhD, JAPAN Tomohiro Onodera, MD, PhD, JAPAN Daisuke Momma, PhD, JAPAN Kazunori Yasuda, MD, PhD, Prof., JAPAN Norimasa Iwasaki, MD, PhD, JAPAN
Short-Term Clinical Outcomes of Remnant-Preserving Single-Bundle Augmentation in Anterior Cruciate Ligament Reconstruction: Comparison with Single- and Double-Bundle Reconstruction ePoster Presentation Mariko Osugi, MD, JAPAN Atsuo Nakamae, MD, PhD, JAPAN Kazuhiro Tsukisaka, MD, , JAPAN Masataka Deie, MD, PhD, Prof., JAPAN Nobuo Adachi, MD, PhD, JAPAN
Steeper Lateral Posterior Tibial Slope And Greater Lateral-Medial Slope Asymmetry are Associated With Greater Preoperative Pivot-Shift In Anterior Cruciate Ligament Injury ePoster Presentation Kiminari Kataoka, MD, JAPAN Kanto Nagai, MD, PhD, JAPAN Yuichi Hoshino, MD, PhD, JAPAN Masashi Shimabukuro, JAPAN Kyohei Nishida , MD, PhD, JAPAN Noriyuki Kanzaki, MD, PhD, JAPAN Takehiko Matsushita, MD, PhD, JAPAN Ryosuke Kuroda, MD, PhD, JAPAN
Comparison of the Tissue Molecular Profile Of ACL Repair, ACL Reconstruction, and Native ACL ePoster Presentation Edoardo Monaco, MD, ITALY Danilo Ranieri, MD, ITALY Alessandro Annibaldi, MD, ITALY Alessandro Carrozzo, MD, ITALY Fabio Marzilli, MD, ITALY Vincenzo Visco, Prof., ITALY Andrea Ferretti, Prof., ITALY
Short-Term Outcomes of All-Inside Anterior Cruciate Ligament Reconstruction by the Trans-Femoral Approach ePoster Presentation Toshiaki Takahashi, MD, PhD, Prof., JAPAN Seiji Watanabe, MD, JAPAN
Failure Rates and Complications with Multiple-Revision Anterior Cruciate Ligament Reconstruction: Comparison of Anatomic Femoral Tunnel and Over The Top Technique ePoster Presentation Emre Anıl Özbek, MD, TURKEY Philipp W. Winkler , MD , GERMANY Ehab M Nazzal, MD, UNITED STATES Balint Zsidai, HUNGARY Nicholas P Drain, MD, UNITED STATES Janina Kaarre, MD, MSc, UNITED STATES Andrew Sprague, PT, PhD, DPT, UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES
Time From ACL Injury Time To Surgery: Evaluating A Multifaceted Set of Potential Predictors ePoster Presentation Claire Giachino, BA, UNITED STATES Hannah Rossing, BS, UNITED STATES David Howell, PhD, UNITED STATES Curtis D. Vandenberg, MD, UNITED STATES Jay C. Albright, MD, UNITED STATES
Femoral Button is Not Applied: Does It Matter ? ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Moatassem Belleh Jelassi, MD, TUNISIA Ahmed Zendeoui, MD, TUNISIA Houssem Eddine Chahed, MD, TUNISIA Anis Tebourbi, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
Midterm Clinical Outcomes and Knee Stability After ACL Reconstruction With a Hybrid Graft Using Hamstring Autograft and Ligament Augmentation and Reconstruction System LARS ePoster Presentation Antonios T. Kouzelis, MD, PhD, GREECE Andreas Panagopoulos, Associate Professor, GREECE Panagiotis Antzoulas, MD, MSc, GREECE Panagiotis Tsiplakos, MD, GREECE Georgios Sinos, MD, GREECE Spyridon Papagiannis, MD, GREECE Ioannis Gliatis, MD, PhD, Assistant Proffessor, GREECE
All Soft Tissue Quadriceps Tendon Vs Quadriceps Tendon With Bone Block In Primary ACL Reconstruction ePoster Presentation Joshua C Setliff, BA, UNITED STATES Ehab M Nazzal, MD, UNITED STATES Nicholas P Drain, MD, UNITED STATES Zachary J Herman, MD, UNITED STATES Asher B Mirvish, BA, UNITED STATES Clair Smith, MSc, UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES Jonathan D Hughes, MD, UNITED STATES
Anatomic ACL Reconstruction with Quadriceps Tendon Graft Resulted in Equivalent Knee Laxity Compared to Hamstring Tendon Graft ePoster Presentation Katrin Karpinski, MD, GERMANY Martin Häner, MD, GERMANY Theresa Diermeier, MD, GERMANY Wolf Petersen, MD, Prof, GERMANY
Static Anterior Tibial Translation After Anatomic ACLR: An MRI Analysis ePoster Presentation Ignacio Garcia-Mansilla, MD, ARGENTINA Fernando Holc, MD, ARGENTINA Ignacio Astore, ARGENTINA Camila Juana, MD, ARGENTINA Juan Pablo Zicaro, MD, ARGENTINA Carlos H. Yacuzzi, MD, ARGENTINA Matias Costa-Paz, MD, PhD., ARGENTINA
Urinary CTX-II, Serum MMP-3 And Serum PIIANP Following Anterior Cruciate Ligament Reconstruction: A Pilot Study ePoster Presentation Lachlan Batty, FRACS, AUSTRALIA Julian A. Feller, FRACS, FAOrthA, AUSTRALIA Timothy S. Whitehead, MBBS, FRACS, AUSTRALIA Brian M. Devitt, MD, PhD, FRCS, FRACS, IRELAND Kate E. Webster, PhD, AUSTRALIA
Postoperative MRI following QT- ACLR and its Relevance for Rehabilitation ePoster Presentation Magdalena Stawinska, MPT, POLAND Marcin Plenzler, MPT, POLAND Robert Smigielski, MD, PhD, POLAND Beata Ciszkowska-Lyson, PhD, POLAND
Concomitant Chondral Injury and ACL Reconstruction ePoster Presentation Emily Schueppert, BS, UNITED STATES S. Ali Ghasemi, MD, UNITED STATES Diannemarie Omire-Mayor, MD, UNITED STATES Arthur R Bartolozzi, MD, UNITED STATES
Clinical Outcomes and Return to Sport After Quadriceps Tendon Autograft ACL Reconstruction: Comparison to Bone-Patellar Tendon-Bone Autograft at a Minimum 2-Year Follow-Up ePoster Presentation Evan W. James, MD, UNITED STATES Dakota Adamec , BS , UNITED STATES Per-Henrik Randsborg, MD, PhD, NORWAY Joseph T. Nguyen, MPH, UNITED STATES Robert G. Marx, MD, UNITED STATES Answorth A. Allen, MD, UNITED STATES Frank A. Cordasco, MD, MS, UNITED STATES Benedict U. Nwachukwu, MD, MBA, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES
Age-Related Microstructural Changes In Semitendinosus and Quadriceps Tendons ePoster Presentation Junsuke Nakase, MD, PhD, JAPAN Kazuki Asai, JAPAN Mitsuhiro Kimura, JAPAN Rikuto Yoshimizu, JAPAN Tomoyuki Kanayama, MD, JAPAN Yusuke Yanatori, MD, JAPAN Hiroyuki Tsuchiya, JAPAN
No Single Dominant Risk Factor for Noncontact ACL Injury: Key Thresholds and Relative Contributions of Knee Geometry and Anterior-Posterior Laxity ePoster Presentation Jacob Zeitlin, BA, UNITED STATES Mark Alan Fontana, PhD, UNITED STATES Michael Parides, PhD, UNITED STATES Thomas L. Wickiewicz, MD, UNITED STATES Andrew D. Pearle, MD, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES Bruce D. Beynnon, PhD, UNITED STATES Carl W Imhauser, PhD, UNITED STATES
Effect of Intra-articular Drain on Pain in Postoperative Arthroscopic Anterior Cruciate Ligament Reconstruction: A Randomized control trial ePoster Presentation Artit Boonrod, MD, THAILAND Sarat Tiangwan, MD, THAILAND Aumjit Wittayapairoj, MD, , THAILAND Sermsak Sumanont, MD, THAILAND Punyawat Apiwatanakul, MD, THAILAND Khananut Jaruwanneechai, MD, THAILAND
Single Graft Revision Anterior Cruciate Ligament Reconstruction With Anterolateral Extra-Articular Reconstruction: Description Of A Surgical Technique. Clinical And Functional Results After a 2 Year Follow-Up ePoster Presentation Monica Sánchez Santiuste, MD, SPAIN Cristina Jiménez Nava, Resident, SPAIN Víctor Vaquerizo García, MD, PhD, SPAIN Marta García López, SPAIN
The Blumensaat Line on Radiograph as an Accurate Predictor of Native ACL Length ePoster Presentation Jeffrey Simpson, BS, UNITED STATES Joshua Cassinat, BS, UNITED STATES Frederic Baker Mills, MD, UNITED STATES Patrick Wakefield Joyner, MD, MS, UNITED STATES
Elevated Tibial Spine Height as a Predictor of Reinjury after Anterior Cruciate Ligament Reconstruction ePoster Presentation Naofumi Hashiguchi, MD, JAPAN Atsuo Nakamae, MD, PhD, JAPAN Goki Kamei, MD, PhD, JAPAN Masakazu Ishikawa, MD, PhD, JAPAN Nobuo Adachi, MD, PhD, JAPAN
Anatomical Ribbon ACL Reconstruction: a 4-Year Follow-Up On. Evaluation of Surgery Outcomes Including Physical Examination, and Post-Op MRI and CT Scans Assessment ePoster Presentation Robert Smigielski, MD, PhD, POLAND Daniel Kopko, MD, POLAND Beata Ciszkowska-Lyson, PhD, POLAND Aleksandra Zielinska, MA, BSc, POLAND Mirco Herbort, MD, Prof., GERMANY Christian Fink, MD, Prof., AUSTRIA
No Difference in Clinical Outcomes Between Aperture And Suspensory Femoral-Sided Fixation Following Anterior Cruciate Ligament Reconstruction with Bone-Patellar Tendon-Bone Autograft ePoster Presentation Garrison Hughes, BS, UNITED STATES Cory Riccio, MD, UNITED STATES Tarun Vippa, BS, UNITED STATES Christopher M Kuenze, PhD, UNITED STATES Rachel E Cherelstein, BS, UNITED STATES Mitchell A Nader, , UNITED STATES Laura Keeling, MD, UNITED STATES Theodore N Rudic, BS, UNITED STATES Kory BD Pasko, BS, UNITED STATES Edward S. Chang, MD, UNITED STATES
Simultaneous Reconstruction of the Anterior Cruciate Ligament and Medial Collateral Ligament Using Semitendinosus and Gracilis Autografts: A Minimum 2-Year Follow-Up Study ePoster Presentation Miten R. Sheth, MBBS, MS, DNB (Orth), INDIA
Quadrupled Semitendinosus vs. Semitendinosus-Gracilis Graft for ACL Reconstruction:a Randomized Controlled Trial ePoster Presentation Juan Pablo Martinez-Cano, MD, MSc, PhD, COLOMBIA Laura Zamudio, MD, COLOMBIA Julian Chica, MD, COLOMBIA Juan José Martinez Arboleda, MD, COLOMBIA Fernando M. Mejia, MD, COLOMBIA Alfredo Martinez Rondanelli, MD, COLOMBIA
Delaying ACL Reconstruction Increases the Rate and Severity of Medial Compartment Chondral Injury ePoster Presentation Nicolas Cance, Resident, FRANCE Julien Erard, MD, FRANCE Jobe Shatrov, MD, AUSTRALIA Gaspard Fournier, MD, FRANCE Stanislas Gunst, MD, FRANCE Gianluca Ciolli, MD, ITALY Pasquale Porcelli, MD, ITALY Sebastien Lustig, MD, PhD, FRANCE Elvire Servien, MD, PhD, Prof., FRANCE
Morphological Evaluation Of The Quadriceps Tendon Using Preoperative Ultrasound In Anterior Cruciate Ligament Reconstruction ePoster Presentation Satoshi Takeuchi, MD, PhD, JAPAN Kevin J Byrne, MD, UNITED STATES Ryo Kanto, MD, JAPAN Kentaro Onishi, DO, UNITED STATES
Analysis of Patient Reported Outcomes and Subsequent Surgery Rate Following Quadriceps Tendon Anterior Cruciate Ligament Reconstruction and Lateral extra-articular Tenodesis in Skeletally Immature Patients: Two Year Follow-Up ePoster Presentation Sofia Hidalgo Perea, BS, UNITED STATES Danielle E Chipman, BS, UNITED STATES Frank A. Cordasco, MD, MS, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES
Diagnosis and Classification of Anteromedial Bundle Injury In Anterior Cruciate Ligament Injuries with a Digital Application ePoster Presentation Fernando Hernandez-Aragon, MD, MEXICO Nadia Karina Portillo Ortiz, MD, MEXICO Jose Arturo Balderrama Reynosa, Ing., MEXICO Marcela Miranda Robles, Ing., MEXICO Ivan Ramos Moctezuma, Eng, MEXICO Luis Sigala Gonzalez, Eng, MEXICO Irene Leal-Berumen, PhD, MEXICO Arturo Aguirre Madrid, MD, MEXICO Fernando González González, MD, MEXICO Edmundo Berumen Nafarrate, PhD, Prof., MEXICO
Radiographic Evaluation Of the Donor Site After Anterior Cruciate Ligament Reconstruction With Quadriceps Tendon Bone By Using T2 Mapping Mri ePoster Presentation Shuko Tsumoto, MD, JAPAN Yusuke Hashimoto, MD, PhD, JAPAN Ken Iida, MD, JAPAN Hiroaki Nakamura, MD, PhD, JAPAN
Does Contamination During Harvesting as Well As During Suture Preparation and Manipulation of the Hamstrings Graft for Anterior Cruciate Ligament Reconstruction Correlates With Postoperative Infection? ePoster Presentation Stefanos Christos Papageorgiou, MD, GREECE Tilemachos Papageorgiou, MD, GREECE Errikos Petkidis, Md , GREECE Christos D. Papageorgiou, MD, PhD, GREECE
Tibial Slope in Anterior Cruciate Ligament Deficient Knees Does Not Affect the Incidence of Concomitant Ligamentous Injuries ePoster Presentation Khai Cheong Wong, MBChB, MRCS (Eng), SINGAPORE Merrill Lee, MBBS, MRCS(Edin), SINGAPORE Mark H.X. Yeo, MBBS, SINGAPORE Shawn Js Seah, MBBS, SINGAPORE Glen Ho, MBBS, SINGAPORE Paul Chee Cheng Chang, MBBS,FRCS, SINGAPORE Denny T. T. Lie, MBBS, FRCS, FAMS, SINGAPORE
Isolated Anatomic Reconstruction of Anterior Cruciate Ligament in Sportsmen with High Pivot Shift Grade: Is it Enough for Rotational Stability? ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Moatassem Belleh Jelassi, MD, TUNISIA Houssem Eddine Chahed, MD, TUNISIA Ahmed Zendeoui, MD, TUNISIA Anis Tebourbi, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
Preoperative Templating of Bone-Patellar Tendon-Bone Graft for ACL Reconstruction: An Individualised Morphometry-Based Graft Harvest Method ePoster Presentation Prakash Ayyadurai, MS, INDIA Arumugam Sivaraman, MS(Orth), AB(IM)(USA), FRCS(Glasg), INDIA Suresh Perumal, MS(Orth), INDIA Janani Gopalakrishnan, MD (Sports Medicine), INDIA
The Lateral Femoral Notch Sign Decreases in Pediatric Patients Following Anterior Cruciate Ligament Reconstruction ePoster Presentation Nicolas Pascual-Leone, BA, UNITED STATES Danielle E Chipman, BS, UNITED STATES Douglas Mintz, MD, UNITED STATES Frank A. Cordasco, MD, MS, UNITED STATES Peter D. Fabricant, MD, MPH, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES
Second-look Arthroscopic Evaluation and Clinical Outcomes After Anatomic Double Bundle Anterior Cruciate Ligament Reconstruction: Comparison of Different Knee Flexion Angles During Tibial Graft Fixation ePoster Presentation Yasunari Oniki, MD, PhD, JAPAN Taiki Murakami, JAPAN Eiichi Nakamura, MD, PhD, JAPAN
Risk Factor Of Failure After The Revision Anterior Cruciate Ligament Reconstruction ePoster Presentation Takeo Tokura, MD, JAPAN Takehiko Matsushita, MD, PhD, JAPAN Kyohei Nishida , MD, PhD, JAPAN Kanto Nagai, MD, PhD, JAPAN Noriyuki Kanzaki, MD, PhD, JAPAN Yuichi Hoshino, MD, PhD, JAPAN Ryosuke Kuroda, MD, PhD, JAPAN
New Injuries Within 2 Years After Acute ACL Injury Treated With Either ACL Reconstruction and Rehabilitation or With Rehabilitation Alone ePoster Presentation Anna Samuelsson Selin , MD, PhD student, SWEDEN Hakan Gauffin, MD PhD, SWEDEN Anne Fältström, PhD, SWEDEN Joanna Kvist, Professor, RPT, SWEDEN
Adductor Canal Block is Superior to Femoral Nerve Block for Early Postoperative Pain Relief after Single Bundle Anterior Cruciate Ligament Reconstruction with Hamstring Autograft ePoster Presentation Takeshi Oshima, MD, PhD, JAPAN Junsuke Nakase, MD, PhD, JAPAN Kengo Shimozaki, MD, JAPAN Rikuto Yoshimizu, JAPAN Mitsuhiro Kimura, JAPAN Tomoyuki Kanayama, MD, JAPAN Yusuke Yanatori, MD, JAPAN Hiroyuki Tsuchiya, JAPAN
Effects of Focused Extracorporeal Shock Wave Therapy in Reducing Pain In Patients With Anterior Knee Pain After ACLR with BTB Autograft ePoster Presentation Hideaki Fukuda, MD, JAPAN
Time-Series Biological Responses Toward Decellularized Bovine Tendon Graft and Autograft for 52 Consecutive Weeks after Rat Anterior Cruciate Ligament Reconstruction ePoster Presentation Masafumi Itoh, MD, PhD, JAPAN Junya Itou, MD, JAPAN Umito Kuwashima, MD, PhD, JAPAN Ken Okazaki, MD, PhD, JAPAN Kiyotaka Iwasaki, Prof, JAPAN
Knee Arthroscopy: The “Crevice Sign,” A New Pathognomonic Sign For Unstable Posterior Medial Meniscal Tear In Anterior Cruciate Ligament Deficient Knees ePoster Presentation J Donald Hansom, FRCS, MD, MBChB, BSc (Hons), UNITED KINGDOM Jérôme Murgier, MD, FRANCE Mark G. Clatworthy, FRACS, NEW ZEALAND
Non-Operative Treatment is an Excellent Option for Isolated Anterior Cruciate Ligament Injuries: a Systematic Review and Meta-Analysis ePoster Presentation Robert de Jonge, MD, HUNGARY Miklos Mate, MD, HUNGARY Norbert Kovacs, MD, HUNGARY Marcell Imrei, MD, , HUNGARY Karoly Pap, MD, PhD, HUNGARY Gergely Agocs, PhD, HUNGARY Peter Hegyi, Prof., HUNGARY Gergely Pánics, PhD, HUNGARY
Social Media Content Related to ACL Recovery: An Analysis ePoster Presentation Sabreena Moosa, HBSc, CANADA Isabel Thomas, HBSc, CANADA Darren L. de SA, MBA(c), MD FRCSC, CANADA
Influence Of Femoral Tunnel Interference Screw Diameter On Pull-Out Strength And Failure Mode During Anterior Cruciate Ligament Reconstruction: A Biomechanical Study ePoster Presentation Jason G Ina, MD, UNITED STATES Mark Megerian, BS, UNITED STATES Derrick Michael Knapik, MD, UNITED STATES Jacob Giovanni Calcei, MD, UNITED STATES Clare M Rimnac, PhD James E. Voos, MD
Is There Any Benefit In Anterior Cruciate Ligament Reconstruction In Patients Over 60 Years Old? ePoster Presentation Panagiotis G. Ntagiopoulos, MD, PhD, GREECE Paolo Ferrua, MD, ITALY Guillaume Demey, MD, FRANCE David H. Dejour, MD, FRANCE
Transtibial Femoral Tunnel Technique In ACL Reconstruction and Osteoarthritis Incidence ePoster Presentation Marcus Vinicius Danieli, MD, PhD, BRAZIL João P.F. Guerreiro, MD, PhD, BRAZIL Joao Vitor Guedes Guedes Suzze, MD, BRAZIL Victoria de Abreu, MD, BRAZIL
Quad Versus Patella Tendon Autograft for Anterior Cruciate Ligament Reconstruction In Young Athletes ePoster Presentation Cory Riccio, MD, UNITED STATES Nathan Fackler, MD, UNITED STATES Christopher M Kuenze, PhD, UNITED STATES Tarun Vippa, BS, UNITED STATES Sarah Powell, MD, UNITED STATES Rachel E Cherelstein, BS, UNITED STATES Edward S. Chang, MD, UNITED STATES
Comparable Primary Stability Between Current-Generation Adjustable Loop Cortical Buttons for Anterior Cruciate Ligament Reconstruction – A Biomechanical Study ePoster Presentation Adrian Deichsel, MD, GERMANY Lara Leibrandt, cand. med., GERMANY Michael J. Raschke, MD, Prof., GERMANY Matthias Klimek, M. Sc., GERMANY Jens Wermers, MD, GERMANY Christian Peez, MD, GERMANY Thorben Briese, MD, GERMANY Elmar Herbst, MD, PhD, GERMANY Christoph Kittl, MD, MD(res), GERMANY Johannes Glasbrenner, MD, GERMANY
Return To Play And Pattern Of Injury In A Consecutive Case Series Of Elite UEFA Football Player Following Anterior Cruciate Ligament Rupture ePoster Presentation Luca Farinelli, MD, ITALY Elisabeth Abermann, MD, AUSTRIA Amit Meena, MBBS, MS, DNB, INDIA Christian Fink, MD, Prof., AUSTRIA
Lower Socioeconomic Status Adversely Affects Timing of Care and Rate of Re-Injury Following Anterior Cruciate Ligament Reconstruction ePoster Presentation Eduardo J Natal-Albelo, MD, UNITED STATES Rachel E Cherelstein, BS, UNITED STATES Christopher M Kuenze, PhD, UNITED STATES Andrew Curley, MD, UNITED STATES Blake M. Bodendorfer, MD, UNITED STATES Mark Hopkins, MD, UNITED STATES Christine Conroy, MD, UNITED STATES Caroline Fryar, MD, UNITED STATES David X. Wang, MD, UNITED STATES Edward S. Chang, MD, UNITED STATES
Is Asymmetry of the Medial and Lateral Posterior Femoral Condyles Associated With ACL Rupture? A Case-Control Study of Pediatric Patients ePoster Presentation Nicolas Pascual-Leone, BA, UNITED STATES Danielle E Chipman, BS, UNITED STATES Danielle S Gorelick, NP, UNITED STATES Peter D. Fabricant, MD, MPH, UNITED STATES Russell F. Warren, MD, UNITED STATES Douglas Mintz, MD, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES
Surgeon Volume Affects Revision Rate Following Primary Anterior Cruciate Ligament Reconstruction With Allograft ePoster Presentation Sahil Dadoo, BS, UNITED STATES Ian DeYoe Engler, MD, UNITED STATES Janina Kaarre, MD, MSc, UNITED STATES Audrey Y. Chang, BA, UNITED STATES Michael Shannon, BS, UNITED STATES Laura Keeling, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES
Comparing the Accuracy of Tunnel Placement and Patient Reported Outcome Measures when Doing Arthroscopic ACL Reconstruction With and Without Indigenously Designed Grid and Image Intensifier ePoster Presentation Sudeep Kumar, MS (Orthopaedics), INDIA
Posterior Tibial Plateau Compression Fractures Coinciding with ACL Injury: Means of Identification, Treatment Decision-Making Process and Clinical Relevance of Proposed MRI-Based Classification System ePoster Presentation Robert Smigielski, MD, PhD, POLAND Beata Ciszkowska-Lyson, PhD, POLAND Aleksandra Zielinska, MA, BSc, POLAND Christian Fink, MD, Prof., AUSTRIA Mirco Herbort, MD, Prof., GERMANY
Predictors of Joint Space at a Minimum 10 Years Following Single-Bundle Bone-Patellar Tendon-Bone ACL Reconstruction Using a Transtibial Technique ePoster Presentation Kevin D. Plancher, MD, MPH, UNITED STATES Karen Briggs, MPH, UNITED STATES Stephanie C. Petterson, MPT, PhD, UNITED STATES
Healing Trajectory of The Patellar Tendon After Anterior Cruciate Ligament Reconstruction With Bone-Patellar Tendon-Bone Autograft ePoster Presentation Naoaki Ito, PT, DPT, UNITED STATES Haraldur Sigurðsson, PT, MSc, PhD, ICELAND Lynn Snyder-Mackler, PT, ScD, FAPTA, UNITED STATES Karin Grävare Silbernagel, PT, PhD, ATC, UNITED STATES
Technique for Increasing the Strength of Fixation to the Suspensory Button in Anterior Cruciate Ligament Reconstruction Using the Quadriceps Tendon ePoster Presentation Tomoyuki Kanayama, MD, JAPAN Junsuke Nakase, MD, PhD, JAPAN Rikuto Yoshimizu, JAPAN Yusuke Yanatori, MD, JAPAN Hiroyuki Tsuchiya, JAPAN
Low Revision Risk In Primary Anterior Cruciate Ligament Reconstruction With Allograft In The Masters Athlete ePoster Presentation Ian DeYoe Engler, MD, UNITED STATES Audrey Y. Chang, BA, UNITED STATES Janina Kaarre, MD, MSc, UNITED STATES Michael Shannon, BS, UNITED STATES Andrew Curley, MD, UNITED STATES Clair Smith, MSc, UNITED STATES Jonathan D Hughes, MD, UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES
Altered Trunk Movements During Running after Anterior Cruciate Ligament Reconstruction ePoster Presentation Jodie A. McClelland, BPhysio(Hons), PhD, AUSTRALIA Julian A. Feller, FRACS, FAOrthA, AUSTRALIA Michael Maes, Md, BELGIUM Gustaf Gauffin, SWEDEN Anna Nilsson, SWEDEN Kate E. Webster, PhD, AUSTRALIA
Quadriceps Autograft Is A Viable Graft Choice For ACL Reconstruction In Patients Over 50 Years Old ePoster Presentation Amit Meena, MBBS, MS, DNB, INDIA Luca Farinelli, MD, ITALY Christian Hoser, MD, AUSTRIA Elisabeth Abermann, MD, AUSTRIA Mirco Herbort, MD, Prof., GERMANY Christian Fink, MD, Prof., AUSTRIA
Outcomes After Operative and Nonoperative Treatment of Anterior Cruciate Ligament Ruptures in Patients Aged 40 and Older: A 2:1 Propensity Score Matched Analysis ePoster Presentation Richard Puzzitiello, MD, UNITED STATES Madison Hayes-Lattin, BS, UNITED STATES Jack Bragg, MD, UNITED STATES Stephen Sylvia, MD, UNITED STATES Matthew Salzler, MD, UNITED STATES
ACL Repair Versus ACL Reconstruction: A Propensity Matched Study ePoster Presentation Adnan Saithna, MD, FRCS, UNITED STATES Alexandre Ferreira, MD, FRANCE Alessandro Carrozzo, MD, ITALY Sylvain Guy, MD, FRANCE Thais Dutra Vieira, MD, FRANCE Johannes Barth, MD, Prof., FRANCE Bertrand Sonnery-Cottet, MD, PhD, FRANCE
Posterior Displacement Of The Detached Meniscocapsular Ligament Of Ramp Lesion In ACL Injured Knee Observed On MRI In Flexed Knee Position Is Associated With Greater Preoperative Anterior Knee Laxity ePoster Presentation Satoshi Nonaka, MD, JAPAN Kazuhisa Hatayama, MD, PhD, JAPAN Hibiki Kakiage, MD, JAPAN Masanori Terauchi, MD, JAPAN
Changes in Cross-Sectional Area After the Anatomic ACL Reconstruction with Hamstring Tendon or Bone-atellar tendon autografts. ePoster Presentation Kazutaka Kinugasa, MD, PhD, JAPAN Masayuki Hamada, MD, JAPAN Yasukazu Yonetani, MD, PhD, JAPAN Akira Tsujii, MD, PhD, JAPAN Tomohiko Matsuo, MD, PhD, JAPAN Yoshinari Tanaka, MD, PhD, JAPAN Yuta Tachibana, M.D., Ph.D., JAPAN Ryohei Uchida, MD, PhD, JAPAN Konsei Shino, MD, PhD, JAPAN
Fear Of Reinjury Following Primary Anterior Cruciate Ligament Reconstruction (ACLR): A Systematic Review ePoster Presentation Basit Mir, MB, BcH, BAO, LRCP and Si, CANADA Prushoth Vivekanantha, BMSc, CANADA Saihaj Dhillon, BHSc, CANADA Odette Cotnareanu, BSc, CANADA Dan Cohen, MD, CANADA Kanto Nagai, MD, PhD, JAPAN Darren L. de SA, MBA(c), MD FRCSC, CANADA

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Decreased Time Between Injury and Surgery and Increased Injury Severity Predict Motion Loss After Multiligament Knee Injury, but Are Only Part of the Picture

Decreased Time Between Injury and Surgery and Increased Injury Severity Predict Motion Loss After Multiligament Knee Injury, but Are Only Part of the Picture

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Decreased Time Between Injury and Surgery and Increased Injury Severity Predict Motion Loss After Multiligament Knee Injury, but Are Only Part of the Picture

Decreased Time Between Injury and Surgery and Increased Injury Severity Predict Motion Loss After Multiligament Knee Injury, but Are Only Part of the Picture

Methods

Results

Discussion