Comparing 2-Year Outcomes of Anterior Cruciate Ligament Reconstruction Using Either Patella-Tendon or Semitendinosus-Tendon Autografts: A Non-Randomised Prospective Study

Tow, Benjamin; Chang, Po-Hsiung; Mitra, Amit; Tay, B. K.; Wong, Michael

doi:10.1177/230949900501300206

Cited by 29 publications

(28 citation statements)

References 18 publications

(22 reference statements)

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“…One study found that after 6 months ACLinjured participants had the same isokinetic knee extensor and -flexor strength than control participants. Several studies reported that the mean isokinetic strength deficit for knee flexors or extensors decreased from surgery to 6 months postoperatively, with the highest measured deficit occurring at 6 months postoperatively [3,7,15,39,53,75,79].…”

Section: Resultsmentioning

confidence: 98%

Return to play following ACL reconstruction: a systematic review about strength deficits

Petersen

Taheri

Forkel

et al. 2014

Arch Orthop Trauma Surg

174

143

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Section: Resultsmentioning

confidence: 98%

Return to play following ACL reconstruction: a systematic review about strength deficits

Petersen

Taheri

Forkel

et al. 2014

Arch Orthop Trauma Surg

174

143

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“…Além dessa inibição e consequente atrofia das fibras do quadríceps, há a facilitação da atividade dos isquiotibiais para consequente estabilização dinâmica do joelho (29) . Essa teoria do padrão de controle motor facilitando a atividade dos isquiotibiais é observada em estudos que investigaram os déficits no torque flexor no pós-operatório do LCA em pacientes submetidos à reconstrução utilizando ambos os tipos de enxerto, não encontrando diferenças entre grupos (30,31) , corroborando os resultados encontrados em nosso estudo, onde não houve diferenças significativas entre os grupos GC, GTP e GTF nos déficits encontrados nos flexores do joelho. No entanto, esses resultados discordam dos de outros autores que observaram déficits significativos no torque flexor em pacientes submetidos à reconstrução do LCA com tendões flexores (26,32) .…”

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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“…8 They had good to excellent IKDC scores in an average of 61% of patients treated with BPTB graft. They had anterior knee pain in 8 (32%) of patients treated with BPTB graft whereas in our study we had good to excellent IKDC scores in 76% of our patients which is more as compared to their study and the incidence of anterior knee pain was similar which was 16(32%) of 50 patients in our series.…”

Section: Discussionmentioning

confidence: 99%

A study on the functional outcome of arthroscopic anterior cruciate ligament reconstruction done with bone patellar tendon bone graft using the IKDC score

et al. 2016

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Background: ACL injuries result in persistent recurrent instability and increased risk of meniscal tears and intra-articular damage, leading on to degenerative changes in the knee. There are many studies about ACL reconstruction using bone patellar tendon bone graft (BPTB) and its outcome, but there is not enough literature on the subjective assessment following reconstruction. We decided to do a study of the patient’s subjective outcome as per the International knee documentation committee score (IKDC) and other clinical parameters following ACL reconstruction using the BPTB graft.Methods: This was a prospective study consisting of 50 patients who presented with ACL injury and underwent arthroscopic ACL reconstruction using BPTB graft in our hospital in the period from May 2008 to July 2010. Patients were followed at regular intervals at 4 weeks, 8 weeks, 3 months & 6 months and 1 year. Patients were assessed at every visit with clinical tests and IKDC subjective assessment score.Results: 50 patients with ACL insufficiency underwent ACL reconstruction. Postoperative knee flexion improved; the mean flexion was 131.70 with standard deviation of 6.534, which was significant. The mean preoperative IKDC was 56.97 and standard deviation of 9.188 and postoperative IKDC score was 92.33 and standard deviation 5.198 which showed a marked improvement and was statistically significant. The complications included; 8 patents with anterior knee pain, 1 case of patellar fracture while harvesting graft, which healed with wiring and 2 patients, had re-rupture of ACL due to road traffic accident.Conclusions: ACL reconstruction with BPTB graft showed a significantly good subjective outcome on assessment using IKDC score. Isolated ACL reconstruction showed a better subjective outcome compared to the patients who had associated meniscal injury.

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Comparing 2-Year Outcomes of Anterior Cruciate Ligament Reconstruction Using Either Patella-Tendon or Semitendinosus-Tendon Autografts: A Non-Randomised Prospective Study

Cited by 29 publications

References 18 publications

Return to play following ACL reconstruction: a systematic review about strength deficits

Return to play following ACL reconstruction: a systematic review about strength deficits

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

A study on the functional outcome of arthroscopic anterior cruciate ligament reconstruction done with bone patellar tendon bone graft using the IKDC score

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