Simple and effective Rehabilitation Programme (SERP) for Patients Undergoing Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction in Indian Scenario

M, Shishir S; Abraham, M. Manoj; Martin, Nikhil Joseph; Kanagasabai, R; Gnanadoss, James J

doi:10.5958/j.0973-5674.7.4.153

Cited by 3 publications

(3 citation statements)

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“…Minimum duration from surgery to assessment was 2 years. Both men and women with in the age group of 18 -60 years who underwent surgery and completed SERP protocol of minimum duration from surgery to assessment of 2 years with unilateral ACL reconstruction were included in the study 6 . Patients with re-injury of ACL, revision surgery and those who did not participate or complete the SERP rehabilitation protocol were excluded from the study.…”

Section: Methodsmentioning

confidence: 99%

Proprioceptive and Functional Outcome of the Knee in Arthroscopic Anterior Cruciate Ligament Reconstruction of a Preserved Remnant Tissue

2020

IJPOT

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Background: Injury to the ACL(Anterior Cruciate Ligament) not only causes mechanical instability but also leads to functional deficit in the form of diminished proprioception of the knee joint. This study analyzes and reviews our understanding of the sensory element of ACL deficiency, with specific reference to proprioception as an important component of functional knee stability.Method: 100 patients who underwent ACL reconstruction surgery and completed Simple and Effective Rehabilitation Protocol(SERP) with minimum duration of 2 years from surgery to follow up, were all assessed for proprioception, stability and functional outcome of the reconstructed knee. They were assessed by the knee joint position sense, single leg hop test for both the normal and reconstructed knee and KOOS questionnaire respectively.Result: Chi square table value for 1degree freedom at 0.05 was 3.84, hence the calculated Chi square values of proprioception knee in supine lying, proprioception knee in standing and single leg hop are less than table value of the accepted hypothesis which concludes that, there is no significant difference between the scores of selected outcome variables among reconstructed knee and normal knee subjects. The calculated paired't' and 't' table value with respect to the functional outcome of knee in operated and normal subjects was 6.53 and 2.66 respectively at 0.005 level. Conclusion:There was no significant difference of Proprioception between the scores of selected outcome variables among reconstructed knee and normal knee in supine lying, standing and single leg hop. But it shows that there is significant difference of 2.66 at 0.005 level between reconstructed knee and normal knee groups with respect to the functional outcome of knee after two years of follow-up in ACL reconstructed knees.

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Section: Methodsmentioning

confidence: 99%

Proprioceptive and Functional Outcome of the Knee in Arthroscopic Anterior Cruciate Ligament Reconstruction of a Preserved Remnant Tissue

2020

IJPOT

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“…13 Statistical analysis was performed with the SPSS version 13.0 software for Windows and p <0.05 was chosen to indicate statistical significance. Out of the 14 patients with meniscal tears, 10 had posterior horn medial meniscal tear, 3 had posterior horn lateral meniscus tear and one had bucket handle tear of medial meniscus.…”

Section: Methodsmentioning

confidence: 99%

Functional outcome of anterior cruciate ligament reconstruction with quadruple hamstring tendon graft using EndoButton and bioabsorbable interference screw: minimum 2-year follow-up

et al. 2016

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Background: Anterior cruciate ligament (ACL) is the most common ligament to be torn in the knee joint and ACL reconstruction (ACLR) is one of the most commonly performed surgery in orthopaedics nowadays. This study evaluated short term results of anterior cruciate ligament reconstruction with quadruple hamstring tendon (QHT) graft using EndoButton for femoral fixation and Bio absorbable interference screw for tibial fixation.Methods: Out of the 68 patients who underwent single-bundle ACLR with QHT graft using EndoButton for femoral fixation and Bio absorbable interference screw for tibial fixation, 60 patients were followed up for a minimum period of 2 years. Patients were followed up at regular intervals and evaluation was done using the anterior drawer test, Lachman test, pivot-shift test, modified Cincinnati rating system and Tegner-Lysholm knee scoring scale.Results: There was improvement in the Lachman test and pivot-shift test at 2 year follow-up, from grade 2 (n=47) or grade 3 (n=6) to grade 1 (n=17) or grade 0 (n=42) and from grade 1 (n=38) or grade 2 (n=12) to grade 1 (n=14) or 0 (n=45), respectively. The mean Modified Cincinnati score and Tegner-Lysholm knee score improved from 59.57 to 99.03 and 64.45 to 98.87 respectively at 2 year follow-up. Complications occurred in 3 patients, a re-rupture due to trauma at 1 year after surgery, development of a cyclops lesion with restricted range of motion and a superficial infection at the graft harvest site.Conclusions: The two year follow-up results of ACLR with QHT graft using EndoButton for femoral fixation and bioabsorbable interference screw for tibial fixation are satisfactory and comparable with other modalities of graft fixation.

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“…All patients were followed up initially by operating surgeon. Patients were asked to follow the Simple and Effective Rehabilitation Protocol (SERP) developed by our institution (table 1) [18]. All final clinical testing and evaluations were performed by the other independent observer at the end of 3 rd , 6 th , 9 th ,12 th ,18 th month and at 24 months to eliminate potential bias.…”

Section: Exclusion Criteriamentioning

confidence: 99%

Quadruple hamstring tendon graft versus Bone-PatellarTendon-Graft for arthroscopic Anterior Cruciate Ligament reconstruction- comparison study with follow up of 2 years

Martin¹,

S.M²,

R³

et al. 2014

IOSRJDMS

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Introduction: Anterior Cruciate Ligament (ACL) tear is the most common ligamentous injury to the knee joint. Two most commonly used grafts for reconstruction are Quadruple Hamstring tendons (QHT) and Bone Patellar Tendon Bone (BPTB) graft. Graft fixation techniques vary with different surgeons. Aim of this study was to compare the clinical outcome of reconstruction of ACL using QHT and BPTB grafts performed by single surgeon using Modified Cincinnati scoring system. Methods: Between November 2010 to May 2011, forty consecutive alternate patients, 20 in each group underwent arthroscopic assisted ACL reconstruction using BPTB graft or the QHT autograft. All the patients underwent standard ipsilateral arthroscopic ACL reconstruction procedure using the single incision Antero-Medial (AM) portal technique for BPTB graft or the QHT autograft done by a single surgeon. Patients were followed up regularly for a minimum period of 2 years. Results: Mean age of the study participants was 28.43 years (SD: 5.48). Mean Modified Cincinnati score at the end of 2 years was 99.0% for QHT group and 98.8% for BPTB graft group(p=0.48). The hamstring tendon group also had lower graft harvest site morbidity, as demonstrated by less kneeling pain at 2 years. Conclusion: There was no significant functional difference as demonstrated by Modified Cincinnati score among patients undergoing QHT graft or the BPTB graft for ACL reconstruction at the end of 2 years.

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Simple and effective Rehabilitation Programme (SERP) for Patients Undergoing Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction in Indian Scenario

Cited by 3 publications

References 0 publications

Proprioceptive and Functional Outcome of the Knee in Arthroscopic Anterior Cruciate Ligament Reconstruction of a Preserved Remnant Tissue

Proprioceptive and Functional Outcome of the Knee in Arthroscopic Anterior Cruciate Ligament Reconstruction of a Preserved Remnant Tissue

Functional outcome of anterior cruciate ligament reconstruction with quadruple hamstring tendon graft using EndoButton and bioabsorbable interference screw: minimum 2-year follow-up

Quadruple hamstring tendon graft versus Bone-PatellarTendon-Graft for arthroscopic Anterior Cruciate Ligament reconstruction- comparison study with follow up of 2 years

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