A Five-Year Comparison of Patellar Tendon versus Four-Strand Hamstring Tendon Autograft for Arthroscopic Reconstruction of the Anterior Cruciate Ligament

Pinczewski, Leo A.; Deehan, David J.; Salmon, Lucy J.; Russell, Vivianne J.; Clingeleffer, Amanda J.

doi:10.1177/03635465020300041201

Cited by 263 publications

(251 citation statements)

References 47 publications

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“…In fact, Butler et al 12 tested participants an average of 5 years postoperatively, a time when radiographic osteoarthritis may be influencing lower extremity biomechanics. [24][25][26] When comparing KAM in the ACL þ BB and control groups with the ACL-injury group, we observed strong effect sizes with CIs that did not cross zero. These large effect sizes suggest that participants may have had clinically relevant differences in KAM.…”

Section: Discussionmentioning

confidence: 81%

Knee Frontal-Plane Biomechanics in Adults With or Without Bone Marrow Edema-Like Lesions After Anterior Cruciate Ligament Injury

Thomas

Palmieri-Smith

2017

Journal of Athletic Training

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Context: Lateral subchondral bone bruises (BBs) occur frequently with anterior cruciate ligament (ACL) injuries. These BBs are associated with pain during weight bearing, leading individuals to increase medial tibiofemoral loading to alleviate pain laterally. Increased medial tibiofemoral loading may precipitate the development or progression of posttraumatic osteoarthritis; however, no in vivo biomechanical data exist to confirm that lateral BBs increase medial tibiofemoral loading as measured by the external knee-adduction moment (KAM).Objective: To determine whether lateral BBs after ACL injury increase the external KAM during walking.Design: Descriptive laboratory study. Intervention(s): We recorded peak KAM during 3 walking trials (1.1 6 0.6 m/s) in which participants walked over a force platform located in the field of view of a motion-capture system.Main Outcome Measure(s): Peak KAM was calculated during the first half of stance using standard inverse-dynamics analysis, averaged across trials, and examined via 1-way analysis of variance. Knee pain and function were determined from the International Knee Documentation Committee Subjective Knee Evaluation Form and compared among groups via the Kruskal-Wallis test.Results: Peak KAM did not differ among groups (ACL injury ¼ 0.14 6 0.07 NmÁkg À1 Ám À1 , ACL þ BB ¼ 0.21 6 0.08 NmÁkg À1 Ám À1 , control ¼ 0.20 6 0.08 NmÁkg À1 Ám À1 ; F 2,35 ¼ 3.243, P ¼ .052). Knee-pain frequency and severity were greater in the ACL-injury (frequency ¼ 2.55 6 1.81, severity ¼ 3.36 6 1.75; both P , .001) and ACL þ BB (frequency ¼ 3.58 6 2.81, severity ¼ 4.08 6 3.20; both P , .001) groups than in the control group (frequency ¼ 0.00 6 0.00, severity ¼ 0.00 6 0.00). Knee function was greater in the control group (100.00 6 0.00) than in the ACL-injury (59.35 6 17.31; P , .001) and ACL þ BB (46.46 6 25.85; P , .001) groups.Conclusions: The ACL þ BB groups did not walk with a greater external KAM than the ACL-injury or control groups. Thus, lateral tibiofemoral BB did not influence knee frontal-plane loading after ACL injury.

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Section: Discussionmentioning

confidence: 81%

Knee Frontal-Plane Biomechanics in Adults With or Without Bone Marrow Edema-Like Lesions After Anterior Cruciate Ligament Injury

Thomas

Palmieri-Smith

2017

Journal of Athletic Training

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“…Apesar da grande importância dos isquiotibiais em fornecer estabilidade articular e trabalhar como antagonista desacelerando o movimento (37) , possivelmente o quadríceps desempenhou um papel mais dinâmico na impulsão e aterrissagem dos saltos, correlacionando-se com torque extensor em dois grupos, GC e GTF. Na avaliação dos grupos utilizando-se do questionário de Lysholm, o grupo GTP apresentou pontuação significativamente menor que os grupos GTF e GC, conflitando com estudos que empregaram questionários de função para diferenciar o desempenho funcional entre técnicas utilizando o tendão patelar e os tendões flexores e que não encontraram diferenças significativas (38,39) . Os menores valores no questionário de Lysholm associados aos déficits no torque extensor isocinético a 60°/s no grupo GTP refletem menor desempenho funcional comparado com os do grupo GTF no presente estudo.…”

Section: Discussionunclassified

Análise da correlação entre pico de torque, desempenho funcional e frouxidão ligamentar em indivíduos normais e com reconstrução do ligamento cruzado anterior

Vasconcelos¹,

Bevilaqua-Grossi²,

Shimano³

et al. 2009

Rev. bras. ortop.

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Objetivo: Analisar a correlação entre os déficits musculares dos extensores e flexores do joelho através do pico de torque isocinético com os testes de salto monopodal, frouxidão ligamentar pós-operatória e questionário de função em indivíduos normais e indivíduos submetidos à reconstrução do LCA com enxerto autólogo do tendão patelar e dos tendões flexores. Métodos: Foram recrutados 60 indivíduos, formando três grupos: 20 indivíduos sem lesões no joelho (grupo GC) e dois grupos de 20 indivíduos submetidos à reconstrução do LCA com tendão patelar (grupo GTP) ou tendões flexores (grupo GTF). Resultados: Os resultados demonstraram correlação significativa entre déficits no pico de torque e testes funcionais no torque extensor nos grupos GTF e GC. Não foram observadas correlações significativas entre frouxidão ligamentar pós-operatória e questionário de Lysholm com os testes de salto e déficits no pico de torque. Em relação à diferença entre os grupos, foi observado que o grupo GTP demonstrou maior déficit do torque extensor, menor pontuação no questionário de Lysholm e maior percentagem dos indivíduos com índice de simetria entre membros (ISM) < 90% em ambos os testes de salto monopodal quando comparado com os demais grupos. Conclusão: Na avaliação funcional de pacientes submetidos à reconstrução do LCA, não é aconselhável a utilização de apenas um instrumento de medida, porque a correlação significativa entre déficit no pico de torque, questionários de função, frouxidão ligamentar e testes de salto não é encontrada em todos os grupos testados. Descritores

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“…This type of graft has several advantages relative to the common patellar tendon graft, including less anterior knee pain following surgery, less postoperative stiffness, smaller incision, and faster recovery. 7,8 However, it needs to be taken into consideration that studies have also indicated the possibility for decreased hamstring strength in these patients following surgery. 9 Postoperatively, the patient was referred for physical therapy.…”

Section: Case Reportmentioning

confidence: 99%

Chiropractic management of a postoperative complete anterior cruciate ligament rupture using a multimodal approach: a case report

Solecki

Herbst

2011

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe the chiropractic management of a patient who had postoperative reconstructive surgery for an anterior cruciate ligament (ACL) tear. Clinical Features: A 25-year-old man experienced a rupture of his left ACL, as well as a bucket-handle tear of the medial meniscus and full-thickness tear within the posterior horn of the lateral meniscus, following direct-contact trauma while playing basketball. Intervention and Outcome: Postoperative care included a 12-week functional chiropractic rehabilitation program along with Active Release Technique, Graston Technique, and Kinesio Taping. Following treatment, the patient recorded a 0/10 on the Numeric Pain Scale, recorded improvement on the Patient Specific Functional and Pain Scales, returned to play with no complications, and had complete restoration of range of motion and lower extremity muscle strength. At 1-year follow-up, the patient reported no pain and was fully functional. Conclusion: A multimodal approach to the treatment of a postsurgical ACL repair was successful in restoring functional ability, as well as complete subjective pain relief. Chiropractic care may be a beneficial addition to the care of postoperative patients.

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A Five-Year Comparison of Patellar Tendon versus Four-Strand Hamstring Tendon Autograft for Arthroscopic Reconstruction of the Anterior Cruciate Ligament

Abstract: Arthroscopic reconstruction with either graft results in a similar surgical outcome, reliably restoring knee stability over a 5-year period; however, patients with patellar tendon grafts are at greater risk of developing early signs of osteoarthritis.

Cited by 263 publications

References 47 publications

Knee Frontal-Plane Biomechanics in Adults With or Without Bone Marrow Edema-Like Lesions After Anterior Cruciate Ligament Injury

Knee Frontal-Plane Biomechanics in Adults With or Without Bone Marrow Edema-Like Lesions After Anterior Cruciate Ligament Injury

Análise da correlação entre pico de torque, desempenho funcional e frouxidão ligamentar em indivíduos normais e com reconstrução do ligamento cruzado anterior

Chiropractic management of a postoperative complete anterior cruciate ligament rupture using a multimodal approach: a case report

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