Effect of Meniscal Treatment on Functional Outcomes 6 Months After Anterior Cruciate Ligament Reconstruction.
Background: Meniscal injuries are commonly associated with anterior cruciate ligament (ACL) tears. Treatment of meniscal injuries can impart delayed weightbearing and range of motion restrictions, which can affect the rehabilitation protocol. The effect of meniscal treatment and subsequent restricti...
| Publicado en: | Orthopaedic Journal of Sports Medicine Vol. 9; no. 10; pp. 1 - 9 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153370515&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153370515 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23259671 FUGT jtl: Orthopaedic Journal of Sports Medicine issn: 23259671 maglogo: Y pubinfo: dt: 2021 vid: 9 iid: 10 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 153370515 153370515 153370515 10.1177/23259671211031281 153370515 ppf: 1 ppct: 8 formats: tig: atl: Effect of Meniscal Treatment on Functional Outcomes 6 Months After Anterior Cruciate Ligament Reconstruction. aug: au: Casp, Aaron J. Bodkin, Stephan G. Gwathmey, F. Winston Werner, Brian C. Miller, Mark D. Diduch, David R. Brockmeier, Stephen F. Hart, Joseph M. affil: All authors affiliated with the Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia, USA. sug: subj: Anterior Cruciate Ligament Reconstruction Methods Meniscal Injuries Surgery Anterior Cruciate Ligament Injuries Surgery Treatment Outcomes Evaluation Muscle Strength Evaluation Recovery Evaluation Jumping Evaluation Task Performance and Analysis Patient-Reported Outcomes Evaluation Anterior Cruciate Ligament Reconstruction Rehabilitation Knee Joint Physiopathology Postoperative Period Human Retrospective Design Prospective Studies Male Female Adolescence Young Adult Adult Comparative Studies Surgical Patients Weight-Bearing Flexion Evaluation Clinical Assessment Tools Isometric Exercises Isokinetic Exercises Exercise Test, Muscular Sports Re-Entry Descriptive Statistics Analysis of Variance Post Hoc Analysis Data Analysis Software Analysis of Covariance Confidence Intervals Chi Square Test Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Background: Meniscal injuries are commonly associated with anterior cruciate ligament (ACL) tears. Treatment of meniscal injuries can impart delayed weightbearing and range of motion restrictions, which can affect the rehabilitation protocol. The effect of meniscal treatment and subsequent restrictions on strength recovery after ACL reconstruction is unclear. Purpose/Hypothesis: The purpose of this study was to compare strength, jumping performance, and patient-reported outcomes between patients who underwent isolated ACL reconstruction (ACLR) and those who underwent surgical intervention for meniscal pathology at the time of ACLR. Our hypothesis was that patients who underwent concurrent meniscal repair (MR) would have lower strength recovery owing to postoperative restrictions. Study Design: Cohort study; Level of evidence, 3. Methods: Patients with ACLR were stratified into isolated ACLR, ACLR and meniscectomy (ACLR-MS), or ACLR-MR groups and were compared with healthy controls. The ACLR-MR group was restricted to partial weightbearing and to 90° of knee flexion for the first 6 weeks postoperatively. All participants completed patient-reported outcomes (International Knee Documentation Committee [IKDC] and Knee injury and Osteoarthritis Outcome Score [KOOS]) and underwent bilateral isokinetic and isometric strength tests of the knee extensor and flexor groups as part of a return-to-sports test battery at 5 to 7 months postoperatively. Results: A total of 165 patients with ACLR (50 with isolated ACLR, 44 with ACLR-MS, and 71 with ACLR-MR) and 140 healthy controls were included in the study. Follow-up occurred at a mean of 5.96 ± 0.47 months postoperatively. The control group demonstrated higher subjective knee function, unilateral peak extensor torque, and limb symmetry than did the ACLR-MS and ACLR-MR groups combined (P <.001 for all). There were no differences in IKDC, KOOS subscales, or unilateral or limb symmetry measures of peak knee extensor or flexor torque among the isolated ACLR, ACLR-MS, and ACLR-MR groups. Conclusion: Persistent weakness, asymmetry, and reduced subjective outcome scores at 6-month follow-up after ACLR were not influenced by meniscal treatment. These findings suggested that the weightbearing and range of motion restrictions associated with meniscal repair recovery do not result in loss of early strength or worse patient-reported outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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