A study regarding the anterior cruciate ligament remnant: Differences in balance and postural control between remnant-preserving and remnant-non-preserving patients

Q3 Medicine Rehabilitacion Pub Date : 2023-12-22 DOI:10.1016/j.rh.2023.100834

R. Galvão Cardoso, R.H. Caetano e Souza, A.A. Araújo Rodrigues, A. Abreu Rosa de Sá, E.L. Martins Naves

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Abstract

Introduction

The anterior cruciate ligament (ACL) is the most frequently injured ligament of the knee. However, quantitative studies on evaluate the postural control influence resulted from the ACL remnant preservation or not are scarce. The aim of this study is to evaluate the postural control of patients submitted to ACL reconstruction with and without preservation of the injured remnant in pre and postoperative periods.

Methods

Eighteen patients underwent ACL reconstruction and separated into 2 groups according to the preservation or not of the remnant: (I) submitted to ACL reconstruction with preservation of the remnant (10 patients); (II) submitted to ACL reconstruction without preservation of the remnant (8 patients). They were assessed using the Lysholm score and force plate, which evaluated the patient's postural stability for remnant and non-remnant preservation in ACL reconstruction surgery.

Results

Group I showed statistically significant subjective and objective improvements, both at 3 and 6 months. Additionally, improvement of the Lysholm test at 6 months in Group II was also statistically significant. Furthermore, the results of the Friedman test for the V_COP and V_Y variables of Group I, with support of the injured side in the force plate, showed a statistically significant difference both for pre and postoperative period at 3 months, compared to the 6-month postoperative period. The variables EAC and V_X were statistically different for Group II, considering the preoperative period, 3 and 6 months postoperatively.

Conclusion

Preserving the ACL remnant in patients with ACL injuries has a positive impact on postural stability during recovery.

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关于前十字韧带残余的研究：保留前十字韧带和未保留前十字韧带的患者在平衡和姿势控制方面的差异。

简介前交叉韧带（ACL）是膝关节最常受伤的韧带。然而，关于前交叉韧带残端保留与否对姿势控制影响的定量研究却很少。本研究旨在评估接受前交叉韧带重建术的患者在保留或不保留受伤残余韧带的情况下，术前和术后的姿势控制能力：方法：18 名患者接受了前交叉韧带重建术，并根据是否保留残余韧带分为两组：(I) 接受保留残余韧带的前交叉韧带重建术（10 名患者）；(II) 接受不保留残余韧带的前交叉韧带重建术（8 名患者）。他们使用 Lysholm 评分和力板进行评估，力板用于评估前交叉韧带重建手术中保留残余韧带和不保留残余韧带患者的姿势稳定性：结果：第一组患者在 3 个月和 6 个月后的主观和客观方面均有明显改善。此外，第二组在 6 个月时的 Lysholm 测试结果也有明显改善。此外，对第一组的 VCOP 和 VY 变量进行弗里德曼检验的结果显示，受伤一侧在受力板的支撑下，术前和术后 3 个月的差异与术后 6 个月的差异均有统计学意义。第二组的 EAC 和 VX 变量在术前、术后 3 个月和 6 个月都有统计学差异：结论：保留前交叉韧带损伤患者的前交叉韧带残余对恢复期间的姿势稳定性有积极影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rehabilitacion Medicine-Rehabilitation

CiteScore

0.80

自引率

0.00%

发文量

期刊介绍： La revista que es desde hace más de 40 años la publicación oficial de la Sociedad Española de Rehabilitación y referente de la mayoría de las Sociedades de la Especialidad de los países americanos de habla hispana. Se publican 5 números pluritemáticos al año y uno monográfico sobre un tema del mayor interés y actualidad designado por el consejo de redacción.