[net-gold] SPORTS MEDICINE : SPORTS: INJURIES : MEDICAL: SURGERY : MEDICAL: TREATMENT: OUTCOMES : SPORTS: ATHLETES : MEDICAL: RESEARCH : ANTERIOR CRUCIATE LIGAMENT TEAR: Study Looks at Why Second ACL Surgeries Often Fail

  • From: "David P. Dillard" <jwne@xxxxxxxxxx>
  • To: Net-Gold -- Educator Gold <Educator-Gold@xxxxxxxxxxxxxxx>, Educator Gold <Educator-Gold@xxxxxxxxxxxxxxxx>, net-gold@xxxxxxxxxxxxx, Net-Gold <Net-Gold@xxxxxxxxxxxxxxx>, NetGold <netgold@xxxxxxxxxxxxxxx>, Net-Gold <net-gold@xxxxxxxxxxxxxxxx>, K-12ADMINLIFE <K12ADMIN@xxxxxxxxxxxxxxxxxxx>, K12AdminLIFE <K12AdminLIFE@xxxxxxxxxxxxxxx>, MediaMentor <mediamentor@xxxxxxxxxxxxxxx>, Digital Divide Diversity MLS <mls-digitaldivide@xxxxxxxxxxxxxxx>, NetGold <netgold@xxxxxxxxxxxxxxxx>, Net-Platinum <net-platinum@xxxxxxxxxxxxxxx>, Sean Grigsby <myarchives1@xxxxxxxxxxxxxxx>, Net-Gold <NetGold_general@xxxxxxxxxxxxxxxxx>, Temple Gold Discussion Group <TEMPLE-GOLD@xxxxxxxxxxxxxxxxxxx>, Temple University Net-Gold Archive <net-gold@xxxxxxxxxxxxxxxxxxx>, Health Lists -- Health Diet Fitness Recreation Sports Tourism <healthrecsport@xxxxxxxxxxxxxxxx>, Health Diet Fitness Recreation Sports <healthrecsport@xxxxxxxxxxxxxxx>, HEALTH-RECREATION-SPORTS-TOURISM@xxxxxxxxxxxxxxxxxxx, Sport-Med <SPORT-MED@xxxxxxxxxxxxxx>, sport-med@xxxxxxxxxxxxxxxx, sports-med@xxxxxxxxxxxxxxx, sport-med@xxxxxxxxxxxxxxxxxxx
  • Date: Fri, 16 Sep 2011 21:08:36 -0400 (EDT)


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SPORTS MEDICINE :

SPORTS: INJURIES :

MEDICAL: SURGERY :

MEDICAL: TREATMENT: OUTCOMES :

SPORTS: ATHLETES :

MEDICAL: RESEARCH :

ANTERIOR CRUCIATE LIGAMENT TEAR:

Study Looks at Why Second ACL Surgeries Often Fail

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Study Looks at Why Second ACL Surgeries Often Fail

September 13, 2011

By Jim Dryden

Washington University in Saint Louis Newsroom

http://news.wustl.edu/news/Pages/22661.aspx

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Sports medicine specialists at Washington University School of Medicine in St. Louis are leading a national study analyzing why a second surgery to reconstruct a tear in the knees anterior cruciate ligament (ACL) carries a high risk of bad outcomes.

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More than 200,000 ACL reconstruction surgeries are performed each year in the United States, and 1 percent to 8 percent fail for some reason. Most of those patients then opt to have their knee ligament reconstructed a second time, but the failure rate on those subsequent surgeries is almost 14 percent.

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The Washington University group has received a $2.6 million grant from the National Institute of Arthritis and Musculoskeletal and Skin Diseases and is leading dozens of surgeons across the nation in one of the largest orthopedic, multicenter studies ever conducted. The MARS study (Mutlicenter ACL Revision Study) is comparing surgical techniques and analyzing outcomes for patients undergoing ACL surgery to learn why a subsequent reconstruction is more likely to fail than an initial ACL repair.

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If I reconstruct the ACL in your knee, and you go back to sports, and three years later you pivot on a basketball court and tear it again, that subsequent surgery often does not have results equal to the original surgery, says Rick W. Wright, MD, the MARS studys principal investigator. In a previous study, we found that the strongest predictor for a bad outcome after ACL surgery was whether that surgery was the initial reconstruction or a subsequent procedure.

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Rick Wright, MD, discusses ACL injuries- Washington University Orthopedics

http://www.youtube.com/watch?v=MKVM4Cn9m4k

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Rick Wright and ACL Research Articles

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http://scholar.google.com/scholar?pq=wright+and+acl+and+&hl=en&sugexp=
gsis,i18n%3Dtrue&cp=22&gs_id=1w&xhr=t&q=%22rick+wright%22+and+acl&qe=
InJpY2sgd3JpZ2h0IiBhbmQgYWNsIA&qesig=iIpHbZYTXqBZ-GSkTTgg7Q&pkc=
AFgZ2tkFhsMrMsJeZZCnOHlFEI37ooqrHHjpzqrw8pb9PPJq9EHp4G98AuNSjQTPl
vGczZyq11l26mG5TEQUi6Nx-yQ2U9fWAA&rlz=1R2GGHP_enUS413&gs_sm=&gs_upl=
&bav=on.2,or.r_gc.r_pw.&biw=1280&bih=787&bs=1&wrapid=
tljp1316220196363220&um=1&ie=UTF-8&sa=N&tab=ws

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A shorter URL for the above link:

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http://tinyurl.com/6kj3y46

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Content Sample:

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Septic arthritis of the knee following anterior cruciate ligament reconstruction: results of a survey of sports medicine fellowship directors
Matava, MJ
Journal: Arthroscopy
ISSN: 0749-8063 Date: 1998
Volume: 14 Issue: 7 Page: 717

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Bracing after ACL Reconstruction A Systematic Review
Wright, Rick W
Journal: Clinical orthopaedics and related research
ISSN: 0009-921X Date: 02/2007
Volume: 455 Page: 162
DOI: 10.1097/BLO.0b013e31802c9360

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Anterior Cruciate Ligament Reconstruction as an Outpatient Procedure
Tierney, G. S.
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 12/1995
Volume: 23 Issue: 6 Page: 755
DOI: 10.1177/036354659502300620

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Risk of Tearing the Intact Anterior Cruciate Ligament in the Contralateral Knee and Rupturing the Anterior Cruciate Ligament Graft During the First 2 Years After Anterior Cruciate Ligament Reconstruction: A Prospective MOON Cohort Study
Wright, R. W.
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 03/2007
Volume: 35 Issue: 7 Page: 1131
DOI: 10.1177/0363546507301318

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Anterior Cruciate Ligament Tear
Spindler, Kurt P.
Journal: The New England journal of medicine
ISSN: 0028-4793 Date: 11/2008
Volume: 359 Issue: 20 Page: 2135
DOI: 10.1056/NEJMcp0804745

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Multirater Agreement of Arthroscopic Grading of Knee Articular Cartilage
Marx, R. G.
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 08/2005
Volume: 33 Issue: 11 Page: 1654
DOI: 10.1177/0363546505275129

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Systematic Review of Anterior Cruciate Ligament Reconstruction Rehabilitation - Part I: Continuous Passive Motion, Early Weight Bearing, Postoperative Bracing, and Home-Based Rehabilitation Rick W. Wright1, Emily Preston2, Braden C. Fleming3, Annunziato Amendola4, Jack T. Andrish5, John A. Bergfeld5, Warren R. Dunn2, Chris Kaeding6, John E. Kuhn2, Robert G. Marx7, Eric C. McCarty8, Richard C. Parker5, Kurt P. Spindler2, Michelle Wolcott8, Brian R. Wolf4, Glenn N. Williams4
Knee Surg 2008; 21(3): 217-224
DOI: 10.1055/s-0030-1247822

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The effect of knee effusions on KT-1000 arthrometry
Wright, RW
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 1998
Volume: 26 Issue: 4 Page: 571

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Success of Meniscal Repair at Anterior Cruciate Ligament Reconstruction
Toman, C. V.
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 06/2009
Volume: 37 Issue: 6 Page: 1111
DOI: 10.1177/0363546509337010

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Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees
Wright, RW
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 2000
Volume: 28 Issue: 5 Page: 663

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Cost Analysis of Converting From Single-Bundle to Double-Bundle Anterior Cruciate Ligament Reconstruction
Brophy, R. H.
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 04/2009
Volume: 37 Issue: 4 Page: 683
DOI: 10.1177/0363546508328121

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Knee injury outcomes measures
Wright, RW
Journal: Journal of the American Academy of Orthopaedic Surgeons
ISSN: 1067-151X Date: 2009
Volume: 17 Issue: 1 Page: 31

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Cross-cultural comparison of patients undergoing ACL reconstruction in the United States and Norway
Magnussen, Robert A.
Journal: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 0942-2056 Date: 01/2010
Volume: 18 Issue: 1 Page: 98
DOI: 10.1007/s00167-009-0919-5

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Descriptive epidemiology of the Multicenter ACL Revision Study (MARS) cohort.
Wright, RW
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 2010
Volume: 38 Issue: 10 Page: 1979

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Anterior cruciate ligament reconstruction and concomitant articular cartilage injury: incidence and treatment
Brophy, RH
Journal: Arthroscopy
ISSN: 0749-8063 Date: 2010
Volume: 26 Issue: 1 Page: 112

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Potential Market for New Meniscus Repair Strategies
Fetzer, Gary
Journal: The Journal of knee surgery
ISSN: 1538-8506 Date: 2009
Volume: 22 Issue: 03 Page: 180
DOI: 10.1055/s-0030-1247746

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Anterior Cruciate Ligament Tear
Maffulli, N
Journal: The New England journal of medicine
ISSN: 0028-4793 Date: 04/2009
Volume: 360 Issue: 14 Page: 1463
DOI: 10.1056/NEJMc082471

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Which Preoperative Factors, Including Bone Bruise, Are Associated With Knee Pain/Symptoms at Index Anterior Cruciate Ligament Reconstruction (ACLR)?: A Multicenter Orthopaedic Outcomes Network (MOON) ACLR Cohort Study
Dunn, W. R.
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 09/2010
Volume: 38 Issue: 9 Page: 1778
DOI: 10.1177/0363546510370279

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Femoral nerve block use in anterior cruciate ligament reconstruction surgery
Mall, NA
Journal: Arthroscopy
ISSN: 0749-8063 Date: 2010
Volume: 26 Issue: 3 Page: 404

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Significance of the Arthroscopic Meniscal Flounce Sign: A Prospective Study
Wright, R. W.
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 12/2006
Volume: 35 Issue: 2 Page: 242
DOI: 10.1177/0363546506294362

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The Prognosis and Predictors of Sports Function and Activity at Minimum 6 Years After Anterior Cruciate Ligament Reconstruction: A Population Cohort Study
Spindler, K. P.
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 02/2011
Volume: 39 Issue: 2 Page: 348
DOI: 10.1177/0363546510383481

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Intra-articular Findings in Primary and Revision Anterior Cruciate Ligament Reconstruction Surgery: A Comparison of the MOON and MARS Study Groups
Borchers, J. R.
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 09/2011
Volume: 39 Issue: 9 Page: 1889
DOI: 10.1177/0363546511406871

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Sport-Specific Outcomes After Anterior Cruciate Ligament Reconstruction
Warner, SJ
Journal: Arthroscopy
ISSN: 0749-8063 Date: 2011

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Previous Knee Surgery Is a Risk Factor for Knee Articular Cartilage Lesions Among Athletes at the NFL Combine (SS-29)
Brophy, RH
Journal: Arthroscopy
ISSN: 0749-8063 Date: 2011
Volume: 27 Issue: 5 Page: e46

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Allograft Versus Autograft Anterior Cruciate Ligament Reconstruction: Predictors of Failure From a MOON Prospective Longitudinal Cohort
Kaeding, C. C.
Journal: Sports health
ISSN: 1941-7381 Date: 01/2011
Volume: 3 Issue: 1 Page: 73
DOI: 10.1177/1941738110386185

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Injuries to Kickers in American Football: The National Football League Experience
Brophy, R. H.
Journal: The American journal of sports medicine
ISSN: 0363-5465 Date: 06/2010
Volume: 38 Issue: 6 Page: 1166
DOI: 10.1177/0363546509357836

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Evidence-based medicine in sports medicine
WRIGHT, RW
Journal: Clinical orthopaedics and related research
ISSN: 0009-921X Date: 2007
Issue: 455 Page: 162

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The complete article may be read at the URL above.

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WEBBIB1112

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Sincerely,
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Temple University
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  • » [net-gold] SPORTS MEDICINE : SPORTS: INJURIES : MEDICAL: SURGERY : MEDICAL: TREATMENT: OUTCOMES : SPORTS: ATHLETES : MEDICAL: RESEARCH : ANTERIOR CRUCIATE LIGAMENT TEAR: Study Looks at Why Second ACL Surgeries Often Fail - David P. Dillard