The effects of remnant-preserving anterior cruciate ligament reconstruction on proprioception: A prospective comparative study.

IF 1.1 4区 医学 Q3 ORTHOPEDICS Acta orthopaedica et traumatologica turcica Pub Date : 2023-05-01 DOI:10.5152/j.aott.2023.21365
Volkan Igdir, Batuhan Gencer, Ozgur Dogan, Emrah Caliskan, Ali Orhan, Sibel Demir Ozbudak
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引用次数: 2

Abstract

Objective: The aim of this study was to investigate the effects of anterior cruciate ligament reconstruction performed by preserving remnant tissue on proprioception and to assess the effects it has on isokinetic quadriceps and hamstring muscle strength, as well as on range of motion and functional scores.

Methods: A prospective study was conducted with 44 patients who underwent either anterior cruciate ligament reconstruction with remnant preservation (study group, n=22) or with remnant excision (control group, n=22) with the use of a 4-strand hamstring allograft. The mean follow-up time was 20.2 ± 1.4 months after surgery. Using an isokinetic dynamometer, proprioception was evaluated with passive joint position perception at 150, 450, and 600, and quadriceps femoris, and hamstring muscle strength were evaluated at speeds of 900, 1800, and 2400 per second. Range of motion was measured using a goniometer. Functional outcomes were assessed using International Knee Documentation Committee subjective knee evaluation score and Lysholm knee scoring questionnaires.

Results: It was only at 15° of knee flexion that there was a statistically significant difference in proprioception; the median of the difference in the amount of deviation from the target angle between the healthy knee and the operated side was 1.7 (range, 0.7-20.7) in those with remnant preserved, and 2.7 (range, 1-26) in those with remnant excised (P=.016). At 2400/s speed, the mean quadriceps femoris strength was 77.2 ± 24.3 Nm in those with remnant preserved and 67.6 ± 24.2 Nm in those with remnant excised. (P=.048) There was no difference between the 2 groups in terms of range of motion, International Knee Documentation Committee, and Lysholm knee scoring. (P > .05) Conclusion: The present study has demonstrated that better proprioception and higher quadriceps femoris muscle strength can be obtained by remnant-preserving anatomical single-bundle anterior cruciate ligament reconstruction using a hamstring autograft.

Level of evidence: Level II, Therapeutic study.

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保留残余物的前交叉韧带重建对本体感觉的影响:一项前瞻性比较研究。
目的:本研究旨在研究保留残余组织重建前交叉韧带对本体感觉的影响,并评估其对等速股四头肌和腘绳肌力量以及运动范围和功能评分的影响。方法:对44名患者进行前瞻性研究,这些患者接受了保留残余物的前交叉韧带重建(研究组,n=22)或使用4股腘绳肌同种异体移植物进行残余物切除(对照组,n=2)。术后平均随访时间20.2±1.4个月。使用等速测功机,在150、450和600的被动关节位置感知下评估本体感觉,在900、1800和2400每秒的速度下评估股四头肌和腘绳肌力量。使用角度计测量运动范围。使用国际膝关节文献委员会主观膝关节评估评分和Lysholm膝关节评分问卷评估功能结果。结果:只有在膝关节屈曲15°时,本体感觉才有统计学意义的差异;健康膝关节和手术侧之间与目标角度的偏差量的中位数在保留残余物的患者中为1.7(范围,0.7-20.7),在切除残余物的病例中为2.7(范围,1-26)(P=.016),保留残端者股四头肌平均强度为77.2±24.3Nm,切除残端者为67.6±24.2Nm。(P=.048)两组在运动范围、国际膝关节文献委员会和Lysholm膝关节评分方面没有差异。(P>.05)结论:本研究表明,使用自体腘绳肌移植重建保留残余解剖结构的单束前交叉韧带,可以获得更好的本体感觉和更高的股四头肌力量。证据级别:二级,治疗性研究。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
66
审稿时长
>12 weeks
期刊介绍: Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.
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