CALVO RODRIGUEZ, RAFAEL
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CALVO RODRIGUEZ, RAFAEL
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rcalvo@udd.cl
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20733524800

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Vancomycin presoaking of hamstring autografts to prevent infection in anterior cruciate ligament reconstruction: a narrative review

2021 , FIGUEROA BERRIOS, FRANCISCO JAVIER , Alex Vaisman , CALVO RODRIGUEZ, RAFAEL , David Figueroa , João Espregueira-Mendes

Hamstring autograft use has been linked to an increased risk of infection after anterior cruciate (ACL) reconstruction compared to other grafts. The absolute reason for this remains unclear, with contamination after harvesting and preparation of the graft being the most accepted hypothesis. Using the rationale that a contaminated graft could be the main factor in postoperative septic arthritis and in an effort to maximize the antibiotic efficacy of the graft, the Vancomycin presoaking technique was developed. It has shown success in decreasing the infection rate in ACL reconstruction. In recent years, an important number of research articles using this protocol have appeared, but the technique is still not widely implemented. Recent literature shows that Vancomycin presoaking of the graft has shown a successful decrease in the infection rate after hamstring autograft ACL reconstruction. It has also shown efficacy decreasing the infection rate in other types of grafts (patellar tendon, quadriceps tendon, allograft) and also in patients with concomitant ligament procedures or open surgeries. Despite the positive effects of Vancomycin presoaking reducing the infection rate after ACL reconstruction, the lack of prospective randomized control trials and the heterogeneity of the different studies mean it is not feasible to recommend Vancomycin presoaking of the graft universally for every ACL reconstruction patient. Cite this article: EFORT Open Rev 2021;6:211-216. DOI: 10.1302/2058-5241.6.200059

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Magnetic Resonance Imaging Evaluation of the Integration and Maturation of Semitendinosus-Gracilis Graft in Anterior Cruciate Ligament Reconstruction Using Autologous Platelet Concentrate

2010 , FIGUEROA POBLETE, DAVID HUMBERTO , Patricio Melean , CALVO RODRIGUEZ, RAFAEL , Alex Vaisman , Nicolás Zilleruelo , FIGUEROA BERRIOS, FRANCISCO JAVIER , Ignacio Villalón

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Osteochondral autografts in full thickness patella cartilage lesions

2011 , FIGUEROA POBLETE, DAVID HUMBERTO , Patricio Meleán , CALVO RODRIGUEZ, RAFAEL , Federico Gili , Nicolas Zilleruelo , Alex Vaisman

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Clinical outcomes after arthroscopic treatment of knee osteoarthritis

2013 , FIGUEROA POBLETE, DAVID HUMBERTO , CALVO RODRIGUEZ, RAFAEL , Ignacio E. Villalón , Patricio Meleán , Felipe Novoa , Alex Vaisman

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Aloinjertos óseos y la función del banco de huesos

2011 , CALVO RODRIGUEZ, RAFAEL , FIGUEROA POBLETE, DAVID HUMBERTO , Claudio Díaz-Ledezma , Alex Vaisman , FIGUEROA BERRIOS, FRANCISCO JAVIER

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Trends in Total Knee Arthroplasty in a Developing Region: A Survey of Latin American Orthopaedic Surgeons

2020 , David Limo Figueroa , FIGUEROA BERRIOS, FRANCISCO JAVIER , CALVO RODRIGUEZ, RAFAEL , Alex Vaisman , Figueroa, María , Sven Putnis

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Knee Chondral Lesions: Incidence and Correlation Between Arthroscopic and Magnetic Resonance Findings

2007 , FIGUEROA POBLETE, DAVID HUMBERTO , CALVO RODRIGUEZ, RAFAEL , Alex Vaisman , Miguel A. Carrasco , Claudio Moraga , DELGADO BECERRA, OROZIMBA IRIS

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Five-Strand Hamstring Autograft Versus Quadruple Hamstring Autograft With Graft Diameters 8.0 Millimeters or More in Anterior Cruciate Ligament Reconstruction: Clinical Outcomes With a Minimum 2-Year Follow-Up

2017 , CALVO RODRIGUEZ, RAFAEL , David Figueroa , Alex Vaisman , Francisco Figueroa , Andrés Schmidt-Hebbel , Nelson Morales , Guillermo Izquierdo

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Platelet-Rich Plasma Use in Anterior Cruciate Ligament Surgery: Systematic Review of the Literature

2015 , FIGUEROA POBLETE, DAVID HUMBERTO , FIGUEROA BERRIOS, FRANCISCO JAVIER , CALVO RODRIGUEZ, RAFAEL , Alex Vaisman , Ximena Ahumada , Sergio Arellano

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Lower Limb Symmetry: Comparison of Muscular Power Between Dominant and Nondominant Legs in Healthy Young Adults Associated With Single-Leg-Dominant Sports

2017 , Alex Vaisman , Rodrigo Guiloff , Juan Rojas , DELGADO BECERRA, OROZIMBA IRIS , David Figueroa , CALVO RODRIGUEZ, RAFAEL

Background:Achieving a symmetrical power performance (difference <15%) between lower limbs is generally recommended during sports rehabilitation. However, athletes in single-leg-dominant sports, such as professional soccer players, could develop significant asymmetry between their dominant and nondominant legs, such that symmetry does not act as a viable comparison.Purpose:To (1) compare maximal muscular power between the dominant and nondominant legs in healthy young adults, (2) evaluate the effect of a single-leg-dominant sport activity performed at the professional level, and (3) propose a parameter of normality for maximal power difference in the lower limbs of this young adult population.Study Design:Controlled laboratory study.Methods:A total of 78 healthy, male, young adults were divided into 2 groups according to sport activity level. Group 1 consisted of 51 nonathletes (mean ± SD age, 20.8 ± 1.5 years; weight, 71.9 ± 10.5 kg) who participated in less than 8 hours a week of recreational physical activity with nonspecific training; group 2 consisted of 27 single-leg-dominant professional soccer players (age, 18.4 ± 0.6 years; weight, 70.1 ± 7.5 kg) who specifically trained and competed at their particular activity 8 hours or more a week. For assessment of maximal leg power, both groups completed the single-leg squat jump test. Dominance was determined when participants completed 2 of 3 specific tests with the same extremity. Statistical analysis included the Student t test.Results:No statistical difference was found for maximal power between dominant and nondominant legs for nonathletes ( t = –1.01, P = .316) or single-leg-dominant professional soccer players ( t = –1.10, P = .281). A majority (95%) of participants studied showed a power difference of less than 15% between their lower extremities.Conclusion:Among young healthy adults, symmetrical power performance is expected between lower extremities independent of the existence of dominance and difference in sport activity level. A less than 15% difference in power seems to be a proper parameter to define symmetrical power performance assessed by vertical single-leg jump tests.

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