Navigation Links
ACL Reconstruction With Cadaver Tissue Risky in Younger Patients
Date:7/10/2008

Failure rate after surgery as high as 24% in middle-age patients, study shows

THURSDAY, July 9 (HealthDay News) -- Using replacement ligaments from cadavers for reconstruction of the anterior cruciate ligament (ACL) may have a failure rate as high as 24 percent in active patients under the age of 40.

The finding, from researchers at the Mississippi Sports Medicine and Orthopaedic Center, which were to be presented Thursday at the American Orthopaedic Society for Sports Medicine annual meeting, in Orlando, Fla., raises the question as to whether other alternatives would be better for younger ACL patients.

An estimated 800,000 ACL tears occur each year in the United States, with the number of ACL replacement surgeries correspondingly high.

Golf legend Tiger Woods may be the most recent well-known casualty. He recently announced that he would be undergoing ACL surgery this year, requiring him to sit out the rest of the 2008 season.

"The ACL is one of the ligaments in the center part of the knee that stops the shin bone from sliding forward," explained Dr. Derek K. Lichota, an assistant professor of surgery at Texas A & M Health Science Center College of Medicine and a sports medicine physician at Scott & White. "When you rupture it, the majority of patients' knees become unstable so, routinely, especially for young, active people, we recommend reconstruction."

The choices for reconstruction include a ligament from the patellar-tendon bone, the hamstring tendons or a ligament from a cadaver.

For this study, 64 patients aged 40 or older who had undergone ACL reconstruction with a replacement ligament from a cadaver were followed for at least two years.

Almost one-quarter (23.4 percent) of the reconstructions failed, meaning the patient had to undergo a second reconstruction because of additional injury, graft failure or low scores on a test of function.

The failure rate in an older group was only 2.4 percent.

While the findings may raise some red flags, a number of questions go unanswered, Lichota said.

"They don't tell us if the patients were braced postoperatively," he said, or when the second rupture occurred or the failure rates in specific subgroups of patients.

Also, the researchers did not describe the particular technique used for each replacement. "My concern is that we may be comparing apples to oranges," said Dr. William Levine, chief of sports medicine at NewYork-Presbyterian Hospital/Columbia in New York City.

More information

Visit the U.S. National Library of Medicine for more on ACL reconstruction.



SOURCES: Derek K. Lichota, M.D., assistant professor, surgery, Texas A&M Health Science Center College of Medicine, and sports medicine physician, Scott & White; William Levine, M.D., chief, sports medicine, NewYork-Presbyterian Hospital/Columbia, New York City; July 10, 2008, presentation, American Orthopaedic Society for Sports Medicine, annual meeting, Orlando, Fla.


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Reconstruction surgery rarely discussed with breast cancer patients
2. Most breast cancer surgeons dont talk to patients about reconstruction options, U-M study finds
3. Breast Cancer Surgeons Dont Discuss Reconstruction Options
4. Implants Double Infection Risk After Breast Reconstruction
5. Smith & Nephew Orthopaedic Reconstruction Global Management Team Announced
6. Body identification by facial reconstruction will cost less time and money
7. Lack of patient-provider discussion contributes to disparities in use of breast reconstruction
8. Doctor-Patient Talks Affect Use of Breast Reconstruction Surgery
9. Breast Reconstruction Advances Fix Distortions Left by Lumpectomy
10. Breast reconstruction advances fix distortions left by lumpectomy
11. 98 percent of elective mastectomy patients would have reconstruction again, says ASPS study
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
ACL Reconstruction With Cadaver Tissue Risky in Younger Patients
(Date:5/21/2017)... ... May 19, 2017 , ... HealthSmart, the largest ... James (Jim) Vertino as Chief Information Officer (CIO). He will be joining HealthSmart ... innovation and business performance. He defines strategic roadmaps by reimagining business processes—bridging the ...
(Date:5/21/2017)... , ... May 21, 2017 , ... Florida Pain Relief ... opening of its newest location at 109 Silver Palm Ave., Melbourne, on Monday, May ... , With the opening of the Melbourne practice, PPOA operates 23 pain management clinics ...
(Date:5/19/2017)... ... 19, 2017 , ... A leader in higher education and ... recruitment efforts for the inaugural cohort of its online Master of Health ... to approach and address the unique nuances healthcare organizations face using a business-minded ...
(Date:5/19/2017)... ... May 19, 2017 , ... The ... planning assistance to families and business owners in the region, is embarking on ... MS sufferers and their families. , Multiple sclerosis (MS) is a demyelinating disease ...
(Date:5/19/2017)... Scottsdale, AZ (PRWEB) , ... May 18, 2017 , ... ... are known for being non-irritating while extremely helpful for mouth and gum health, which ... first introduced their professionals and customers learned quickly of the powerful ways in which ...
Breaking Medicine News(10 mins):
(Date:5/6/2017)... is Stroke Awareness Month and Omron Healthcare is reminding ... prevent a stroke: monitor and manage your blood pressure. ... undetected and uncontrolled hypertension is a leading risk factor ... personal heart health technology, recently evolved its mission to ... and is advancing a national public education effort to ...
(Date:5/4/2017)... , May 4, 2017 Clarius Mobile ... wireless, handheld ultrasound scanners this week at the ... Meeting (ACOG) in San Diego, CA ... "Clarius is the perfect tool for clinicians ... heart rate, and evaluate pregnancy-related complications like ectopic ...
(Date:5/4/2017)... 2017   BioLife Solutions , Inc. (NASDAQ: ... of proprietary clinical grade hypothermic storage and ... today announced that the Company,s first quarter 2017 financial ... May 11, 2017, and that the Company will host ... PT that afternoon. Management will provide an overview of ...
Breaking Medicine Technology: