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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Comparison of Short-term Biodex Results After Anatomic Anterior Cruciate Ligament Reconstruction Among 3 Autografts
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Comparison of Short-term Biodex Results After Anatomic Anterior Cruciate Ligament Reconstruction Among 3 Autografts

机译：3种自体移植解剖前交叉韧带重建后短期Biodex结果的比较

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Background: An individualized approach to anterior cruciate ligament reconstruction (ACLR) typically includes criteria-based postoperative rehabilitation. However, recent literature has suggested residual quadriceps weakness up to 12 months after ACLR, especially with a quadriceps tendon (QT) autograft. Hypothesis: The QT would have poorer quadriceps strength symmetry at 5 to 8 months compared with the hamstring tendon (HS) and patellar tendon (BPTB), but there would be no significant difference at 9 to 15 months among all 3 groups. Study Design: Cohort study; Level of evidence, 3. Methods: Patients who underwent anatomic primary ACLR with an autograft were reviewed retrospectively. Isometric quadriceps and hamstring strength measurements were obtained clinically at 5 to 8 months and 9 to 15 months postoperatively. Return-to-running and return-to-play criteria included greater than 80% and 90% quadriceps strength symmetry, respectively. Results: A total of 73 patients with 5- to 8-month follow-up were identified, and 52 patients had 9- to 15-month data. The QT group had a significantly lower quadriceps index at 5 to 8 months (69.5 ± 17.4) compared with the BPTB (82.8 ± 14.6; P = .014) and the HS (86.0 ± 18.6; P = .001) groups. More patients with an BPTB autograft met criteria for return to running and return to play (60% and 47%, respectively) compared with the QT group (26% and 13%, respectively) at 5 to 8 months. Given the sample sizes available, we observed no significant difference in the quadriceps index and return-to-play and return-to-running criteria at 9 to 15 months among those undergoing ACLR with a QT, BPTB, or HS graft. Conclusion: Patients undergoing ACLR with a QT graft demonstrated clinically meaningful quadriceps asymmetry at 5 to 8 months and 9 to 15 months postoperatively. Additionally, fewer patients in the QT group met criteria for return to play and running at 5 to 8 months than the BPTB and HS groups. These data suggest that a longer time to return to play and specific rehabilitation protocols that emphasize quadriceps strengthening may be necessary because of residual quadriceps weakness after ACLR with a QT graft.
机译：背景：前交叉韧带重建（ACLR）的个性化方法通常包括基于标准的术后康复。但是，最近的文献表明，ACLR后长达12个月的残留股四头肌无力，尤其是自体股四头肌腱（QT）。假设：与T绳肌腱（HS）和pa骨肌腱（BPTB）相比，QT在5至8个月时股四头肌强度对称性较差，但在所有3组中，在9至15个月时，QT均无显着差异。研究设计：队列研究;证据等级，3。方法：对接受自体移植解剖原发性ACLR的患者进行回顾性检查。临床上在术后5到8个月和9到15个月获得等距股四头肌和绳肌力量测量值。重返跑步和重返比赛标准分别包括股四头肌力量对称性大于80％和90％。结果：总共鉴定出73例5到8个月的随访患者，其中52例有9到15个月的随访数据。与BPTB组（82.8±14.6; P = .014）和HS组（86.0±18.6; P = .001）相比，QT组在5至8个月时股四头肌指数显着降低（69.5±17.4）。在5至8个月时，与QT组（分别为26％和13％）相比，更多的BPTB自体移植患者符合恢复跑步和恢复游戏的标准（分别为60％和47％）。考虑到可用的样本量，我们在接受QT，BPTB或HS移植的ACLR的患者中，在9至15个月时，股四头肌指数以及重现玩法和重返运行标准没有显着差异。结论：接受QT移植的ACLR患者在术后5至8个月和9至15个月表现出具有临床意义的股四头肌不对称。此外，与BPTB和HS组相比，QT组中满足5至8个月重返游戏和跑步标准的患者更少。这些数据表明，由于接受QT移植的ACLR后残留的四头肌无力，因此可能需要更长的恢复比赛时间和强调四头肌加强的特定康复方案。

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