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:6/26/2016)... ... ... PawPaws brand pet supplements owned by Whole Health Supply is ... of felines. The formula is all-natural and is made from Chinese herbs that have ... Kidney Support Supplement Soft Chews are Astragalus Root Extract and Rehmannia Root Extract ...
(Date:6/25/2016)... ... 2016 , ... Experts from the American Institutes for Research ... June 26-28, 2016, at the Hynes Convention Center in Boston. , AIR experts ... planning, healthcare costs and patient and family engagement. , AIR researchers will be ...
(Date:6/25/2016)... Viejo, California (PRWEB) , ... June 25, 2016 , ... ... to fit their specific project," said Christina Austin - CEO of Pixel Film Studios. ... fully customizable and all within Final Cut Pro X . Simply select a ...
(Date:6/25/2016)... , ... June 25, 2016 , ... ... and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as a ... area —Johnson is one of the first doctors to perform the treatment. Orthobiologics ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published June ... with. The article goes on to state that individuals are now more comfortable seeking ... common operations such as calf and cheek reduction. The Los Angeles area medical group, ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 2016 Any dentist who has made an implant ... process. Many of them do not even offer this as ... high laboratory costs involved. And those who ARE able to ... a high cost that the majority of today,s patients would ... Parsa Zadeh , founder of Dental Evolutions Inc. and inventor ...
(Date:6/23/2016)... LOS ANGELES , June 23, 2016 /PRNewswire/ ... (NASDAQ: CAPR ), a biotechnology company ... first-in-class therapeutics, today announced that patient enrollment in ... progrEssion in Duchenne) has exceeded 50% of its ... its enrollment in the third quarter of 2016, ...
(Date:6/23/2016)... 2016  Astellas today announced the establishment of Astellas Farma Colombia (AFC), a new affiliate with operations headquartered in ... America . ... ... ... ...
Breaking Medicine Technology: