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Joanna Baawa-Ameyaw Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Ricci Plastow Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Fahima Aarah Begum Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Babar Kayani Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Hyder Jeddy Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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Fares Haddad Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK

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emerging evidence regarding the indications and outcomes for adjuvant surgical procedures to provide additional stability such as extra-articular tenodesis. This instructional review explores the existing medical literature on clinical outcomes with these

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E. Carlos Rodríguez-Merchán Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain

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Hortensia De la Corte-Rodríguez Department of Physical and Rehabilitation Medicine, La Paz University Hospital, Madrid, Spain

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Carlos A. Encinas-Ullán Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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Primitivo Gómez-Cardero Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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reconstruction of an injured ligament * Use of a structurally weak graft * Non-anatomic placement of ligamentous grafts * Inadequate fixation of grafts Inadequate postoperative rehabilitation protocol Possible additional traumatic events

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Michele Boffano CTO Hospital Turin, Italy

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Stefano Mortera CTO Hospital Turin, Italy

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Hazem Wafa Glasgow Royal Infirmary, Glasgow, UK

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Raimondo Piana CTO Hospital Turin, Italy

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of surgery type but there is no evidence that an acute treatment can restore the previous anatomy. Vertical and horizontal post-operative AC joint stability 10 are the main factors affecting final outcome; in fact, the best results are recorded

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Francisco Figueroa Clinica Alemana-Universidad del Desarrollo, Santiago, Chile
Hospital Sotero del Rio, Santiago, Chile

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David Figueroa Clinica Alemana-Universidad del Desarrollo, Santiago, Chile

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Rafael Calvo Clinica Alemana-Universidad del Desarrollo, Santiago, Chile

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Alex Vaisman Clinica Alemana-Universidad del Desarrollo, Santiago, Chile
Hospital Padre Hurtado, Santiago, Chile

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João Espregueira-Mendes Clínica do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of Excellence, Portugal; Dom Henrique Research Centre, Portugal; 3B’s Research Group – Biomaterials, Biodegradables and Biomimetics, University of Minho, Portugal; ICVS/3B’s–PT Government Associate Laboratory, Portugal; Orthopaedics Department of Minho University, Portugal

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last outcomes, they excluded from analysis any graft different from hamstring, as well as revision ACL surgery. Twenty-two out of 926 patients (2%) without Vancomycin presoaked grafts suffered a postoperative deep knee infection. In contrast, there were

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Mattia Alessio-Mazzola IRCCS Ospedale San Raffaele, Unità Clinica di Ortopedia e Traumatologia, Via Olgettina, Milan, Italy

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Giacomo Placella Università Vita-Salute San Raffaele, Via Olgettina, Milan, Italy

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Luigi Zagra Hip Department, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

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Orlando Leone Università Vita-Salute San Raffaele, Via Olgettina, Milan, Italy

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Natasha Di Fabio Università Vita-Salute San Raffaele, Via Olgettina, Milan, Italy

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Desiree Moharamzadeh IRCCS Ospedale San Raffaele, Unità Clinica di Ortopedia e Traumatologia, Via Olgettina, Milan, Italy

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Vincenzo Salini Università Vita-Salute San Raffaele, Via Olgettina, Milan, Italy

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increasing number of cases of TKA post-ACL reconstruction. The results of TKA following ACL reconstructions are still under-investigated as only a few researches ( 9 , 10 ) reported detailed outcomes and complications of this specific cohort of patients

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Louis Dagneaux Lapeyronie University Hospital of Montpellier, France

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Julien Bourlez Lapeyronie University Hospital of Montpellier, France

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Benjamin Degeorge Lapeyronie University Hospital of Montpellier, France

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François Canovas Lapeyronie University Hospital of Montpellier, France

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the following ( Table 2 ): the rate of return to sports activities for UKAs is greater, 24 – 26 as well as the postoperative performances, 26 duration of sessions 25 and the variety of activities. 24 Regarding recovery time, results

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Vicente Carlos da Silva Campos Hospital Curry Cabral, Lisboa, Portugal

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Francisco Guerra Pinto Hospital Ortopédico de Sant’Ana, Hospital Cruz Vermelha Portuguesa, Universidad de Barcelona, Nova Medical School, Lisboa, Portugal

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Diogo Constantino Hospital Curry Cabral, Lisboa, Portugal

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Renato Andrade Clínica Do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of Excellence, Porto, Portugal
Porto Biomechanics Laboratory (LABIOMEP), Faculty of Sports, University of Porto, Porto, Portugal

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João Espregueira-Mendes Clínica Do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of Excellence, Porto, Portugal
Dom Henrique Research Centre, Porto, Portugal
ICVS/3Bs, PT Government Associate Laboratory, Braga/Guimarães, Portugal
School of Medicine, Minho University, Braga, Portugal

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techniques. 17 – 22 The most frequent concerns in medial collateral release are the iatrogenic rupture of the MCL, saphenous nerve or vascular injury, residual instability and postoperative pain. 21 The prevalence of this surgical gesture has not

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Jimmy Wui Guan Ng Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, UK

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Yulanda Myint Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, UK

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Fazal M. Ali Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, UK

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characteristics, the literature on timing of surgery for multiligament knee injury is unclear and conflicting. Early literature suggested that delayed reconstruction yielded better outcomes. This was due to the post-operative rehabilitation and especially the

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Fahima A. Begum Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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Babar Kayani Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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Justin S. Chang Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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Rosamond J. Tansey Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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Fares S. Haddad Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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injuries, pooled outcomes for low- and high-grade injuries, mixed varying preoperative imaging modalities, and undertaken operative intervention with heterogeneity in the surgical techniques and postoperative rehabilitation protocols. 4 , 6 – 11

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Nikolaos K. Paschos University of California, Davis, USA

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Stephen M. Howell University of California, Davis, USA

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strength deficit of 20% was found to be among the most important predictors of poor clinical outcome, associated with an approximately 15% decrease at two years post-operatively, when a deficit was present. 41 Furthermore, quadriceps with strength

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