eRapport

Multi-Ligament Knee Injury

Prosjekt
Prosjektnummer
2014089
Ansvarlig person
Lars Engebretsen
Institusjon
Oslo universitetssykehus HF
Prosjektkategori
Doktorgradsstipend
Helsekategori
Musculoskeletal
Forskningsaktivitet
5. Treatment Developement
Rapporter
2017 - sluttrapport
In addition to the 5 PhD articles, over 70 peer-reviewed articles were written and our research has won four international awards including. 1. American Orthopaedic Society of Sports Medicine (AOSSM) Excellence in Research Award 2. American Academy of Orthopaedic Surgeons (AAOS) Scientific Exhibit Award of Excellence 3. ISAKOS Achilles Award 4. American Orthopaedic Society of Sports Medicine (AOSSM) Cabaud Memorial Award. Five studies were performed for the PhD thesis, which will be summarised below. Paper 1: Demographics and Injuries Associated with Knee Dislocation. The study sought to evaluate patient demographics, ligament injury patterns and associated injury patterns, and associated injuries in patients with knee dislocation. A cross-sectional level 3 longitudinal study utilising a prospectively gathered database of 303 knee dislocation patients over a 19 year time period at a single institution. The mean age at injury was approximately 38 years with a majority of males (65%) and an equal distribution of high energy (example motor vehicle collision) and low energy (sports related) injuries. The most common injury pattern according to the Schenck classification was KDIII-M (52%) followed by KDIII-L (28%). Associated injuries include meniscus (37%), cartilage (28%), peroneal nerve (19%), ipsilateral lower extremity fractures (16%), ipsilateral extensor mechanism disruption (8%), and vascular injury (5%). Patients with KDIII-L had 42 times higher risk of having a peroneal nerve injury and 9 times higher risk of having a popliteal artery injury. In addition, peroneal nerve injury was significantly associated with popliteal artery injury. Paper 2: High prevalence of knee osteoarthritis at a minimum 10-year follow-up after knee dislocation surgery. The main purpose of the study was to evaluate the prevalence of knee osteoarthritis and knee function at a minimum 10 years after surgery for knee dislocation. 65 patients were prospectively followed after surgical treatment for knee dislocation. The results demonstrated some important findings namely; (1) using the Kellgren-Lawrence (KL) grading system with bilateral standing radiographs, osteoarthritis was noted in 42% of the injured knees compared to only 6% in the non-injured knees (2) using well validated outcome scales, subjective outcome data showed satisfactory improvement with mean Tegner activity score of 4, Lysholm score of 84 and IKDC-200 score of 73, and KOOS QOL score of 64. Paper 3 Intertunnel Relationships in the Tibia during Reconstruction of Multiple Knee Ligaments. How to avoid tunnel convergence. One of the problems of surgical treatment of the serious injury of knee dislocation is that the reconstructive techniques involve the creation of several drill tunnels for to located the grafts used to stabilize the knee. The purpose of this paper was to evaluate the optimal tunnel placement in order to avoid tunnel convergence. The most important finding was the risk of tunnel convergence between the PCL and superficial medial collateral ligament (sMCL) in almost 20%, when the sMCL tunnel was aimed transversely across the tibia. This led a change in the direction of this tunnel, by increasing the distance between the PCL and sMCL tunnel and aiming it 30 degrees distally. With this altered direction no tunnel convergence was observed. Paper 4 Multiple Ligament Recosntruction Femoral tunnels. Intertunnel Relationships and Guidelines to avoid convergence. The most important finding was that there was a high risk of convergence between the FCL and ACL tunnels when the FCL tunnel was aimed at 0 degrees in the axial and coronal planes. When the direction of the FCL tunnel was changed to 35 degrees, the risk of convergence was minimized. Taken together, there is significant risk of tunnel convergence, but this can be avoided by adjusting the orientation of the FCL and PLT tunnels and the sMCL and POL tunnels respectively. Paper 5 The Influence of Graft Tensioning sequence on Tibiofemoral orientation during Bicruciate and posterolateral corner Knee Ligament Reconstruction: A Biomechanical study. The purpose was to evaluate the sequence of graft tensioning during bicruciate and posterolateral corner Knee Ligament Reconstruction. The most important result was that none of the tensioning sequences restored intact (normal or nearly normal) tibiofemoral orientation. We also found that tensioning of the posterolateral corner should be avoided in bicruciate ligament reconstruction due to increased increment of internatl rotation of the tibia. PCL should be tensioned first, followed by ACL. Paper 1: Moatshe, G, Dornan, GJ, Löken, S. Demographics and Injuries Associated with Knee Dislocation. OJSM. 2017. 5 (5), 2325967117706521. These findings of this study are important for several reasons. Firstly, understanding that KDIII-L and KDIII-M are the most common injury patterns will help physicians understand that when faced with a grossly unstable knee on physical examination, they should consider it a dislocated knee even if the x-rays look normal. Secondly, these injury patterns should have a high index of suspicion for a vascular injury even in the presence of a seemingly normal palpable pulse. Thirdly, when a peroneal nerve injury (inability to dorsiflex the ankle) is discovered after a knee injury, the physician should have a high index of suspicion for occult vascular injury and proceed with non-invasive (ABI’s)and possible invasive (arteriography) vascular screening. Lastly, the frequency of associated meniscus and cartilage injuries may be the most important prognostic variables for long -term outcome as these are typically responsible for the development of osteoarthritis. Paper 2: Moatshe, G., Dornan, GJ, Ludvigsen. High prevalence of knee osteoarthritis at a minimum 10-year follow-up after knee dislocation surgery. Knee Surg Sports Traumatol Arthrosc, 2017.; doi: 10.1007/s00167-017-4443-8 Few, if any long-term studies exist, and few, if any, have reported on so many objective and subjective knee factors. Understanding the long-term outcomes after surgical management of knee dislocations will help doctors in counselling patients preoperative, and also prompt them to develop ways of improving patient outcomes. Papers 3 and 4. Moatshe G, Slette EL, Engebretsen L, LaPrade R. Intertunnel Relationships in the Tibia during Reconstruction of Multiple Knee Ligaments. How to avoid tunnel convergence. Am J sports Med 44; 11; 2864-2869 Paper 4 Multiple Ligament Recosntruction Femoral tunnels. Intertunnel Relationships and Guidelines to avoid convergence. Moatshe G, Brady AW, Slette EL, Chahle J, Turnbull TL, Engebreten L, LaPrade R. Am J Sports Med 45; 3: 563-569 The conclusion of these studies was that there is a significant risk of tunnel convergence. This might be a clinical problem and surgeons need to pay close attention. The tunnel orientation of the POL and sMCL should be adjusted in order to avoid tunnel convergence with the PCL. On the lateral femoral condyle, the FCL and PLT tunnels should be aimed 35-40 degrees anteriorly to avoid convergence with the ACL. Is is important to avoid tunnel convergence because convergence can weaken graft fixation, damage reconstruction grafts, and ultimately lead to poor patient outcomes. Paper 5 The Influence of Graft Tensioning sequence on Tibiofemoral orientation during Bicruciate and posterolateral corner Knee Ligament Reconstruction: A Biomechanical study. Moatshe G, Chahla J, Brady A, Dornan G, Muckenhirn K, Kruckeberg B, Cinque M, Turnbull TL, Engebretsen L, LaPrade RF We found that none of the tensioning sequences restores the intact knee tibiofemoral orientation. Furthermore, tensioning the posterolateral corner first should be avoided because in increased the risk of internally rotating the tibia. If the tibiofemoral orientation is not restored during surgery, it may lead to increased forces on the reconstruction grafts and ultimately failure. in addition, this can lead to non physiologic joint loading and development of osteoarthritis.
2016
Henviser til rapport på prosjektnr. 2016127
2015
Kneluksasjoner er sjeldne, men svært alvorlige. I denne phd studien ser vi på resultater etter kirurgi, graden av artrose ti år etter kirurgi og vi forbedrer den moderne operasjonsteknikken.Luksasjon av kneleddet er den mest alvorlige skaden i kneleddet. De fleste pasienten er unge og aktive. Kneluksasjon skjer omkring 100 ganger årlig i Norge. Ved Ortopedisk avdeling OUS har vi fulgt pasienter som er operert for denne skaden siden mai 1996. I denne phd studien karakteriserer vi de kirurgiske funnene hos 320 av disse pasientene, vi studerer artrosegraden 10 år etter kirurgien hos 100 pasienter og vi arbeider med forbedringer i den kirurgiske teknikken. I løpet av de 20 årene vi har arbeidet med dette, så har både den kirurgiske teknikken og rehabiliteringen utviklet seg betydelig. Med de nye operasjonsmetodene etablerer man opp til 13 tuneller i lårbein eller leggbein ved kneet for å plassere de rekonstruerte leddbåndene korrekt. Ved hjelp av robotteknikk og en nyetablert CT teknikk kan man lage disse tunellene i bein på en langt mer nøyaktig måte enn tidligere og derved unngå komplikasjoner og oppnå et bedre resultat for pasienten. Våre 2015 fulgte Moatshe 110 kneluksasjoner med over 10 år siden kirurgi for å studere grad av artrose. Videre startet han en oversiktsartikkel over 320 kneluksasjonspasienter som er operert ved OUS siden 1996. Fra august 2015 har han arbeidet ved Steadman-klinikken i Vail, Colorado med forbedring av operasjonsteknikken. Nedenfor følger en oppsummering av den første delen av denne studien. Guidelines to Optimize Tibial Tunnel Placement for Multiple Ligament Reconstructions Background: Knee dislocations are rare but potentially devastating injuries, often involving tears of multiple knee ligaments. Several studies have reported improved clinical and functional outcomes with surgical management of torn knee ligaments compared to non-surgical management. Most multiple ligament reconstruction techniques involve creating several tunnels for various reconstruction graft tunnels, posing a risk of tunnel collision in the proximal tibia. Purpose: To assess the risk of tunnel convergence and determine the optimal reconstruction tunnel placement for multiple ligament reconstructions in the tibia. Study Design: Descriptive Laboratory Study Methods: Three-dimensional knee models were developed using customized software from computed tomography images of 21 patients. Mimics software was used to create tunnels for each of the four primary ligamentous structures, replicating a surgical approach that would be used in an actual multiple ligament reconstruction surgery. Tunnel orientation was varied in anatomically relevant directions to find orientations that did not result in tunnel convergence. Results: There was a high risk of tunnel convergence (66.7 %) between the posterior cruciate ligament (PCL) and posterior oblique ligament (POL) tunnels when the POL tunnel was aimed towards Gerdy´s tubercle as suggested in the literature. No tunnel convergence was observed when the POL tunnel was aimed 15 mm medial to Gerdy´s tubercle. The mean distance between the PCL and POL was 4.75 mm (range: 2.23 – 7.95 mm), a significant increase compared to when the POL was aimed towards Gerdy’s tubercle (p<0.001). No tunnel convergence was observed between the ACL and POL. Tunnel convergence was observed between the PCL and superficial medial collateral ligament (sMCL) in 19 % of cases when the sMCL tunnel was aimed transversely across the tibia. Aiming the sMCL tunnel transversely and directing 30° distally significantly increased the mean distance between the sMCL and PCL to 6.89 mm (p<0.001), and no tunnel convergence was observed. No tunnel convergence was observed between the PCL and posterolateral corner (PLC) tunnels, or the ACL and PCL tunnels. Conclusions: There is a high risk of tunnel convergence in the proximal tibia during multiple knee ligament reconstructions. Aiming the POL tunnel 15 mm medial to Gerdy´s tubercle and the sMCL tunnel transverse across the tibia (anterior to the fibula) and 30° distal to the horizontal plane reduces the risk of tunnel convergence. Clinical Relevance: Reconstruction tunnel orientation of the POL and sMCL on the tibia should be adjusted to avoid collision with the PCL reconstruction tunnel during multiple ligament knee reconstructions.
2014
Kneluksasjon er en alvorlig, men relativt sjelden skade. Det er den mest alvorlige ligament skaden i kneet. I förste del av studien skal vi etterundersöke 100 pasienter operert for mer enn 10 är siden . Deretter skal vi i 2015/2016 arbeide et biomekanisk laboratorium ved Steadman klinikken i Vail, Colorado for ä forbedre dagens operasjonsmetode.I 2014 og örste del av 2015 skal vi etterundersöke pasienter som er operert for mer enn 10 är siden Skaden er hyppig assosiert med høy energitraumer men kan forekomme ved lettere traume. I litteraturen er det angitt nerveskader hos 14 – 40 % (1,2,3,4,5), og karskader hos 14 – 48 % Mellom mai 1996 og d.d har OUS Ullevål behandlet 279 pasienter med kneluksasjon. I denne studien vil vi undersøke pasienter som er behandlet mellom mai1996 og desember 2003 for å se på kne funksjon og artrose utvikling i skadet kne. Dette vil forhåpentligvis bidra til kunnskap om langtids sekvele og funksjon etter denne type skade. I tillegg kan man vurdere langtids-effekt av den behandling de har fått100 pasienter med traumatisk kneluksasjon (Schenck Ii – IV) ble behandlet ved Ortopedisk avdeling, OUS Ullevål. Alle pasienter er behandlet etter samme faste opplegg av samme ortopeder. Alle pasienter som er operert for traumatiske kneluksasjoner er registrert i en database og følges opp. 1. Gjennomgang av database for å finne pasienter som er operert mellom mai 1996 og desember 2003. 2. Pasientene vil motta informasjon om studien og må signere samtykke før deltagelse. 3. Pasientene som ønsker å deltar i studien vil få tilsendt Lysholm score skjema og Tegner score skjema som de kan fylle ut før oppmøte på poliklinikken. 4. Pasientene vil bli innkalt til røntgen undersøkelse og klinisk undersøkelse. Røntgen tas på Røntgen avdeling med Kellgren & Lawrence protokoll. 5. Klinisk kontroll hos lege med anamnese om kne funksjon, klinisk undersøkelse med Lachman, pivot shift, reverse pivot shift, varus/valgus instabilitet, KT1000 sammenlignet med motsatt kne. I tillegg skal de undersøkes hos fysioterapeut med tanke på kne funksjon ved hjelp av single leg hoptest. Man skal fylle ut funksjon score skjemaer; Lysholm, Tegner, IKDC2000, KOOS. I annen halvdel av 2015 skal dr Moatshe arbeide i Vail, Colorado med biomekaniske studier for ä forbedre operasjonsteknikken ved disse kompliserte skadene.
Vitenskapelige artikler
Moatshe G, Dornan GJ, Løken S, Ludvigsen TC, Laprade RF, Engebretsen L

Demographics and Injuries Associated With Knee Dislocation: A Prospective Review of 303 Patients.

Orthop J Sports Med 2017 May;5(5):2325967117706521. Epub 2017 mai 22

PMID: 28589159 - Inngår i doktorgradsavhandlingen

Moatshe G, Dornan GJ, Ludvigsen T, Løken S, Laprade RF, Engebretsen L

High prevalence of knee osteoarthritis at a minimum 10-year follow-up after knee dislocation surgery.

Knee Surg Sports Traumatol Arthrosc 2017 Dec;25(12):3914-3922. Epub 2017 mar 9

PMID: 28280907 - Inngår i doktorgradsavhandlingen

Moatshe G, Brady AW, Slette EL, Chahla J, Turnbull TL, Engebretsen L, Laprade RF

Multiple Ligament Reconstruction Femoral Tunnels: Intertunnel Relationships and Guidelines to Avoid Convergence.

Am J Sports Med 2017 03;45(3):563-569. Epub 2016 nov 24

PMID: 27872126 - Inngår i doktorgradsavhandlingen

Fracture fixation in the operative management of hip fractures (FAITH): an international, multicentre, randomised controlled trial.

Lancet 2017 Apr 15;389(10078):1519-1527. Epub 2017 mar 3

PMID: 28262269

Anavian J, Marchetti DC, Moatshe G, Slette EL, Chahla J, Brady AW, Civitarese DM, Laprade RF

The forgotten joint: quantifying the anatomy of the proximal tibiofibular joint.

Knee Surg Sports Traumatol Arthrosc 2017 Mar 20. Epub 2017 mar 20

PMID: 28321475

Marchetti DC, Chahla J, Moatshe G, Slette EL, Laprade RF

Quantitative radiographic assessment of the anatomic attachment sites of the anterior and posterior complexes of the proximal tibiofibular joint.

Knee Surg Sports Traumatol Arthrosc 2017 Mar 21. Epub 2017 mar 21

PMID: 28326444

Marchetti DC, Moatshe G, Phelps BM, Dahl KD, Ferrari MB, Chahla J, Turnbull TL, Laprade RF

The Proximal Tibiofibular Joint: A Biomechanical Analysis of the Anterior and Posterior Ligamentous Complexes.

Am J Sports Med 2017 Jul;45(8):1888-1892. Epub 2017 mar 24

PMID: 28339288

Chahla J, Sanchez G, Moatshe G, Richards A, Van Der Walt CJ, Pascual-Garrido C

Vascular Coloration for Anatomical Study of the Pelvis and Hip: Implications in Hip Preservation Surgery.

Arthrosc Tech 2017 Feb;6(1):e133-e136. Epub 2017 jan 30

PMID: 28373951

Moatshe G, Cram TR, Chahla J, Cinque ME, Godin JA, Laprade RF

Medial Patellar Instability: Treatment and Outcomes.

Orthop J Sports Med 2017 Apr;5(4):2325967117699816. Epub 2017 apr 19

PMID: 28451613

Moatshe G, Cinque ME, Kruckeberg BM, Chahla J, Laprade RF

Medial Patellar Instability: A Systematic Review of the Literature of Outcomes After Surgical Treatment.

Arthroscopy 2017 Aug;33(8):1587-1593. Epub 2017 mai 10

PMID: 28501222

Vap AR, Schon JM, Moatshe G, Cruz RS, Brady AW, Dornan GJ, Turnbull TL, Laprade RF

The Role of the Peripheral Passive Rotation Stabilizers of the Knee With Intact Collateral and Cruciate Ligaments: A Biomechanical Study.

Orthop J Sports Med 2017 May;5(5):2325967117708190. Epub 2017 mai 31

PMID: 28607939

Godin JA, Chahla J, Moatshe G, Kruckeberg BM, Muckenhirn KJ, Vap AR, Geeslin AG, Laprade RF

A Comprehensive Reanalysis of the Distal Iliotibial Band: Quantitative Anatomy, Radiographic Markers, and Biomechanical Properties.

Am J Sports Med 2017 Sep;45(11):2595-2603. Epub 2017 jun 13

PMID: 28609131

Frank JM, Moatshe G, Brady AW, Dornan GJ, Coggins A, Muckenhirn KJ, Slette EL, Mikula JD, Laprade RF

Lateral Meniscus Posterior Root and Meniscofemoral Ligaments as Stabilizing Structures in the ACL-Deficient Knee: A Biomechanical Study.

Orthop J Sports Med 2017 Jun;5(6):2325967117695756. Epub 2017 jun 15

PMID: 28660229

Moatshe G, Cinque ME, Godin JA, Vap AR, Chahla J, Laprade RF

Comparable Outcomes After Bucket-Handle Meniscal Repair and Vertical Meniscal Repair Can Be Achieved at a Minimum 2 Years' Follow-up.

Am J Sports Med 2017 Nov;45(13):3104-3110. Epub 2017 aug 14

PMID: 28806092

Cinque ME, Geeslin AG, Chahla J, Moatshe G, Pogorzelski J, DePhillipo NN, Laprade RF

The Heel Height Test: A Novel Tool for the Detection of Combined Anterior Cruciate Ligament and Fibular Collateral Ligament Tears.

Arthroscopy 2017 Dec;33(12):2177-2181. Epub 2017 aug 16

PMID: 28822632

Moatshe G, Morris ER, Cinque ME, Pascual-Garrido C, Chahla J, Engebretsen L, Laprade RF

Biological treatment of the knee with platelet-rich plasma or bone marrow aspirate concentrates.

Acta Orthop 2017 Dec;88(6):670-674. Epub 2017 aug 23

PMID: 28831830

Cinque ME, Godin JA, Moatshe G, Chahla J, Kruckeberg BM, Pogorzelski J, Laprade RF

Do Tibial Plateau Fractures Worsen Outcomes of Knee Ligament Injuries? A Matched Cohort Analysis.

Orthop J Sports Med 2017 Aug;5(8):2325967117723895. Epub 2017 aug 15

PMID: 28840154

Kruckeberg BM, Cinque ME, Moatshe G, Marchetti D, DePhillipo NN, Chahla J, Laprade RF

Proximal Tibiofibular Joint Instability and Treatment Approaches: A Systematic Review of the Literature.

Arthroscopy 2017 Sep;33(9):1743-1751.

PMID: 28865578

Chahla J, Moatshe G, Cinque ME, Dornan GJ, Mitchell JJ, Ridley TJ, Laprade RF

Single-Bundle and Double-Bundle Posterior Cruciate Ligament Reconstructions: A Systematic Review and Meta-analysis of 441 Patients at a Minimum 2 Years' Follow-up.

Arthroscopy 2017 Nov;33(11):2066-2080. Epub 2017 aug 31

PMID: 28866340

LeBus GF, Chahla J, Sanchez G, Akamefula R, Moatshe G, Phocas A, Price MD, Whalen JM, Laprade RF, Provencher MT

The Latarjet Procedure at the National Football League Scouting Combine: An Imaging and Performance Analysis.

Orthop J Sports Med 2017 Sep;5(9):2325967117726045. Epub 2017 sep 1

PMID: 28894758

Godin JA, Cinque ME, Pogorzelski J, Moatshe G, Chahla J, Laprade RF

Multiligament Knee Injuries in Older Adolescents: A 2-Year Minimum Follow-up Study.

Orthop J Sports Med 2017 Sep;5(9):2325967117727717. Epub 2017 sep 22

PMID: 28975131

Mitchell JJ, Vap AR, Sanchez G, Liechti DJ, Chahla J, Moatshe G, Ferrari MB, Provencher MT

Concomitant Reverse Hill-Sachs Lesion and Posterior Humeral Avulsion of the Glenohumeral Ligament: Treatment With Fresh Talus Osteochondral Allograft and Arthroscopic Posterior Humeral Avulsion of the Glenohumeral Ligament and Labrum Repair.

Arthrosc Tech 2017 Aug;6(4):e987-e995. Epub 2017 jul 10

PMID: 28970982

Sanchez G, Ferrari MB, Sanchez A, Moatshe G, Chahla J, DePhillipo N, Provencher MT

Proximal Patellar Tendon Repair: Internal Brace Technique With Unicortical Buttons and Suture Tape.

Arthrosc Tech 2017 Apr;6(2):e491-e497. Epub 2017 apr 24

PMID: 28580272

Kruckeberg BM, Chahla J, Ferrari MB, Sanchez G, Moatshe G, Laprade RF

Open Patellar Tendon Tenotomy, Debridement, and Repair Technique Augmented With Platelet-Rich Plasma for Recalcitrant Patellar Tendinopathy.

Arthrosc Tech 2017 Apr;6(2):e447-e453. Epub 2017 apr 17

PMID: 28580266

Provencher MT, Sanchez G, Ferrari MB, Moatshe G, Chahla J, Akamefula R, Laprade RF

Arthroscopy-Assisted Fabella Excision: Surgical Technique.

Arthrosc Tech 2017 Apr;6(2):e369-e374. Epub 2017 mar 27

PMID: 28580255

Ferrari MB, Sanchez G, Chahla J, Moatshe G, Laprade RF

Arthroscopic Patellar Lateral Facetectomy.

Arthrosc Tech 2017 Apr;6(2):e357-e362. Epub 2017 mar 20

PMID: 28580253

Ferrari MB, Chahla J, Mitchell JJ, Moatshe G, Mikula JD, Marchetti DC, Laprade RF

Multiligament Reconstruction of the Knee in the Setting of Knee Dislocation With a Medial-Sided Injury.

Arthrosc Tech 2017 Apr;6(2):e341-e350. Epub 2017 mar 20

PMID: 28580251

Cinque ME, Dornan GJ, Chahla J, Moatshe G, Laprade RF

High Rates of Osteoarthritis Develop After Anterior Cruciate Ligament Surgery: An Analysis of 4108 Patients.

Am J Sports Med 2017 Sep 01. Epub 2017 sep 1

PMID: 28982255

DePhillipo NN, Cinque ME, Godin JA, Moatshe G, Chahla J, Laprade RF

Posterior Tibial Translation Measurements on Magnetic Resonance Imaging Improve Diagnostic Sensitivity for Chronic Posterior Cruciate Ligament Injuries and Graft Tears.

Am J Sports Med 2017 Oct 01. Epub 2017 okt 1

PMID: 29028358

Sprague S, Slobogean GP, Bogoch E, Petrisor B, Garibaldi A, O'Hara N, Bhandari M,

Vitamin D Use and Health Outcomes After Surgery for Hip Fracture.

Orthopedics 2017 10 01;40(5):e868-e875.

PMID: 29039872

Familiari F, Cinque ME, Chahla J, Godin JA, Olesen ML, Moatshe G, Laprade RF

Clinical Outcomes and Failure Rates of Osteochondral Allograft Transplantation in the Knee: A Systematic Review.

Am J Sports Med 2017 Oct 01. Epub 2017 okt 1

PMID: 29039969

Cinque ME, Chahla J, Moatshe G, DePhillipo NN, Kennedy NI, Godin JA, Laprade RF

Outcomes and Complication Rates After Primary Anterior Cruciate Ligament Reconstruction Are Similar in Younger and Older Patients.

Orthop J Sports Med 2017 Oct;5(10):2325967117729659. Epub 2017 okt 2

PMID: 29051896

Moatshe G, Godin JA, Chahla J, Cinque ME, Kennedy NI, Sanchez G, Beaulieu-Jones BR, Laprade RF, Provencher MT

Clinical and Radiologic Outcomes After Scaphoid Fracture: Injury and Treatment Patterns in National Football League Combine Athletes Between 2009 and 2014.

Arthroscopy 2017 Dec;33(12):2154-2158.

PMID: 29102567

Cinque ME, Chahla J, Kruckeberg BM, DePhillipo NN, Moatshe G, Laprade RF

Posteromedial Corner Knee Injuries: Diagnosis, Management, and Outcomes: A Critical Analysis Review.

JBJS Rev 2017 Nov;5(11):e4.

PMID: 29200405

Provencher MT, Chahla J, Cinque ME, Sanchez G, Kennedy NI, Haber DB, Tisosky AJ, Beaulieu-Jones BR, Price MD, Whalen JM, Moatshe G, Laprade RF

Symptomatic Focal Knee Chondral Injuries in National Football League Combine Players Are Associated With Poorer Performance and Less Volume of Play.

Arthroscopy 2017 Dec 07. Epub 2017 des 7

PMID: 29225015

Moatshe G, Marchetti DC, Chahla J, Ferrari MB, Sanchez G, LeBus GF, Brady AW, Frank RM, Laprade RF, Provencher MT

Qualitative and Quantitative Anatomy of the Proximal Humerus Muscle Attachments and the Axillary Nerve: A Cadaveric Study.

Arthroscopy 2017 Dec 07. Epub 2017 des 7

PMID: 29225017

Mitchell JJ, Cinque ME, Dornan GJ, Matheny LM, Dean CS, Kruckeberg B, Moatshe G, Chahla J, Laprade RF

Primary Versus Revision Anterior Cruciate Ligament Reconstruction: Patient Demographics, Radiographic Findings, and Associated Lesions.

Arthroscopy 2017 Dec 07. Epub 2017 des 7

PMID: 29225019

Frangiamore SJ, Moatshe G, Kruckeberg BM, Civitarese DM, Muckenhirn KJ, Chahla J, Brady AW, Cinque ME, Oleson ML, Provencher MT, Hackett TR, Laprade RF

Qualitative and Quantitative Analyses of the Dynamic and Static Stabilizers of the Medial Elbow: An Anatomic Study.

Am J Sports Med 2017 Dec 01. Epub 2017 des 1

PMID: 29266961

Geeslin AG, Moatshe G, Chahla J, Kruckeberg BM, Muckenhirn KJ, Dornan GJ, Coggins A, Brady AW, Getgood AM, Godin JA, Laprade RF

Anterolateral Knee Extra-articular Stabilizers: A Robotic Study Comparing Anterolateral Ligament Reconstruction and Modified Lemaire Lateral Extra-articular Tenodesis.

Am J Sports Med 2017 Dec 01. Epub 2017 des 1

PMID: 29268024

LaPrade CM, James EW, Cram TR, Feagin JA, Engebretsen L, Laprade RF

Meniscal root tears: a classification system based on tear morphology.

Am J Sports Med 2015 Feb;43(2):363-9. Epub 2014 des 1

PMID: 25451789

Grindem H, Granan LP, Risberg MA, Engebretsen L, Snyder-Mackler L, Eitzen I

How does a combined preoperative and postoperative rehabilitation programme influence the outcome of ACL reconstruction 2 years after surgery? A comparison between patients in the Delaware-Oslo ACL Cohort and the Norwegian National Knee Ligament Registry.

Br J Sports Med 2015 Mar;49(6):385-9. Epub 2014 okt 28

PMID: 25351782

Kennedy Nicholas I, LaPrade Robert F, Goldsmith Mary T, Faucett Scott C, Rasmussen Matthew T, Coatney Garrett A, Engebretsen Lars, Wijdicks Coen A

Posterior cruciate ligament graft fixation angles, part 1: biomechanical evaluation for anatomic single-bundle reconstruction.

Am J Sports Med 2014 Oct;42(10):2338-45. Epub 2014 aug 4

PMID: 25091117

Kennedy Nicholas I, LaPrade Robert F, Goldsmith Mary T, Faucett Scott C, Rasmussen Matthew T, Coatney Garrett A, Engebretsen Lars, Wijdicks Coen A

Posterior cruciate ligament graft fixation angles, part 2: biomechanical evaluation for anatomic double-bundle reconstruction.

Am J Sports Med 2014 Oct;42(10):2346-55. Epub 2014 aug 4

PMID: 25091116

Culvenor AG, Engen CN, Øiestad BE, Engebretsen L, Risberg MA

Defining the presence of radiographic knee osteoarthritis: a comparison between the Kellgren and Lawrence system and OARSI atlas criteria.

Knee Surg Sports Traumatol Arthrosc 2015 Dec;23(12):3532-9. Epub 2014 jul 31

PMID: 25079135

LaPrade Robert F, Griffith Chad J, Coobs Benjamin R, Geeslin Andrew G, Johansen Steinar, Engebretsen Lars

Improving outcomes for posterolateral knee injuries.

J Orthop Res 2014 Apr;32(4):485-91. Epub 2014 jan 4

PMID: 24391078

Jorge Chahla,* MD, Chase S. Dean,* MD, Gilbert Moatshe,*† MD, Cecilia Pascual-Garrido,‡ MD, Raphael Serra Cruz,*§ MD, and Robert F. LaPrade,*||{ MD, PhD

Concentrated Bone Marrow Aspirate for the Treatment of Chondral Injuries and Osteoarthritis of the Knee

The Orthopaedic Journal of Sports Medicine, 4(1), 2325967115625481 DOI: 10.1177/2325967115625481

Deltagere
  • Asbjørn Årøen Medveileder
  • May Arna Risberg Medveileder
  • Buru Gilbert Moatshe Doktorgradsstipendiat (finansiert av denne bevilgning)
  • Lars Engebretsen Prosjektleder
  • Robert Laprade Prosjektdeltaker

eRapport er utarbeidet av Sølvi Lerfald og Reidar Thorstensen, Regionalt kompetansesenter for klinisk forskning, Helse Vest RHF, og videreutvikles av de fire RHF-ene i fellesskap, med støtte fra Helse Vest IKT

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