11 Jul Young Women At Increased Risk of Re-Tear After ACL Surgery

MedicalResearch.com Interview with:
Dr. Duong Nguyen, Medicine Professional Corporation
MD,MSc(c),FRCSC,DipABOS,DipSportsMed(ABOS),FAAOS,CIME

Dr. Duong Nguyen

Diplomate of the American Board of Orthopaedic Surgery
Subspecialty Board Certification in Sports Medicine
Fellow of the American Academy of Orthopaedic Surgeons
Certified Independent Medical Examiner (ABIME)
Diplomate Sport & Exercise Medicine (CASEM)
Arthroscopic & Reconstructive Shoulder,Elbow & Knee Surgery
Medical Director / Urgent Sports Injury & Fracture Clinic
MSc Candidate/ Clinical Epidemiology & Health Research Methodology
Adjunct Clinical Professor – McMaster University
Toronto, ON.

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: ACL re-tear after surgery is a serious complication in the sports medicine world with many implications for the athlete such as lost game time, the morbidity of a second surgery and extended rehabilitation, lost scholarship, decreased self esteem and social isolation,as well as decreased academic performance.

We found in our study that athletes who are less than 25, are female, and have a graft size less than 8 mm are at increased risk for ACL re-tear after surgery.

MedicalResearch.com: What should readers take away from your report?

Response: Readers should ask their physicians to counsel their patients who are female, younger than 25 and with a graft size less than 8 mm accordingly and consider modifying their surgical or rehabilitation techniques to mitigate these re-tear risks.

MedicalResearch.com: What recommendations do you have for future research as a result of this study?

Response: New surgical and rehabilitation techniques are currently being investigated to potentially address these risk factors such as allograft augmentation, adding fixation points on the tibial side with suture anchors , using docking fixation techniques instead of tunnels, biologic augmentation with stem cell and plasma rich platelets, augmenting fixation with an anterolateral ligament (ALL) reconstruction, and improving neuromuscular training exercises / functional tests during the rehabilitation/return to play stages.

MedicalResearch.com: Is there anything else you would like to add?

Response: ACL re-tear is multifactorial and physicians should also consider other potential causes such as the specific sport played, the athlete’s level of competition and position on the team, the extent of contact in the sports activity, and the patient’s tendency for risk taking behavior which are harder to quantify and control in a study’

MedicalResearch.com: Thank you for your contribution to the MedicalResearch.com community.

Citation:

Abstract presented at the
American Orthopaedic Society of Sports Medicine’s (AOSSM) Annual Meeting in Colorado Springs, CO. Sunday July 20 2016

Note: Content is Not intended as medical advice. Please consult your health care provider regarding your specific medical condition and questions.

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Last Updated on July 11, 2016 by Marie Benz MD FAAD