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

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...

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Autores principales: Igdir, Volkan, Gencer, Batuhan, Dogan, Ozgur, Caliskan, Emrah, Orhan, Ali, Demir Ozbudak, Sibel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544481/
https://www.ncbi.nlm.nih.gov/pubmed/37395355
http://dx.doi.org/10.5152/j.aott.2023.21365
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author Igdir, Volkan
Gencer, Batuhan
Dogan, Ozgur
Caliskan, Emrah
Orhan, Ali
Demir Ozbudak, Sibel
author_facet Igdir, Volkan
Gencer, Batuhan
Dogan, Ozgur
Caliskan, Emrah
Orhan, Ali
Demir Ozbudak, Sibel
author_sort Igdir, Volkan
collection PubMed
description 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.
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spelling pubmed-105444812023-10-03 The effects of remnant-preserving anterior cruciate ligament reconstruction on proprioception: A prospective comparative study Igdir, Volkan Gencer, Batuhan Dogan, Ozgur Caliskan, Emrah Orhan, Ali Demir Ozbudak, Sibel Acta Orthop Traumatol Turc Research Article 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. Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology 2023-05-01 /pmc/articles/PMC10544481/ /pubmed/37395355 http://dx.doi.org/10.5152/j.aott.2023.21365 Text en 2023 authors https://creativecommons.org/licenses/by-nc/4.0/ Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Research Article
Igdir, Volkan
Gencer, Batuhan
Dogan, Ozgur
Caliskan, Emrah
Orhan, Ali
Demir Ozbudak, Sibel
The effects of remnant-preserving anterior cruciate ligament reconstruction on proprioception: A prospective comparative study
title The effects of remnant-preserving anterior cruciate ligament reconstruction on proprioception: A prospective comparative study
title_full The effects of remnant-preserving anterior cruciate ligament reconstruction on proprioception: A prospective comparative study
title_fullStr The effects of remnant-preserving anterior cruciate ligament reconstruction on proprioception: A prospective comparative study
title_full_unstemmed The effects of remnant-preserving anterior cruciate ligament reconstruction on proprioception: A prospective comparative study
title_short The effects of remnant-preserving anterior cruciate ligament reconstruction on proprioception: A prospective comparative study
title_sort effects of remnant-preserving anterior cruciate ligament reconstruction on proprioception: a prospective comparative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544481/
https://www.ncbi.nlm.nih.gov/pubmed/37395355
http://dx.doi.org/10.5152/j.aott.2023.21365
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