Association between Lysholm score and muscular torque deficit after anterior cruciate ligament reconstruction

Andrade, André; Castro, Álex; Livani, Bruno; Belangero, William Dias

doi:10.1177/2309499020933485

Cited by 8 publications

(5 citation statements)

References 22 publications

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“… 14 LOE at 6 weeks and 3 months predicts quadriceps strength at 6 months after ACLR. 9 Weak quadriceps strength is associated with poor knee performance, 20 anterior knee pain, 17 a low Lysholm score, 4 and knee OA. 3 Therefore, improving the preoperative LOE may reduce the occurrence of postoperative LOE and decrease postsurgical problems.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Loss of Knee Extension Affects Knee Extension Deficit in Patients After Anterior Cruciate Ligament Reconstruction

Yasui¹,

Ota

Kurokouchi³

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Loss of knee extension (LOE) after anterior cruciate ligament reconstruction (ACLR) is associated with limited knee joint function and increased risk for knee osteoarthritis. Hypothesis: Preoperative LOE will affect postoperative LOE for up to 12 months after ACLR. Study Design: Cohort study; Level of evidence, 2. Methods: Included were patients who underwent anatomic ACLR between June 2014 and December 2018. In all patients, the postoperative rehabilitation protocol was the same. A heel height difference (HHD) ≥2 cm between the affected and the contralateral leg was used as a measure of LOE. Based on preoperative HHD, patients were divided into LOE and no-LOE groups. The HHD was reevaluated at 1, 3, 4, 6, 9, and 12 months postoperatively. Proportional hazards analysis was used, with the dependent variable being whether a postoperative HHD <2 cm was achieved; the independent variables being the presence or absence of preoperative LOE; and the adjusted variables being age, sex, time to surgery, and presence of meniscal sutures. Results: A total of 389 patients (208 female, 181 male; median age, 21.0 years) were included in the study. There were 55 patients in the LOE group and 334 patients in the no-LOE group. The incidence of LOE at 12 months after ACLR was 13.8% in the no-LOE group and 38.2% in the LOE group ( P < .001), with an absolute risk difference of 24.4%. The hazard ratio for achieving postoperative HHD <2 cm was 2.79 for the LOE group versus the no-LOE group ( P < .001). Conclusion: Patients with preoperative LOE were nearly 3 times more likely than those without LOE to have LOE at 12 months after ACLR.

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Section: Discussionmentioning

confidence: 99%

Preoperative Loss of Knee Extension Affects Knee Extension Deficit in Patients After Anterior Cruciate Ligament Reconstruction

Yasui¹,

Ota

Kurokouchi³

et al. 2023

Orthopaedic Journal of Sports Medicine

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“…The Lysholm [23] and IKDC [24] scores are standardised scores used to evaluate knee symptoms, function and motor activity, and re ect the recovery of knee function in patients. The Lachman test and the axial shift test are important signs of ACL injury and have a high sensitivity [25,26] and can also be used as indicators of postoperative joint stability.…”

Section: Discussionmentioning

confidence: 99%

Study on the use of 3D printed guides in the individualized reconstruction of the anterior cruciate ligament

Wang

Zhang

et al. 2023

Preprint

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Objective Evaluation of the accuracy and effectiveness of 3D printed guides to assist femoral tunnel preparation in individualised reconstruction of the anterior cruciate ligament. Design Randomised controlled studies. Patients/participants Sixty patients who attended the Affiliated Hospital of Binzhou Medical College for autologous hamstring single bundle reconstruction of the anterior cruciate ligament from October 2018 to October 2020 were selected and randomly divided into two groups, including 31 cases in the 3D printing group (14 males and 17 females, mean age 41.94 ± 10.15 years) and 29 cases in the control group (13 males and 16 females, mean age 37.76 ± 10.34 years). Main outcome measures Patients in both groups were assessed for intraoperative femoral tunnel accuracy, the number of intraoperative positioning and the time taken to prepare the femoral tunnel, the length of the anteromedial approach incision, the pre-planned bone tunnel length and intraoperative bone tunnel length in the 3D printed group, IKDC score and Lysholm score preoperatively and at 3, 6 and 12 months postoperatively, the Lachman、pivot-shift test preoperatively and at 6 months postoperatively, gait analysis to assess internal and external rotation in flexion of the knee at 12 months postoperatively and postoperative complications in both groups. Results There was no statistical difference in functional knee scores and anteromedial approach incision length between the 3D printed and control groups (p > 0.05), while there was a statistical difference in the accuracy of tunnel positioning, the time taken to prepare the femoral bone tunnel and the degree of external rotation of the knee in flexion between the two groups (p < 0.05). There was no statistical difference between the preoperative planning of the bone tunnel length and the intraoperative bone tunnel length (p > 0.05). Complications: One case in the 3D printing group developed intermuscular vein thrombosis in the affected lower limb after surgery, which disappeared after treatment, while three cases in the control group developed intermuscular vein thrombosis in the affected lower limb. No complications such as bone tunnel rupture, deep vein thrombosis in the lower limb and infection occurred in either group. Conclusions 3D printed guides assisted with individualized ACL reconstruction can improve the accuracy of femoral tunnel positioning, which is safe and effective, while reducing the operative time and the number of intraoperative positioning, without increasing the length of incision, and can obtain higher functional scores and rotational stability of the knee joint, which is in line with the concept of individualized ACL reconstruction. Level of Evidence Therapeutic Level Ⅰ.

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“…Pain: we adopted the Visual Analogue Scale (VAS; higher scores indicate more obvious pain) to evaluate patients’ pain before surgery (T0), and at postoperative 6 hours (T1), 24 hours (T2), 72 hours (T3), and 120 hours (T4). Joint rehabilitation: The International Knee Documentation Committee (IKDC) [11] and Lysholm Knee Scoring Scale [12] were utilized to evaluate patients’ joint function, and the knee joint ROM was detected. Higher IKDC and Lysholm scores and wider ROM indicate better joint function.…”

Section: Methodsmentioning

confidence: 99%

Differences in postoperative knee joint function and prognostic quality of life in patients undergoing posterior cruciate ligament reconstruction at different surgical timing under enhanced recovery after surgery

Jin

2023

Medicine

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To explore the differences in postoperative knee joint function and prognostic quality of life in patients undergoing posterior cruciate ligament (PCL) reconstruction at different timing of surgery under the enhanced recovery after surgery (ERAS) protocol. A total of 266 cases of PCL injury admitted to our hospital between March 2019 and October 2022 were included in this retrospective study and divided them into a short-term group (147 cases with PCL reconstruction completed within 3 weeks after injury) and a long-term group (119 cases with PCL reconstruction performed 3 weeks after injury) according to the timing of surgery after injury. All patients received ERAS care during treatment. The operation time, intraoperative blood loss, and incision length of both cohorts were counted to evaluate the clinical efficacy. Perioperative patients were assessed by the Visual Analogue Scale for pain severity. The pre- and post-operative knee function and knee joint range of motion were assessed by the International Knee Documentation Committee and Lysholm Knee Scoring Scale. Furthermore, the complication rate was counted and the quality of life was evaluated by the Short-Form 36 Item Health Survey. Patients were also assessed for their psychological states using the Self-rating Anxiety/Depression Scale and their satisfaction with care. The 2 groups showed similar operation time, intraoperative blood loss, incision length, overall response rate, and Visual Analogue Scale (P > .05), but the short-term group had higher knee range of motion and scores of International Knee Documentation Committee and Lysholm Scale than the long-term group (P < .05). A similar complication rate was also determined in the 2 groups (P > .05), but the Short-Form 36 Item Health Survey scores were significantly higher in the short-term group (P < .05). Self-rating Anxiety Scale and Self-rating Depression Scale in both groups decreased after treatment (P < .05), and no statistical difference was determined in nursing satisfaction (P = 198). PCL reconstruction within 3 weeks after PCL injury is more conducive to the recovery of patients’ knee joint function, and the ERAS protocol can more effectively improve the therapeutic effect of patients.

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Association between Lysholm score and muscular torque deficit after anterior cruciate ligament reconstruction

Cited by 8 publications

References 22 publications

Preoperative Loss of Knee Extension Affects Knee Extension Deficit in Patients After Anterior Cruciate Ligament Reconstruction

Preoperative Loss of Knee Extension Affects Knee Extension Deficit in Patients After Anterior Cruciate Ligament Reconstruction

Study on the use of 3D printed guides in the individualized reconstruction of the anterior cruciate ligament

Differences in postoperative knee joint function and prognostic quality of life in patients undergoing posterior cruciate ligament reconstruction at different surgical timing under enhanced recovery after surgery

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