Isokinetic evaluation after two-stage bicruciate reconstruction
Acta ortop. bras
;
22(1): 21-24, 2014. tab, graf
Article
in English
| LILACS
| ID: lil-703997
ABSTRACT
Objective:
To assess the functional balance of the knee after bicruciate reconstruction and its correlation with clinical score.Methods:
14 patients (11 men and three women), mean age 29.9±7.65 years, mean BMI 26.2±2.51 kg/m2 underwent surgical reconstruction of the Posterior Cruciate Ligament (PCL) and Anterior Cruciate Ligament (ACL) in two stages, with a mean interval of 3 months between procedures. With a mean follow-up period of 27.33 months, the isokinetic knee analysis was performed at 60°/s and 180°/s and the Lysholm and Tegner scores were applied.Results:
The Lysholm score was 86.8±11.1 points and the Tegner score showed a deficit of 30% compared to pre-injury level. In isokinetic evaluation, the deficit of the operated quadriceps average torque was 17.05% at 60°/s and 12.16% at 180°/s, while the average flexor torque deficit was 3.43% at 60°/s and 5.82% at 180°/s. Although it was observed torque deficit between members, there were no statistical differences regarding the functional balance between hamstrings and quadriceps.Conclusion:
Although the results of isokinetic evaluation has shown a functional balance of the knee (flexor-extensor), which may have contributed to the good subjective Lysholm score in the bicruciate two-stage reconstruction, two-stage reconstruction did not restore the pre-injury functional level. Level of Evidence IV, Case Series. .
Full text:
Available
Index:
LILACS (Americas)
Language:
English
Journal:
Acta ortop. bras
Journal subject:
Orthopedics
Year:
2014
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Unicamp/BR
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