Does Extended Preoperative Rehabilitation Influence Outcomes 2 Years After ACL Reconstruction? A Comparative Effectiveness Study Between the MOON and Delaware-Oslo ACL Cohorts.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: One or more of the authors has declared the following potential conflict of interest or source of funding: The Delaware-Oslo ACL Cohort was funded by grant number 5R37 HD 037985, and the MOON ACL cohort was partially funded by grant number 5R01 AR053684 (to K.P.S.) from the National Institutes of Health (NIH)/National Institute of Arthritis and Musculoskeletal and Skin Diseases. The project was also supported by the Vanderbilt Sports Medicine Research Fund. Vanderbilt Sports Medicine received unrestricted educational gifts from Smith & Nephew Endoscopy and DonJoy Orthopaedics. M.J.A. is a paid consultant for Smith & Nephew. L.E. is a paid consultant and receives royalties and research support from Arthrex Inc, receives research support from Biomet and Smith & Nephew, and has stock or stock options in iBalance. K.P.S. has received NIH funding as well as unrestricted educational gifts from Smith & Nephew Endoscopy and DonJoy Orthopaedics and is a paid consultant for Mitek and the Cytori-Scientific Advisory Board. L.S.-M. has received NIH funding. 6. Sports Med Arthrosc Rev. 2010 Mar;18(1):27-32. doi: 10.1097/JSA.0b013e3181bf6634. Anatomic Double-bundle ACL Reconstruction. Schreiber VM(1), van Eck CF, Fu FH. Author information: (1)Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. Rupture of the anterior cruciate ligament (ACL) is one of the most frequent forms of knee trauma. The traditional surgical treatment for ACL rupture is single-bundle reconstruction. However, during the past few years there has been a shift in interest toward double-bundle reconstruction to closely restore the native ACL anatomy. This paper evaluates the basis for double-bundle ACL reconstruction including anatomy, biomechanics and kinematics, describes our surgical technique, and discusses why we prefer anatomic double-bundle ACL reconstruction, as well as its outcome, the choices, and the controversies of double-bundle ACL reconstruction. Pitfalls of traditional ACL surgery are also discussed, the recognition of which is the key to performing anatomic ACL reconstruction. DOI: 10.1097/JSA.0b013e3181bf6634