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Age-Related Microstructural Changes In Semitendinosus and Quadriceps Tendons

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Age-Related Microstructural Changes In Semitendinosus and Quadriceps Tendons

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

Kanazawa University, Kanazawa, JAPAN

2023 Congress ePoster Presentation 2023 Congress rating (2)

Anatomic Location

Knee

Anatomic Structure

Ligaments

Treatment / Technique

Autograft

Ligaments

ACL

Sports Medicine

Basic Science

Summary: The microstructure of the collagen in the semitendinosus and quadriceps tendon significantly changed with growth. Quadriceps tendons in the immature group had significantly thicker fiber diameters than semitendinosus tendons.

Introduction

Poor outcomes associated with anterior cruciate ligament reconstruction in pediatric patients, especially using the semitendinosus tendon (ST), are a major concern. Quadriceps tendon (QT) grafts have become more popular in the recent years due to the shortcomings with ST grafts. The tendons become mechanically stronger and harder with growth owing to increased collagen content, collagen cross-linking in the extracellular matrix of the tendon, and changes in the collagen fibril diameter distribution, as observed in animal models. There are only a few studies on tendon growth in humans and many unknowns. We hypothesized that one of the reasons for this is that aging changes the microstructure of the tendon and these changes vary with tendons. This study aimed to examine the effects of growth on the microstructural properties of the ST and QT.

Methods

The small amounts of ST and QT were harvested at the time of several knee surgeries in patients of various ages. We divided the samples into three groups based on the state of the epiphyseal plate at the distal femur of the patients as follows: the immature group (patients with open epiphyseal plates (of >1.5 mm thickness); the young group (patients <20 years of age, with closed epiphyseal plates); and the adult group (patients =20 years of age, with closed epiphyseal plates).
The samples were examined at ×8000 magnification under a transmission electron microscope.
Minimum collagen fibril diameters were measured from these cross-sections using Image J software. At least four slides from each sample were evaluated, and more than 100 collagen fibrils on each slide were evaluated.
The intra-observer reliability of the measurements for the collagen fibrils of tendon tissue, determined using the intraclass correlation coefficient (ICC), was 0.849 and 0.955, respectively. The inter-observer reliability was 0.949 and 0.991. All measurements were analyzed using IBM SPSS Statistics for Windows, version 24.0. This study was approved by the ethics committee at our hospital, and consent was obtained from the patients after being informing that data from their case would be submitted for publication.

Results

The average age of the ST and QT groups was 11.8±3.7, 12.3±0.8 years in the immature group, 15.7±1.5, 15.8±1.0 years in the young group, and 37.7±5.3, 29.8±11.3 years in the adult group.
The average collagen fibril diameters of the ST and QT groups were 73.1±10.5, 89.7±14.4 nm (P = 0.04) in the immature group, 90.8±15.0, 94.8±16.4 nm (P = 0.67) in the young group, and 105.8±14.9, 107.2±12.1 nm (P = 0.85) in the adult group. The average fibril diameter in the immature group was significantly smaller compared with the adult groups in both tendons (ST: P=0.002, QT: P=0.001).

Conclusion

Both ST and QT had thickened collagen fiber diameter with age. QTs in the immature group had significantly thicker fiber diameters than STs.

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Elevated Posterior Tibial Slope is Associated with Anterior Cruciate Ligament Reconstruction Failures: A Systematic Review and Meta-Analysis ePoster Presentation Benjamin Ormseth, BS, UNITED STATES Jeremy Adelstein, BS, UNITED STATES Andrew Garrone, MD, UNITED STATES Alex C. Dibartola, MD, MPH, UNITED STATES Ryan H. Barnes, MD, UNITED STATES Charles Qin, MD, UNITED STATES Christopher C. Kaeding, MD, UNITED STATES David C. Flanigan, MD, UNITED STATES Robert Siston, PhD, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES Robert A. Duerr, MD, 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
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
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
ACL Graft Tear or Contralateral ACL Tear: Which is Worse??? ePoster Presentation Robert A Magnussen, MD, MPH, UNITED STATES Yuxuan Jin, MS, UNITED STATES Kurt Paul Spindler, MD, UNITED STATES
“It’s Just My Knee”: The Role of Resilience and Reframing on Young Athlete’s Quality of Life Following ACL Injury ePoster Presentation Hana Marmura, BSc, CANADA Dianne M. Bryant, PhD, CANADA Alan Getgood, MD, FRCS(Tr&Orth), DipSEM, CANADA Fiona Webster, PhD, CANADA
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
Analysis of Historic and Modern Treatment Outcomes in Primary Anterior Cruciate Ligament Repair: Systematic Review and Meta-analysis ePoster Presentation Jaren LaGreca, MD, UNITED STATES Marc Tompkins, MD, 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
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
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
Primary ACL Reconstruction With Lateral Extra Articular Augmentation With Modified Lemaire Technique ePoster Presentation Horacio F. Rivarola-Etcheto, MD, ARGENTINA Cristian Carlos Collazo Blanchod, MD, ARGENTINA Marcos Meninato, MD, ARGENTINA Carlos Mendoza Puello, MD, ARGENTINA Marcos Palanconi, MD, ARGENTINA Marcelo Libertini, ARGENTINA
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
Factors Associated with Tunnel Widening After ACL Reconstruction ePoster Presentation Garrett Kearney, Resident/Fellow, UNITED STATES Maxwell McKay, Bachelors Degree, UNITED STATES Peter Asnis, MD, UNITED STATES Lars C Richardson, MD, UNITED STATES Mark David Price, MD, UNITED STATES Miho J. Tanaka, MD, PhD, UNITED STATES
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
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
Optimal Joint Loading Strategies to Lessen Cartilage Changes after ACL Reconstruction Differ Throughout the Postoperative Recovery ePoster Presentation Dalton House, BS, UNITED STATES Sawyer Blair, BS, UNITED STATES Cale A. Jacobs, PhD, UNITED STATES Caitlin Conley, PhD, UNITED STATES Darren L. Johnson, MD, UNITED STATES Austin V Stone, MD, PhD, UNITED STATES
Epidemiological, Clinical and Radiological Features of ACL Aplasia: A Review of the Literature ePoster Presentation Michele Dell’Orfano, MD, ITALY Paolo Petitti, ITALY Niccolò Salvatelli, MD, ITALY Pier Paolo Mariani, MD, Prof, ITALY
High Prevalence Of Injuries Associated With ACL Tears: A Detailed Analysis Of 253 Patients From A National Multi-center Cohort Study ePoster Presentation Riccardo Cristiani, MD, PhD, SWEDEN Fabian Van de Bunt, MD, PhD, SWEDEN Joanna Kvist, Professor, RPT, SWEDEN Anders Stalman, MD, PhD, associate professor, SWEDEN
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
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
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
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
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
Accuracy and reliability of Ultrasound-assisted Lachman Test in Diagnosing Anterior Cruciate Ligament Injuries ePoster Presentation Yuzuru Sakakibara, MD, PhD, UNITED STATES Vasundhara Mathur, MD, UNITED STATES David O Osei-Hwedieh, MD, UNITED STATES Rohan Bhimani, MD, MBA, UNITED STATES Soheil Ashkani-Esfahani, MD, UNITED STATES Miho J. Tanaka, MD, PhD, UNITED STATES
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
An Evaluation Of The Relationship Between The Knee Stability And Remnant Re-Attachment In Anterior Cruciate Ligament Injury ePoster Presentation YUSUKE SASAKI, MD, JAPAN Satomi Abe, MD, PhD, JAPAN Keisuke Matsukura, UNITED STATES
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
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
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
Comparable Short-Term Clinical Outcomes In Rectangular-Tunnel Anterior Cruciate Ligament Reconstruction Using Quadriceps Tendon-Patellar Bone Autograft Over Round-Tunnel Reconstruction ePoster Presentation Do Weon Lee, MD, MS, KOREA, REPUBLIC OF Sang Yoon Kim, MD, KOREA, REPUBLIC OF Duhyun Ro, MD, Prof. , KOREA, REPUBLIC OF Myung Chul Lee, MD, PhD, Prof., KOREA, REPUBLIC OF Hyuk-Soo Han, MD, PhD, KOREA, REPUBLIC OF
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
Novel Arthrometer Provides Quantitative and Objective Measures of Uniplanar and Multiplanar Knee Laxity ePoster Presentation Erin Berube, MS, BS, UNITED STATES Akinola E Oladimeji, MD, UNITED STATES David Shamritsky, MEng, UNITED STATES Deborah Jones, PT, OCS, SCS, UNITED STATES Michael Parides, PhD, UNITED STATES Andrew D. Pearle, MD, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES Thomas L. Wickiewicz, MD, UNITED STATES Carl W Imhauser, PhD, UNITED STATES
A Prospective Comparison of Postoperative Pain and Opioid Consumption between Primary Repair and Reconstruction of the Anterior Cruciate Ligament ePoster Presentation Sebastian Rilk, MD, UNITED STATES Harmen D. Vermeijden, MD, UNITED STATES Xiuyi A Yang, M.S., UNITED STATES Robert O'Brien, MHS, PA-C, UNITED STATES Jelle P. van der List, MD, PhD, NETHERLANDS Gregory S. Difelice, MD, UNITED STATES
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
Peri-Operative Complications, Safety, and Early Outcomes of a Novel ACL + ALL Reconstruction Technique Using Iliotibial Band Autograft vs. Patellar Tendon ACL Reconstruction: A Retrospective Pilot Study of the Saturn Study Group ePoster Presentation Ben E. Heyworth, MD, UNITED STATES Joshua H. Pang, BA, UNITED STATES Yi-Meng Yen, MD, UNITED STATES Dennis Kramer, MD Mininder Kocher, MD, MPH, UNITED STATES
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
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
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
The Effect of Laterality on Patient Outcomes in Mulitligamentous Knee Injury ePoster Presentation Thomas M. Geissler, BS, UNITED STATES Jacob T. Hall, MD, UNITED STATES Jonathan Campbell, 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
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
Bioabsorbable Interference Screw Fixation for ACL Reconstruction Yields No Tunnel Widening With Excellent Outcomes ePoster Presentation Kevin D. Plancher, MD, MPH, UNITED STATES Karen Briggs, MPH, UNITED STATES Stephanie C. Petterson, MPT, PhD, UNITED STATES
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
Injury to Anterolateral Ligament and Kaplan Fibers Do Not Significantly Affect Preoperative Pivot-shift Test in Anterior Cruciate Ligament Injury ePoster Presentation Takeo Tokura, MD, JAPAN Kanto Nagai, MD, PhD, JAPAN Yuichi Hoshino, MD, PhD, JAPAN Shu Watanabe, MD, JAPAN Kyohei Nishida , MD, PhD, JAPAN Noriyuki Kanzaki, MD, PhD, JAPAN Takehiko Matsushita, MD, PhD, JAPAN Ryosuke Kuroda, MD, PhD, JAPAN
Cross-Sectional in Vivo Biomechanical Effects of Meniscus Tears in Anterior Cruciate Ligament-Deficient Knees Versus Isolated Anterior Cruciate Ligament Tears: A Systematic Review of Motion Analysis Studies ePoster Presentation Enzo Salviato Mameri, MD, MSc, BRAZIL Garrett Jackson, MD, UNITED STATES Harkirat Jawanda, BS, UNITED STATES Jonathan A Gustafson, PhD, UNITED STATES Leonardo Metsavaht, MD PhD, BRAZIL Jorge Chahla, MD, PhD, UNITED STATES
Impact of ACLR Graft Choice on Meniscal Repair Outcomes ePoster Presentation Emily Coffey, BS, UNITED STATES Amogh Iyer, BS, UNITED STATES Parker Cavendish, BS, UNITED STATES Eric Milliron, BS, UNITED STATES Spencer E. Talentino, MD, UNITED STATES James C. Kirven, BS, UNITED STATES Charles Qin, MD, UNITED STATES Ryan H. Barnes, MD, UNITED STATES David C. Flanigan, MD, UNITED STATES Robert A Magnussen, MD, MPH, 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
Comparative Results Of Anterior Cruciate Ligament Reconstruction With Full Tibial Tunnel: Quadrupled Semitendinosus Suspensory Femoral And Tibial Fixation Versus Quadrupled Semitendinosus and Gracilis Suspensory Femoral and Tibial Screw & Staple Fixation ePoster Presentation Mahir Mahirogullari, MD, Prof., TURKEY Lokman Kehribar, MD, TURKEY Serkan Surucu, MD, UNITED STATES M. Enes Kayaalp, MD, Assoc. Prof., TURKEY Ali Kerim Yılmaz, PhD, TURKEY Mahmud Aydın, MD, TURKEY
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
Contribution of Functional Knee Bracing to Joint Stability and Anterior Cruciate Ligament Function ePoster Presentation Sene Polamalu, BS, UNITED STATES Emre Anıl Özbek, MD, TURKEY Ehab M Nazzal, MD, UNITED STATES Gian Andrea Lucidi, MD, ITALY Andrew Sprague, PT, PhD, DPT, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES Richard E Debski, PhD, UNITED STATES
Sex-Based Difference of the Most Common Autograft Sources for ACL Reconstruction Measured on Knee MRI ePoster Presentation Giovanna Medina, MD, MSc, PhD, UNITED STATES Maria Virginia Velasquez-Hammerle, MD, UNITED STATES Miho J. Tanaka, MD, PhD, UNITED STATES
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
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
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
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
Role of Biophysic Stimulation with Pulsed Electromagnetic Fields on Bone Bruise in Anterior Cruciate Ligament Reconstruction ePoster Presentation Vito Gaetano Rinaldi, MD, ITALY Iacopo Sassoli, MD, ITALY Matteo La Verde, MD, ITALY Eugenio Cammisa, MD, ITALY Federico Coliva, MD, ITALY Alberto Fogacci, ITALY Giada Lullini, MD, PhD, ITALY Stefano Zaffagnini, MD, Prof., ITALY Giulio Maria Marcheggiani Muccioli, MD, PhD, Associate Professor, ITALY
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
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
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
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
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
Technology Assisted Anterior Cruciate Ligament Reconstruction Improves Tunnel Placement but Leads to No Change in Clinical Outcomes: A Systematic Review and Meta-Analysis ePoster Presentation Ehsan Yavari, HBSc, CANADA Sabreena Moosa, HBSc, CANADA Dan Cohen, MD, CANADA Darren L. de SA, MBA(c), MD FRCSC, CANADA
Factors Associated with Knee Extension Strength Symmetry Following Anterior Cruciate Ligament Reconstruction with Quadriceps Tendon Autograft ePoster Presentation Justin James Greiner, MD, UNITED STATES Nicholas P Drain, MD, UNITED STATES Joshua C Setliff, BA, UNITED STATES Romano Sebastiani, BS, UNITED STATES Zachary J Herman, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Jonathan D Hughes, MD, UNITED STATES
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
Reliability of the KNEELAX3 Arthrometer for Anterior Knee Laxity Measurement in Healthy Female Subjects ePoster Presentation Azusa Saito, PT,BSc, JAPAN Shota Mashimo, PT, BSc, JAPAN Junya Kubota, PT, BSc, JAPAN Hiroyuki Sato, PT, BSc, JAPAN Fumiya Naonaga, PT,BSc, JAPAN Keita Tanaka, PT, BSc, JAPAN Erina Murosaki, PT,BSc, JAPAN Nobuto Kitamura, MD, PhD, JAPAN
Revision Anterior Cruciate Ligament Reconstruction with All Soft Tissue Quadriceps Tendon Autograft and Quadriceps Tendon Autograft with Bone Block Have Similar Clinical Outcomes ePoster Presentation Asher B Mirvish, BA, UNITED STATES Joshua C Setliff, BA, UNITED STATES Ehab M Nazzal, MD, UNITED STATES Nicholas P Drain, MD, UNITED STATES Zachary J Herman, MD, 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
Ideal Combination Of Anatomic Tibial And Femoral Tunnel Positions for Single-Bundle ACL Reconstruction ePoster Presentation Kyoung-Ho Yoon, MD, PhD, Prof., KOREA, REPUBLIC OF Cheol Hee Park, MD, PhD, KOREA, REPUBLIC OF Sang-Gyun Kim, MD, PhD, KOREA, REPUBLIC OF Jae-Young Park, MD, KOREA, REPUBLIC OF Yoon-Seok Kim, MD, KOREA, REPUBLIC OF Hee Sung Lee, MD, KOREA, REPUBLIC OF Sung Hyun Hwang, MD, KOREA, REPUBLIC OF Dae Keun Suh, MD, PhD, KOREA, REPUBLIC OF Bo Seung Bae, MD, KOREA, REPUBLIC OF
The Relationship of Non-Anatomical Tunnel Position and Revision Anterior Cruciate Ligament Reconstruction ePoster Presentation Burçin Karsli, MD, Assoc. Prof., TURKEY Erman Öğümsöğütlü, MD, TURKEY
Proprioceptive and Clinical Outcomes of Anterior Cruciate Ligament Reconstruction With Remnant Tissue Preservation Technique: A Comparison According to the Preserved Tissue Length ePoster Presentation Hasan Bombaci, Prof., TURKEY Bugra Basalan, MD, TURKEY Ozgul Ozturk, MD, TURKEY Onur Aydogdu, PhD, TURKEY Zübeyir Sarı, Prof, TURKEY
Outcomes of Anterior Cruciate Reconstruction With Full-Thickness Peroneus Longus Tendon Autograft ePoster Presentation Tarun Goyal, MBBS, MS, DNB, MCh, FRCS (Edin), INDIA Souvik Paul, MBBS, MS Orthopedics (AIIMS), DNB, MCh, Dip SICOT, INDIA
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
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
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
Adverse Events And Complications Reported In Prospective Versus Retrospective Investigations Of ACLR with BTB Autograft: A Systematic Review ePoster Presentation Garrett Jackson, MD, UNITED STATES Harkirat Jawanda, BS, UNITED STATES Enzo Salviato Mameri, MD, MSc, BRAZIL Zeeshan Khan, BA, UNITED STATES Johnathon Robert Mccormick, MD, UNITED STATES Derrick Michael Knapik, MD, UNITED STATES Nikhil N. Verma, MD, UNITED STATES Jorge Chahla, MD, PhD, UNITED STATES
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
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
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
Effect of The Tibial Tunnel Communication on the Bone-Tendon Healing and Location of the Graft at the Tibial Tunnel Aperture in The Double-Bundle Anterior Cruciate Ligament Reconstruction ePoster Presentation Naoto Suzue, MD, PhD, JAPAN Yoshitsugu Takeda, MD, PhD, JAPAN
Clinical and Social Predictors Of Surgical Treatment for ACL Injuries ePoster Presentation Miho J. Tanaka, MD, PhD, UNITED STATES Harrison Hubbell, BA, UNITED STATES Nadine Jackson McCleary, MD, MPF, UNITED STATES Endel John Orav, PhD, UNITED STATES
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
Decreased Time Between Injury and Surgery and Increased Injury Severity Predict Motion Loss After Multiligament Knee Injury, but Are Only Part of the Picture ePoster Presentation Cale A. Jacobs, PhD, UNITED STATES Kathleen Poploski, PhD, UNITED STATES Caitlin Conley, PhD, UNITED STATES Austin V Stone, MD, PhD, UNITED STATES Darren L. Johnson, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES James J. Irrgang, PT, PhD, FAPTA, UNITED STATES
A Bifactor Model Supports Unidimensionality of the IKDC in Young Active Patients with ACL Tears ePoster Presentation Hana Marmura, BSc, CANADA Paul Tremblay, PhD, CANADA Alan Getgood, MD, FRCS(Tr&Orth), DipSEM, CANADA Dianne M. Bryant, PhD, CANADA
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
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
Effectiveness of Fibrin Clot Implantation for Reduction Of Bone Tunnel Enlargement In Bundle-Bundle ACL Reconstruction Using Autogenous Hamstring Tendon Grafts ePoster Presentation Nobuyoshi Suzuki, MD, JAPAN Tomoya Iseki, MD, PhD, JAPAN Shintaro Onishi, MD, PhD, JAPAN Ryo Kanto, MD, JAPAN Hiroshi Nakayama, MD, JAPAN Shinichi Yoshiya, MD, JAPAN Toshiya Tachibana, MD, PhD, JAPAN
Meta-Analysis Comparing The Femoral Tunnel Length, Femoral Tunnel Position And Graft Bending Angle Of Transtibial, Anteromedial And Outside-In Techniques For Single-Bundle Anterior Cruciate Ligament Reconstruction ePoster Presentation Yeo Zhen Ning, MBBS, SINGAPORE Andrew Arjun Sayampanathan, MBBS, SINGAPORE Hwee Chye Andrew Tan, MBBS, FRCS (Glasgow), FRCSEd (Orth), SINGAPORE
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 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
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
Biomechanical Changes at the Knee Joint between Pre- and Post-Operative Gait in Patients with ACL Injury ePoster Presentation Kohei Nishizawa, PhD, JAPAN Kengo Harato, MD, PhD, JAPAN Shu Kobayashi, MD, PhD, JAPAN Yasuo Niki, MD, PhD, JAPAN Takeo Nagura, MD, JAPAN
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
Using Three-Dimension Magnetic Resonance Imaging Of The Intact Knee To Identify Expected Femoral And Tibial Tunnel Position In Anatomic Single Bundle Anterior Cruciate Ligament ePoster Presentation NAM TU VU, MD, VIETNAM Minh Ngoc Ho, MD, VIETNAM My Than, MSc, VIETNAM NANG SY QUYEN VO, MD, VIETNAM Toan Dinh Duong, MD, PhD, VIETNAM Trần Trung Dũng, Professor, MD, PhD, VIETNAM
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
Radiographic Tibial Tunnel Assessment After Anterior Cruciate Ligament Reconstruction Using Hamstring Tendon Autografts and Biocomposite Screws: A Prospective Study with 10-Year Follow-up ePoster Presentation Sadesh Balasingam, MD, SWEDEN Ioannis Karikis, SWEDEN Lars Christensen, MD, SWEDEN Mattias Ahldén, MD, SWEDEN Ninni Sernert, PhD, RPT, SWEDEN Jüri T. Kartus, MD, PhD, SWEDEN

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Age-Related Microstructural Changes In Semitendinosus and Quadriceps Tendons

Age-Related Microstructural Changes In Semitendinosus and Quadriceps Tendons

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Age-Related Microstructural Changes In Semitendinosus and Quadriceps Tendons

Age-Related Microstructural Changes In Semitendinosus and Quadriceps Tendons

Introduction

Methods

Results

Conclusion