TR
EN
Comparison of functional outcomes of two anterior cruciate ligament reconstruction methods with hamstring tendon graft
Abstract
Objective: The aim of this study was to compare the effects of Endobutton post-fixation and femoral (TransFix) transfixation in ACL reconstruction on lower extremity muscle strength, joint position sense, and knee stability.
Methods: Subjects who had undergone ACL reconstruction with hamstring tendon using Endobutton post-fixation (n=20, mean age: 26.5 years) or femoral transfixation (n=20, mean age: 29.9 years) were recruited to an ACL rehabilitation program. Twelve months after surgery, quadriceps and hamstring torque values were recorded using an isokinetic dynamometer. Computerized coordination and proprioception tests (Functional Squat System; Monitored Rehab System) were performed to determine the deficits in joint position sense. The anterior translation test was performed using a Kneelax 3 arthrometer to determine knee laxity.
Results: Side-to-side differences between groups for hamstring and quadriceps muscle strength, concentric and eccentric motor coordination and anterior tibial laxity were not significantly different (p>0.05).
Conclusion: No statistically significant differences in functional outcome were found 1 year after the ACL reconstruction using Endobutton post-fixation and femoral transfixation with hamstring tendon graft. Deficits in hamstring-quadriceps muscle strength, motor coordination and proprioception were still found in both groups. We therefore recommend that long-term followup and rehabilitation including neuromuscular exercises should be continued for longer than one year after ACL reconstruction.
Methods: Subjects who had undergone ACL reconstruction with hamstring tendon using Endobutton post-fixation (n=20, mean age: 26.5 years) or femoral transfixation (n=20, mean age: 29.9 years) were recruited to an ACL rehabilitation program. Twelve months after surgery, quadriceps and hamstring torque values were recorded using an isokinetic dynamometer. Computerized coordination and proprioception tests (Functional Squat System; Monitored Rehab System) were performed to determine the deficits in joint position sense. The anterior translation test was performed using a Kneelax 3 arthrometer to determine knee laxity.
Results: Side-to-side differences between groups for hamstring and quadriceps muscle strength, concentric and eccentric motor coordination and anterior tibial laxity were not significantly different (p>0.05).
Conclusion: No statistically significant differences in functional outcome were found 1 year after the ACL reconstruction using Endobutton post-fixation and femoral transfixation with hamstring tendon graft. Deficits in hamstring-quadriceps muscle strength, motor coordination and proprioception were still found in both groups. We therefore recommend that long-term followup and rehabilitation including neuromuscular exercises should be continued for longer than one year after ACL reconstruction.
Keywords
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
September 14, 2011
Submission Date
March 7, 2014
Acceptance Date
-
Published in Issue
Year 2011 Volume: 45 Number: 4
APA
Yosmaoglu, H., Baltaci, G., Kaya, D., Ozer, H., & Atay, A. (2011). Comparison of functional outcomes of two anterior cruciate ligament reconstruction methods with hamstring tendon graft. Acta Orthopaedica et Traumatologica Turcica, 45(4), 240-247. https://izlik.org/JA28NN86TT
AMA
1.Yosmaoglu H, Baltaci G, Kaya D, Ozer H, Atay A. Comparison of functional outcomes of two anterior cruciate ligament reconstruction methods with hamstring tendon graft. Acta Orthopaedica et Traumatologica Turcica. 2011;45(4):240-247. https://izlik.org/JA28NN86TT
Chicago
Yosmaoglu, Hayri, Gul Baltaci, Defne Kaya, Hamza Ozer, and Ahmet Atay. 2011. “Comparison of Functional Outcomes of Two Anterior Cruciate Ligament Reconstruction Methods With Hamstring Tendon Graft”. Acta Orthopaedica et Traumatologica Turcica 45 (4): 240-47. https://izlik.org/JA28NN86TT.
EndNote
Yosmaoglu H, Baltaci G, Kaya D, Ozer H, Atay A (September 1, 2011) Comparison of functional outcomes of two anterior cruciate ligament reconstruction methods with hamstring tendon graft. Acta Orthopaedica et Traumatologica Turcica 45 4 240–247.
IEEE
[1]H. Yosmaoglu, G. Baltaci, D. Kaya, H. Ozer, and A. Atay, “Comparison of functional outcomes of two anterior cruciate ligament reconstruction methods with hamstring tendon graft”, Acta Orthopaedica et Traumatologica Turcica, vol. 45, no. 4, pp. 240–247, Sept. 2011, [Online]. Available: https://izlik.org/JA28NN86TT
ISNAD
Yosmaoglu, Hayri - Baltaci, Gul - Kaya, Defne - Ozer, Hamza - Atay, Ahmet. “Comparison of Functional Outcomes of Two Anterior Cruciate Ligament Reconstruction Methods With Hamstring Tendon Graft”. Acta Orthopaedica et Traumatologica Turcica 45/4 (September 1, 2011): 240-247. https://izlik.org/JA28NN86TT.
JAMA
1.Yosmaoglu H, Baltaci G, Kaya D, Ozer H, Atay A. Comparison of functional outcomes of two anterior cruciate ligament reconstruction methods with hamstring tendon graft. Acta Orthopaedica et Traumatologica Turcica. 2011;45:240–247.
MLA
Yosmaoglu, Hayri, et al. “Comparison of Functional Outcomes of Two Anterior Cruciate Ligament Reconstruction Methods With Hamstring Tendon Graft”. Acta Orthopaedica et Traumatologica Turcica, vol. 45, no. 4, Sept. 2011, pp. 240-7, https://izlik.org/JA28NN86TT.
Vancouver
1.Hayri Yosmaoglu, Gul Baltaci, Defne Kaya, Hamza Ozer, Ahmet Atay. Comparison of functional outcomes of two anterior cruciate ligament reconstruction methods with hamstring tendon graft. Acta Orthopaedica et Traumatologica Turcica [Internet]. 2011 Sep. 1;45(4):240-7. Available from: https://izlik.org/JA28NN86TT