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";s:4:"text";s:28591:"The clinical effective rate revealed no difference between the groups at 6 months postoperatively (non-inferiority analysis P = 0.0220). Epub 2012 Jan 28. The results were classified as excellent (over 87 points), good (7786 points), fair (6776 points), or poor (below 66 points). Secondly, the endobutton may not be seated fully onto the outer had an effect on clinical outcomes. Due to its resistance to hydrolysis and oxidation, PEEK materials represent stable and biocompatible materials. The buttons consist of a flat plate, usually with two or four holes where the . PEEK can encourage bony incorporation with bioactive elements reinforcement such as hydroxyapatite and tricalcium phosphate (20). The study was approved by the medical ethics board of Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University (NO. At 6 months post-operation, the mean (SD) Lysholm knee scores in groups 1 and 2 were 87.9 points (11.04) and 89.2 points (13.62), respectively. Int Orthop. After 3 months of surgery, there were 51 of 52 (98.1%) patients in group 1 and 48 of 50 (96.0%) patients in group 2 had a negative sign in the pre-Lachman Test which mean the reconstructed ACL had provided enough strength support for the stability of the involved knee. The clinical effective rate was calculated and classified as excellent and good at 6 months postoperatively. The MRI graft signal intensity scale. When you encounter a 404 error in WordPress, you have two options for correcting it. than those without tissue interposition. This could facilitate the early return to sports without any loosening of the fixed graft. For addon domains, the file must be in public_html/addondomain.com/example/Example/ and the names are case-sensitive. 2022 Nov 7;10:1003591. doi: 10.3389/fpubh.2022.1003591. One patient in group 1 was excluded during hospitalization because of the exclusion criteria. Taketomi S, Inui H, Hirota J, Nakamura K, Sanada T, et al. Results: The mean age of the patients was 32.5 years (range, 1865 years), and they all had a follow-up time of 6 months. Harris reported in his study that there was no loss of extension >3 degrees as compared with the contralateral knee in any patient. AccessGUDID - ENDOBUTTON (03596010657626)- 1.2 ENDOBUTTON CL ULTRA PAC. Epub 2017 Dec 9. Based on the Lysholm knee scoring results at 6 months postoperatively, the clinical effective rate in group 1 was 90.4%, compared with 88.0% in group 2. The purpose of this study is to evaluate both subjective and objective clinical results, as well as functional recovery time, after selective arthroscopic single . The easiest way to edit a .htaccess file for most people is through the File Manager in cPanel. For graft signal intensity evaluation: grade 1 (3 points): the graft segment showed uniform low signal intensity; grade 2 (2 points): at least 50% of the graft had normal signal intensity; grade 3 (1 point): <50% of the graft had normal signal intensity; grade 4 (0 point): abnormal mixed signal intensity of the graft cord structure. A case report. The effect of soft tissue interposition of the Endobutton on clinical results and on its postoperative migration after single-bundle anterior cruciate ligament reconstruction. Disclaimer. Unable to process the form. Uchida et al. According to Biostatistics Technical Guidelines for Clinical Trials of Chemical Drugs and Biological Products, was set as 0.05 on both sides. such as the Endobutton (Smith & Nephew) and transfixation devices [10, 11]. The TightRope ABS may be used for tibial fixation of the GraftLink technique for all-inside ACL reconstruction technique or for fixation of the graft over small bone tunnels created during transtibial ACL reconstruction. After 3 months of surgery, there were 51 of 52 (98.1%) patients in group 1 and 48 of 50 (96.0%) patients in group 2 had a negative sign on pre-Lachman Test, compared with 51 of 52 patients in group 1 and 49 of 50 patients in group 2 shown positive sign in pre-Lachman Test before surgery. Strength of interference screw fixation of meniscus prosthesis matches native meniscus attachments. Mae The study population consisted of 71 (68.3%) men and 33 (31.7%) women. They found that endobuttons Contact sports were not allowed until at least 6 months after surgery. One patient in group 2 planned to use the experiment interface screw which was contaminated during the operation. the lateral supracondylar line, migrated more frequently with no doi: 10.1016/j.arthro.2019.11.119, 24. doi: 10.1016/j.arthro.2014.11.011, 4. 2022 May 6;10(5):23259671221094292. doi: 10.1177/23259671221094292. The annual incidence is increasing and is commoner among the professional athlete than the armature ones [1]. The maximum obtainable score is 100 points. Endobutton (A) and PEEK interface screw (B) of Delta Medical applied in group 1. endobutton acl mri safety sheetz employee stock ownership June 23, 2022. social dynamic synonym . interposition nor migration of the endobutton affected the clinical intraoperative fracture. Please visit: appliedradiology.org/MRISafety/, The Institute for Magnetic Resonance Safety, Education, and Research (IMRSER) was formed in response to the growing need for information and research regarding MRI safety. Arch Orthop Trauma Surg. MRI BIOEFFECTS, SAFETY, AND PATIENT MANAGEMENT: SECOND EDITION is a comprehensive, authoritative textbook on the health and safety concerns of MRI technology that contains contributions from more than fifty internationally respected experts in the field. Orthop J Sports Med. The mean active range of flexion motion increased significantly in both groups after ACL reconstruction. into the joint, the causes would be similar to those that caused it Group 1 used Delta Medical's PEEK interference screw and EndoButton, while group 2 used Smith & Nephew's PEEK interference screw and EndoButton. On platforms that enforce case-sensitivity example and Example are not the same locations. Clinical comparisons between the transtibial technique and the far anteromedial portal technique for posterolateral femoral tunnel drilling in anatomic double-bundle anterior cruciate ligament reconstruction. Knee. (I) Patients who have participated in other medical device trials within 3 months; (II) Patients with severe allergies; (III) Patients with abnormal liver and kidney function and coagulation disorders; (IV) Patients who have serious heart and lung diseases that restrict their participation in the study; (V) Patients have poor compliance with mental disorder; (VI) Patients have a positive pregnancy test; (VII)There is evidence that the subject abuses drugs; (VIII)Patients with peripheral nerve injury at the surgical site; (IX) Patients with myocardial infarction within 6 months and a history of cerebral infarction within 3 months; (X)The investigator believes that there are other circumstances that patients are inappropriate to participate in this clinical trial. 2021 Jan 19;9(1):2325967120974349. doi: 10.1177/2325967120974349. school of professional studies acceptance rate duplexes for rent in lebanon, mo duplexes for rent in lebanon, mo (2022) 30:2033. available. This is important considering that the financial burden for patients using Smith & Nephew's PEEK interference screw and EndoButton is relatively high, especially in developing countries with poor insurance coverage. Visit: IMRSER Videos. What is claimed is: 1. Radiographic evaluation of anterior cruciate ligament (ACL) reconstruction involves: femoral component a line is drawn along the posterior cortex of the femur a second line is drawn along the roof of the intercondylar notch of the femur (Blume. You may need to scroll to find it. Bony ingrowth of coil-type open-architecture anchors compared with screw-type PEEK anchors for the medial row in rotator cuff repair: a randomized controlled trial. A total of 104 patients were enrolled in this study (53 patients in group 1 and 51 patients in group 2). Anterior cruciate ligament reconstruction proved to be the The laxity examination of the involved knee after ACL reconstruction included the Lachman test and Drawer test. (2011) 27:152835. Arthroscopy. Tissue interposition between the EndoButton and femoral lateral cortex was found in 51 EndoButtons (25.2%) on the radiographs obtained immediately after ACL reconstruction, whereas EndoButtons with tissue interposition migrated more frequently than those without it 1 year after ACL reconstruction. Administrative support: YX and JW. Floor polishers are poor MRI system cleaners! Training is available through AppliedRadiology.com. Before you do anything, it is suggested that you backup your website so that you can revert back to a previous version if something goes wrong. HHS Vulnerability Disclosure, Help TightRope ABS Implant System, 11 mm Concave Button with ABS TightRope Implant and Round ABS TightRope Button, 11 mm, TightRope ABS Implant System, 14 mm Concave Button with ABS TightRope Implant and Round ABS TightRope Button, 14 mm, TightRope ABS Implant System, 20 mm Concave Button with ABS TightRope Implant and Round ABS TightRope Button, 20 mm, TightRope ABS, Button, Oblong 3.4 x 13 mm, TightRope ABS Button, Round, Concave 11 mm, TightRope ABS Button, Round, Concave 14 mm, TightRope ABS Button, Round, Concave 20 mm, Autograft GraftLink Implant System, for InternalBrace Technique, Allograft GraftLink Implant System, for InternalBrace Technique, 06:23 | English | 12/08/2016 | VID1-00808-EN B, 05:38 | English | 12/08/2016 | VID1-00461-EN B, 10:33 | English | 10/18/2017 | VPT1-00830-EN A, English | 02/11/2022 | LA2-000147-en-US A. Arthroscopy was performed to determine the ACL injury, possible concomitant injuries, and decide whether ACLR should be performed. Table 1. The distance between the EndoButton and lateral femoral cortex was measured on the radiograph obtained immediately postoperatively, and more than 1 mm in distance was defined as positive tissue interposition. With regards to post operative complications, these include late (2000) 103:46874. to be stuck in the tunnel, except that it has migrated even further. . Sheps DM, Reed JG, Hildebrand KA, Hiemstra LA (2006) Supracondylar smaller it is, the great the force applied per unit area, for a given Bioabsorbable versus metallic interference screws for graft fixation in anterior cruciate ligament reconstruction. Prospective and randomized clinical evaluation of hamstring versus patellar tendon autograft for anterior cruciate ligament reconstruction in soccer players. Therefore, one should Knee Surg Sports Traumatol Arthrosc. J Mech Behav Biomed Mater. However, due to the unstable degeneration rate and material properties of BISs, tissue reaction, screw migration, bone cyst or abscess formation, screw breakage, and bone tunnel widening have been reported in arthroscopic ACL reconstruction (1618). There was no loss of flexion >5 degrees as compared with the contralateral knee in any ACL reconstruction patient who completed objective follow-up (31). Shumborski S, Heath E, Salmon LJ, Roe JP, Linklater JP, Facek M, et al. this is that the guide wire is not inserted in a straight line, causing Ortop Traumatol Rehabil. et al. Programs for MR personnel include: "Introduction to MRI Safety", "Basic MRI Safety Training", and "Advanced MRI Safety Training For Healthcare Professionals". Intraoperative complications include intra-articular placement of the hardware, which hopefully will be recognized during the procedure and adjusted accordingly ( Fig. Uchida R, Mae T, Matsumoto N, Kuroda S, Toritsuka Y, Shino K. Knee Surg Sports Traumatol Arthrosc. Louis, Ph.D in Science from the Federal University of Alagoas, UFAL, Brazil, Assistant Professor in College of Architecture, Art and Design, Interim Dean, College of Education and Health Sciences, Director of Biomechanics Laboratory, Sport Science Innovation Program, Bridgewater State University, Research & Investigations in Sports Medicine, Modern Concepts & Developments in Agronomy, National Defence University of Malaysia, Malaysia, Khalifa University of Science & Technology, United Arab Emirates, Indian Institute of Technology Kharagpur, India, Council for Agriculture Research and Analysis of Agri Economy (CREA), Italy, King Fahd University of Petroleum and Minerals, Saudi Arabia, Central University of Venezuela, Venezuela, Islamic Azad University Central Tehran Branch, Iran, Paeditric Hospital "Giovanni XXIII", Italy, Universidad Miguel Hernndez de Elche, Spain, National Center for Global Health and Medicine, Japan, Institute of Solid State Physics of RAS, Russia. 2012 May;28(5):658-66. doi: 10.1016/j.arthro.2011.10.025. Both examiners performed three measurements for each clinical and functional range of motion evaluation investigated. Travailleur Autonome Gestion michigan department of corrections directory; endobutton acl mri safety . Conclusions: Knee function and functional scores were improved after ACLR in both groups, regardless of the PEEK interference screw and EndoButton applied. The data of all subjects that met the requirements of the trial protocol were used for statistical analysis. Arthroscopic ACLR surgeries were performed by five senior orthopedic surgeons in the five different medical centers (i.e., the same senior orthopedic surgeon in each medical center). Visit: IMRSER.org, Videos Available on IMRSER include: MRI Safety Training Programs for Levels 1 and 2 MR Personnel, What to Expect During Your MRI, Projectile/Missile Effect videos, and Superconducting magnet quenching shown from both inside and outside the MR system room. The applicability of PEEK-based abutment screws. RewriteCond %{REQUEST_FILENAME} !-f Orthop J Sports Med. Delta Medical's products with a non-inferiority effect and much lower cost, which have already been approved for the medical market by the National Medical Products Administration of China, maybe a suitable alternative for ACL injured patients, especially those with lower incomes. The mean height of the studied population was 169 cm (range, 150190 cm), with a standard deviation of 8 cm. This is potentially either because it Categorical variables used two independent samples chi-square test or Fisher exact probability method according to the situation. The bone-hamstring-bone (BHB) composite graft is a hybrid ligament reconstruction methodology that combines the advantages but eliminates the disadvantages of the bone-patellar tendon-bone (BPTB) and tendon of semitendinosus and gracilis muscle (STG) methods. Guglielmetti LGB, Salas VER, Jorge PB, Severino FR, Duarte A, de Oliveira VM, et al. BackgroundTo reduce the costs and financial burden in the ACLR treatment, we compare the early clinical outcomes and Magnetic Resonance Imaging (MRI) results of Delta Medical's PEEK (polyether ether ketone) interference screw and EndoButton with those of Smith & Nephew's PEEK interference screw and EndoButton in patients with arthroscopic anterior cruciate ligament reconstruction.MethodsA . Dendrimer-Based Nanomedicine (Paramagnetic Nanoparticle, Nanocombretastatin, Nanocurcumin) for Glioblastoma Multiforme Imaging and Therapy, Glioblastoma: Targeting Angiogenesis and Tyrosine Kinase Pathways, The Conflict in East Ukraine: A Growing Need for Addiction Research and Substance Use Intervention for Vulnerable Populations, Creative Commons Attribution 4.0 International License. doi: 10.1007/s001130050567, 11. Solano Verde Water District. You can try renaming that file to .htaccess-backup and refreshing the site to see if that resolves the issue. Similarly, we postulate that if the drill Some are metallic and others are absorbed by the body over time. Arnold MP, Calcei JG, Vogel N, Magnussen RA, Clatworthy M, Spalding T, et al. But metal in the scanner can cause serious safety problems or reduce the quality of the images. Epub 2015 May 18. For graft integrity evaluation: grade A (1 point): a clear ligament; grade B (0.5 point): there are folds but still a continuous ligament outline; grade C (0 point): no obvious ligament outline (Tables 1, 2). One cause for A prospective randomized study of 40 patients]. There are other factors that may Patients were enrolled in this study when an ACL injury was diagnosed based on clinical examination and an MRI test. This further promotes the early rehabilitation process including range of motion and weight-bearing exercises. The assessments of Lysholm knee scores at 3 and 6 months produced no statistical differences (both P > 0.05). The purpose of this study was to compare the early clinical outcomes and MRI results of Delta Medical's PEEK interference screw and EndoButton with those of Smith & Nephew's PEEK interference screw and EndoButton in patients with arthroscopic ACL reconstruction. (A) patients in group 1 at 2 weeks post-operation; (B) patients in group 1 at 3 months post-operation; (C) patients in group 2 at 2 weeks post-operation; (D) patients in group 2 at 3 months post-operation. Clin Orthop Surg. Uchida R, Mae T, Matsumoto N, Kuroda S, Toritsuka Y, et al. However, the difference between the groups was not statistically significant. MRI BIOEFFECTS, SAFETY, AND PATIENT MANAGEMENT: SECOND EDITION is a comprehensive, authoritative textbook on the health and safety concerns of MRI technology that contains contributions from more than fifty internationally respected experts in the field. Primary anterior cruciate ligament (ACL) reconstructions with bone-patellar tendon-bone (BPTB) autografts have recently been found to have a lower risk of revision compared with hamstring tendon autografts, and BPTB has again . Anterior cruciate ligament fixation devices: Expected imaging appearance and common complications. Knee Surg Sports Traumatol Arthrosc. Find safety related information pertaining to thousands of specific implants or devices. intraoperative radiography to confirm its position. All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. doi: 10.1016/j.arthro.2011.06.024, 28. Based on the sample size calculation formula (as follows): n = n1 = n2 = 48 can be obtained. 1. 2010;194(2):476-84. The study was approved by the Medical Ethics Board of Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University (No. Lopez CD, Gazgalis A, Peterson JR, Confino JE, Levine WN, Popkin CA, et al. Information of MRI testing of medical implants, materials, and devices performed by Magnetic Resonance Safety Testing Services. Patients were not informed about which material was used, either on the day of the surgery or at the follow-up visits. However, neither tissue interposition nor migration of the EndoButton affected the clinical outcomes. cruciate ligament is performed to restore knee stability and to Delta Medical's PEEK interference screw and EndoButton had a non-inferiority effect compared to Smith & Nephew's PEEK interference screw and EndoButton. doi: 10.1016/j.arthro.2009.12.011, 16. On the other hand, there were no significant differences in clinical outcomes between the cases with or without tissue interposition and between the cases with or without EndoButton migration. The modified Lysholm knee scoring scale was applied to evaluate knee pain (25 points), degree of instability (25 points), locking sensation (15 points), swelling (10 points), using cane or crutches (5 points), limp (5 points), climbing stairs (10 points), and squatting (5 points). Four different parts of the graft at the entrance of the femoral tunnel, the intra-articular part, adjacent to the femoral tunnel part, and the inner section of the femoral tunnel were evaluated separately. Tissue interposition was found for 51 EndoButtons and migration was observed for 71 EndoButtons, and there was a significant difference in the incidence of migration between anteromedial and posterolateral grafts. The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation. (2014) 21:914. The informed consent was taken from all the patients. The purpose of this study was to (1) assess the migration of EndoButtons (Smith & Nephew Endoscopy, Andover, MA) with or without tissue interposition by comparing the radiographs obtained immediately after anterior cruciate ligament (ACL) reconstruction and those obtained during the follow-up period and (2) investigate the effect of tissue interposition or migration of EndoButtons on the clinical outcomes. The Smith & Nephew company has developed a variety of PEEK interference screws and EndoButton that have been widely applied in clinical use. Delta Medical's PEEK interference screw and EndoButton had a non-inferiority effect compared to Smith & Nephew's PEEK interference screw and EndoButton. Graft failure is defined as pathologic laxity of the reconstructed ACL. the outer cortex was over drilled. The distal free ends of the tendons were armed with No. Get in touch. The current trend in anterior cruciate ligament (ACL) reconstruction has shifted to anatomical double-bundle (DB) reconstruction, which reproduces both the anteromedial bundle (AMB) and the posterolateral bundle (PLB) of the ACL. The aim of this study was to describe the contrast-enhanced magnetic resonance imaging (MRI) appearance of bone tunnel enlargement detected on radiography after anterior cruciate ligament (ACL) reconstruction with semitendinosus and gracilis tendon endobutton (STG-endobutton) fixation technique. A total 75 patients (75 knees) who underwent ACL reconstruction with tibialis anterior allografts were investigated between February 2015 and October . were taken immediately postoperatively and at 1 week, 1 month, 3 months, and 1 year. MRI examinations were performed on all patients at 3 and 6 months postoperatively to determine the healing process. A 3-portal technique was used with a anterolateral portal, anteromedial portal, and lower accessory anteromedial portal. (A) patients in group 1 before operation; (B) patients in group 1 at 3 months post-operation; (C) patients in group 1 at 6 months post-operation; (D) patients in group 2 before operation; (E) patients in group 2 at 3 months post-operation; (F) patients in group 2 at 6 months post-operation. Accessibility Before surgery, physical therapy was applied to restore full knee ROM and eliminate knee swelling. Graft Strength and Integrity Score based on MRI. scope before graft insertion. Anterior cruciate ligament (ACL) injuries, which occur in the sports-playing population, commonly involve a complete rupture of the ligament. However, improper deployment of the suspe. MRI examinations were performed on all patients at 3 and 6 months postoperatively to determine the healing process by evaluating the graft signal intensity and integrity. (2014) 109:1929. Clipboard, Search History, and several other advanced features are temporarily unavailable. An office chair was in the wrong place - at ANY time! Computerized tomography (CT) was performed at 2 weeks and 3 months postoperatively to evaluate the complications. posterolateral femoral drill hole breakage. cannot ensure the endobutton has been pulled too far away from the Also, the examiners who evaluated the patients' knees did not know the material used. When you get a 404 error be sure to check the URL that you are attempting to use in your browser.This tells the server what resource it should attempt to request. Navigation systems have also been recently introduced to orthopedic surgical procedures, including ACL reconstruction. National Library of Medicine Confirming Proper Button Deployment of Suspensory Fixation During ACL Reconstruction. Taketomi et al. Public Health 10:1003591. doi: 10.3389/fpubh.2022.1003591. For cases where the EB has fallen Current trends in the anterior cruciate ligament part 1: biology and biomechanics. 2011 Nov;27(11):1528-35. doi : 10.1016 . Biodegradable screw versus a press-fit bone plug fixation for hamstring anterior cruciate ligament reconstruction: a prospective randomized study. Functional range of motion measurement. (2006) 22:48996. The presence of an endobutton is also a potential stress riser The hypothesis is that the Delta Medical's PEEK interference screw and EndoButton have a non-inferiority effect in patients with arthroscopic ACL reconstruction compared with those of Smith & Nephew's PEEK interference screw and EndoButton. Testing procedures are in accordance with the guidelines from The American Society for Testing and Materials (ASTM) International. Plominski J, Borcz K, Kwiatkowski K, Zabicka M. Fixation of patellar tendon bone graft in reconstruction of patellar ligaments. Advances in Anterior Cruciate Ligament Reconstruction (ACLR) techniques over the last three decades have resulted in 80-100% of patients reporting normal to nearly normal outcome scores following ACLR [].Despite these advances, it has been reported that 3-10% of ACL reconstructions fail [].A common factor found in revisions is the issue of fixation of the graft to the bone surface in the . Selective reconstruction may be considered as an option in isolated bundle rupture. An MRI is a very useful tool for helping your doctors see images of the inside of your body, including tissue that can't be seen on a conventional x-ray.. Before your exam, it's very important to fill out the safety screening form carefully. The TightRope Attachable Button System (ABS) is a 2-piece implant that can be passed through narrow bone tunnels, while allowing increased cortical fixation with the assembly of a large button over the cortical bone. Lindtner RA, Schmid R, Nydegger T, Konschake M, Schmoelz W. Pedicle screw anchorage of carbon fiber-reinforced PEEK screws under cyclic loading. CLAIMS . This article provides a review of anterior cruciate ligament (ACL) recon-struction procedures and their normal postoperative appearance. 14. Federal government websites often end in .gov or .mil. Skip to Main Content; National Library of Medicine NLM Tools and Resources FDA UDI Home FDA Medical Devices Home . The mean (SD) Lysholm knee scores in groups 1 and 2 were 80.5 points (14.85) and 83.4 points (11.60) at 3 months, respectively, compared with that 52.7 points (21.46) and 51.8 points (27.26) in groups 1 and 2, preoperatively (both P < 0.05). Arthroscopy. (2021) 8:3635465211030259. doi: 10.1177/03635465211030259, 6. Once the ACL injury had been defined, the tibial and femoral tunnel were marked and prepared. The distance between the EndoButton and lateral femoral cortex was measured on the radiograph obtained . (2013) 21:98694. be contributing to risk of fracture. Magnetic resonance (MR) imaging of the knee has become the most commonly performed musculoskeletal MR examination and is an indispensable tool in the appropriate management of the injured athlete. with tissue interposition migrated significantly more frequently During insertion of the screw, possible complications include laceration of the graft passing suture, advancement of the graft within the bone tunnel, graft laceration . Change the settings back to the previous configuration (before you selected Default). Continuous variables were described using the mean, standard deviation, median, minimum, and maximum values. This is the definitive textbook on MRI safety for radiologists and other physicians, MRI technologists, physicists . The mean active flexion range of motion in this study improved from 117.4 degrees preoperatively to 137.3 degrees in group 1 at 6 months postoperatively, compared with that from 119.8 degrees preoperatively to 137.7 degrees in group 2. Background: To reduce the costs and financial burden in the ACLR treatment, we compare the early clinical outcomes and Magnetic Resonance Imaging (MRI) results of Delta Medical's PEEK (polyether ether ketone) interference screw and EndoButton with those of Smith & Nephew's PEEK interference screw and EndoButton in patients with arthroscopic anterior cruciate ligament reconstruction. Arthroscopy. Muneta T, Sekiya I, Yagishita K, Ogiuchi T, Yamamoto H, et al. Before the operation, the mean (SD) Lysholm knee scores were 52.7 points (21.46) and 51.8 points (27.26) in groups 1 and 2, respectively, and there was no statistically significant difference between the two groups (P = 0.8480). 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