Anterolateral Ligament Reconstruction Does Not Delay Functional Recovery, Rehabilitation, and Return to Sport After Anterior Cruciate Ligament Reconstruction: A Matched-Pair Analysis From the SANTI (Scientific ACL Network International) Study Group.

PurposeTo determine whether the addition of an anterolateral ligament reconstruction (ALLR) resulted in delayed functional recovery (based on the Knee Santy Athletic Return to Sport [K-STARTS] score) at 6 months after anterior cruciate ligament reconstruction (ACLR).MethodsA retrospective analysis of prospectively collected data from consecutive patients who underwent an ACLR between September 2017 and December 2020 was conducted. Patients who received an isolated hamstring autograft (isolated ACLR group) were propensity matched in a 1:1 ratio to patients who received a hamstring autograft ACLR combined with an ALLR (ACLR-ALLR group). Outcome measures included the Tegner Activity Scale and the K-STARTS test-a validated composite return-to-sports test (including the Anterior Cruciate Ligament-Return to Sport After Injury scale, Qualitative Assessment of Single-Leg Landing tool, limb symmetry index, and ability to change direction using the Modified Illinois Change of Direction Test).ResultsThe study included 111 matched pairs. At 6 months postoperatively, there were no significant differences between groups in the overall K-STARTS score (65.4 for isolated ACLR vs 61.2 for ACLR-ALLR, P = .087) or the Tegner Activity Scale score (3.7 for isolated ACLR vs 3.8 for ACLR-ALLR, P = .45). In addition, an evaluation of the subscales of the K-STARTS score revealed no disadvantage across the domains of neuromuscular control, limb symmetry index, agility, or psychological readiness to return to sport when an ALLR was performed.ConclusionsThe addition of ALLR at the time of ACLR does not delay functional recovery. Specifically, at 6 months postoperatively, there was no disadvantage in patients undergoing ALLR-ACLR, when compared with those undergoing isolated ACLR, with respect to neuromuscular control, limb symmetry indices (hop tests), agility, or psychological readiness to return to sport.Level of evidenceLevel III, retrospective comparative study

Thermal-Crack Polygons on Mars: Link Between Their Density/Type and the Geology of the Substrate

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PREFERENTIAL DISTRIBUTION OF ICE-WEDGE POLYGONS IN RELATION TO REGOLITH PROPERTIES (UTOPIA PLANITIA, MARS)

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Molards as proxies of permafrost degradation: investigating physical downscaled models

International audienceCurrent climate change causes an increasing retreat of mountain permafrost. This retreat presents safety hazards due to more frequent slope instabilities. Thus assessing the state and evolution of permafrost is crucial. Unfortunately, mapping permafrost extent and retreat is not as simple as for other cryospheric landforms because permafrost is not directly detectable by remote sensing. However, in some mountain landslides, one can observe remnants of formerly ice-cemented blocks that degrade into cones of loose debris. These so-called molards imply the presence of an area of discontinuous permafrost at the level of the detachment zone. To understand the processes that form molards we studied the degradation of the initial ice-cemented blocks by physical modeling. In nature, the height of these initial blocks ranges from 50 cm to up to 15 meters. For our experiments, it was, therefore, necessary to downscale the initial block to a more manageable cube size of 30 cm. These blocks are left to degrade under a controlled lab environment while being observed by a timelapse photogrammetric system as well as temperature and humidity sensors. The current experiments are investigating the effect of different sediment compositions, shape- and slope parameters on the decay and shape of the resulting molards. We find that especially the content of very fine sediment has a strong impact on the decay of the initial block due to its strong cohesion. These initial results will be used to scale the experiment to the maximum size feasible in the lab: a 70 cm cube with a weight of up to 700 kg. The final goal is to create a numerical model based on the experimental findings, making it possible to distinguish molards from other similar landforms, such as hummocks or hummocky moraines. This knowledge can be used in the long term to identify and study these molards via remote sensing over a much larger area

Etude expérimentale du lien entre molards et pergélisol : le projet PERMOLARDS

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Relationship between thermal-contraction polygons and substrate properties on Mars

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Link between molards and permafrost degradation: an experimental study

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Relationship between the density/type of thermal-contraction polygons and the geology of the substrate at the Martian midlatitudes.

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Etude expérimentale du lien entre molards et pergélisol : le projet PERMOLARDS

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Etude expérimentale du lien entre molards et pergélisol : le projet PERMOLARDS

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