. . 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 . . 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 . .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.
.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.
.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.
.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.
. . Rick Wright, MD, discusses ACL injuries- Washington University Orthopedics http://www.youtube.com/watch?v=MKVM4Cn9m4k . . Rick Wright and ACL Research Articles . 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 . A shorter URL for the above link: . http://tinyurl.com/6kj3y46 . Content Sample: .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 . 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 .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 .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 . 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 .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 .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 . 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 .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 .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 .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 . 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 .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 .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 .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 . 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 . 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 .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 .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 .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 .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 .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 .Sport-Specific Outcomes After Anterior Cruciate Ligament Reconstruction
Warner, SJ Journal: Arthroscopy ISSN: 0749-8063 Date: 2011 .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 .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 .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 . Evidence-based medicine in sports medicine WRIGHT, RW Journal: Clinical orthopaedics and related research ISSN: 0009-921X Date: 2007 Issue: 455 Page: 162 . . . The complete article may be read at the URL above. . . WEBBIB1112 . . Sincerely, David Dillard Temple University (215) 204 - 4584 jwne@xxxxxxxxxx http://daviddillard.businesscard2.com Net-Gold http://groups.yahoo.com/group/net-gold http://listserv.temple.edu/archives/net-gold.html Index: http://tinyurl.com/myxb4w http://groups.google.com/group/net-gold?hl=en General Internet & Print Resources http://guides.temple.edu/general-internet COUNTRIES http://guides.temple.edu/general-country-info EMPLOYMENT http://guides.temple.edu/EMPLOYMENT TOURISM http://guides.temple.edu/tourism DISABILITIES http://guides.temple.edu/DISABILITIES INDOOR GARDENING http://tech.groups.yahoo.com/group/IndoorGardeningUrban/ Educator-Gold http://groups.yahoo.com/group/Educator-Gold/ K12ADMINLIFE http://groups.yahoo.com/group/K12AdminLIFE/ The Russell Conwell Learning Center Research Guide: THE COLLEGE LEARNING CENTER http://tinyurl.com/yae7w79 Nina Dillard's Photographs on Net-Gold http://tinyurl.com/36qd2o and also http://gallery.me.com/neemers1 http://www.flickr.com/photos/neemers/ Twitter: davidpdillard Bushell, R. & Sheldon, P. (eds), Wellness and Tourism: Mind, Body, Spirit, Place, New York: Cognizant Communication Books. Wellness Tourism: Bibliographic and Webliographic Essay David P. Dillard http://tinyurl.com/p63whl http://tinyurl.com/ou53aw INDOOR GARDENING Improve Your Chances for Indoor Gardening Success http://tech.groups.yahoo.com/group/IndoorGardeningUrban/ http://groups.google.com/group/indoor-gardening-and-urban-gardening SPORT-MED https://www.jiscmail.ac.uk/lists/sport-med.html http://groups.google.com/group/sport-med http://groups.yahoo.com/group/sports-med/ http://listserv.temple.edu/archives/sport-med.html HEALTH DIET FITNESS RECREATION SPORTS TOURISM http://health.groups.yahoo.com/group/healthrecsport/ http://groups.google.com/group/healthrecsport http://healthrecsport.jiglu.com/ http://listserv.temple.edu/archives/health-recreation-sports-tourism.html . . Please Ignore All Links to JIGLU in search results for Net-Gold and related lists. The Net-Gold relationship with JIGLU has been terminated by JIGLU and these are dead links. http://groups.yahoo.com/group/Net-Gold/message/30664 http://health.groups.yahoo.com/group/healthrecsport/message/145 . .