Influence of Joint Hipermobility on Postoperative Results of Knee Surgery

Abstract

Objective:To evaluate the prevalence of joint hypermobility in patients undergoing knee surgery to treat traumatic injury to the meniscus and anterior cruciate ligament, and the influence of this hypermobility on postoperative results. Methods:This prospective study assessed joint hypermobility in patients who underwent surgical reconstruction of the anterior cruciate ligament (ACL), partial meniscectomy, or a procedure combining ACL reconstruction and partial meniscectomy during the period 2011-2015. The Beighton score was used to evaluate joint hypermobility and Tegner activity scale for postoperative assessment. Results:A total of 242 patients underwent surgery during the study period: 107 to treat ACL injuries, 75 to treat ACL injuries associated with meniscus injuries, and 60 to treat meniscus injuries. Of the total, 45 patients had joint hypermobility. We found no association between joint hypermobility and sex or type of injury. Postoperative Tegner scale results were not influenced by the presence of joint hypermobility. Conclusion:No association was found between joint hypermobility and the evaluated variables (gender and type of specific injury), and hypermobility did not have a negative impact on postoperative outcomes. Level of Evidence IV; Case series.

Generalised joint hypermobility increases ACL injury risk and is associated with inferior outcome after ACL reconstruction: a systematic review

“…The follow-up time was only 6 months and no correlation between hypermobility and the level of activity was found (table 5). 42…”

Generalized joint hypermobility does not influence 1-year patient satisfaction or functional outcome after ACL reconstruction

“…Only one study has evaluated return to sport, using the Tegner Activity Scale, and it found no correlation with GJH. However, in that study, return to sport was evaluated as early as 6 months postoperatively, making it difficult to draw any definitive conclusions [ 1 ].…”

Abordagens fisioterapêuticas no pós-operatório de reconstrução do ligamento cruzado anterior: uma revisão de literatura

“…Outro estudo que não obteve uma representação positiva dos resultados foi abordado por Astur et al (2018) que cogitaram a influência da hipermobilidade quanto a recuperação pós-cirurgia do LCA, não sendo encontrada associação entre a hipermobilidade articular e as variáveis avaliadas, contudo a hipermobilidade também não mostrou impactos negativos quanto aos resultados pós-operatórios. Costa et al (2020) por meio de uma revisão sistemática da literatura, avaliou os efeitos da inclusão do treinamento proprioceptivo em diferentes desfechos, e não obteve evidências científicas satisfatórias que mostrassem os efeitos positivos da inclusão do tipo de treinamento estudado na pós-cirurgia de reconstrução do LCA.…”

“…Características dos artigos da base de dados PubMed. abordagem elencada nos artigos da Tabela 3 apresenta possíveis tratamentos de LCA por meio da prevalência de hipermobilidade, práticas cirúrgicas especializadas e pela aplicação do treinamento proprioceptivo, desenvolvidos porAstur et al (2018),Arliani et al (2019) eCosta et al (2020) respectivamente. Características dos artigos da base de dados SciELO.Na Tabela 4 são apresentados 2 estudos com tratamentos que envolvem o trabalho de força isométrica, força máxima e equilíbrio de modo geral, propostos porPistone et al (2016) eSetuain et al (2016).…”