Functional Outcome of Primary Hamstring Anterior Cruciate Ligament Reconstruction in Patients with Different Body Mass Index Classes

Ballal, Moez S.; Khan, Yahya; Hastie, Graham R; Hatcher, A; Coogan, Stephen; McNicholas, Michael

doi:10.1016/j.arthro.2013.05.005

Cited by 21 publications

(21 citation statements)

References 26 publications

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“…While the 2-year Tegner score was lower in the high-BMI group, there was no statistically significant difference in the percentage of patients who returned to pre-injury Tegner score between the normaland high-BMI groups. This has been reported previously by Ballal et al (7) in their study on a Western population. In their study of 49 normal-BMI patients compared against 43 high-BMI patients, they found no differences in the Knee Injury and Osteoarthritis Outcome Score (KOOS) as well as rate of return to pre-injury activity levels.…”

Section: Discussionsupporting

confidence: 86%

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Obesity is associated with poorer range of motion and Tegner scores following hamstring autograft anterior cruciate ligament reconstruction in Asians

Razak¹,

Chong²,

Tan³

2017

Ann. Transl. Med.

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Section: Discussionsupporting

confidence: 86%

“…Most studies comparing the outcomes of orthopaedic surgery in obese patients were conducted in patients following hip or knee arthroplasty (4,6). Very few studies have been conducted on patients following anterior cruciate ligament reconstruction (ACLR) (7,8).…”

Section: Introductionmentioning

confidence: 99%

Obesity is associated with poorer range of motion and Tegner scores following hamstring autograft anterior cruciate ligament reconstruction in Asians

Razak¹,

Chong²,

Tan³

2017

Ann. Transl. Med.

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“…Surgical interventions, i.e. total knee arthroplasty (TKA) and ACL reconstructions, would result in comparable functional improvement irrespective of different BMIs [ 6 , 42 – 44 ]. Interestingly, effect of BMI on pain for TKA and ACL reconstructed patients was shown a similar pattern.…”

Section: Discussionmentioning

confidence: 99%

“…The classification of high BMI was based on BMI cut-points established by the World Health Organization. Two levels were determined: the normal BMI group (18.5–24.9 kg/m 2 ) and the high BMI goup (≥25.0 kg/m 2 ) [ 6 , 26 ].…”

Section: Methodsmentioning

confidence: 99%

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Effect of high body mass index on knee muscle strength and function after anterior cruciate ligament reconstruction using hamstring tendon autografts

Hsu

Fan

et al. 2018

BMC Musculoskelet Disord

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BackgroundIncreased body mass index (BMI) has been associated with poorer function in patients who have undergone anterior cruciate ligament (ACL) reconstruction. However, the effect of high BMI on muscle strength in these patients remained unclear. The current study aimed to compare knee muscle strength and Knee injury and Osteoarthritis Outcome Score (KOOS) in ACL-reconstructed patients with a variety of different BMIs.MethodsFrom November 2013 to March 2016, we prospectively enrolled 30 patients who underwent ACL reconstruction (18–60 years of age). Anthropometric parameters, body compositions, isokinetic muscle strength and KOOS were assessed preoperatively, and at post-operative 16th week and 28th week. The patients were stratified into two groups by BMI, i.e. normal BMI (18.5–24.9 kg/m2) and high BMI (≥25.0 kg/m2).ResultsTwelve patients in the normal BMI group completed the follow-up, while sixteen patients did so in the high BMI group. In comparison of muscle strength between baseline and 28th week follow-up, the normal BMI group had significant increases in overall knee muscle strength, while the high BMI group only had increases in extensors of uninjured knee and flexors of the injured knee. However, there were significant increases in all KOOS subscales for the high BMI group. The high BMI patients reported increased KOOS, which may reflect the contribution of ligament stability in the presence of inadequate muscle strength.ConclusionsThe normal BMI patients had improvement in all knee muscle strength following ACL reconstruction, while high BMI patients only had increases in certain knee muscles. High BMI patients had a decreased quadriceps muscle symmetry index, as compared to their normal BMI counterparts. Increases in quadriceps muscle strength of the uninjured knee and ACL reconstruction were associated with improvements in KOOS in high BMI patients.

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Weak associations between body mass index and self-reported disability in people with unilateral anterior cruciate ligament reconstruction

Pietrosimone

Kuenze

Hart

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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Functional Outcome of Primary Hamstring Anterior Cruciate Ligament Reconstruction in Patients with Different Body Mass Index Classes

Cited by 21 publications

References 26 publications

Obesity is associated with poorer range of motion and Tegner scores following hamstring autograft anterior cruciate ligament reconstruction in Asians

Obesity is associated with poorer range of motion and Tegner scores following hamstring autograft anterior cruciate ligament reconstruction in Asians

Effect of high body mass index on knee muscle strength and function after anterior cruciate ligament reconstruction using hamstring tendon autografts

Weak associations between body mass index and self-reported disability in people with unilateral anterior cruciate ligament reconstruction

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