Comparison of Knee Stability, Strength Deficits, and Functional Score in Primary and Revision Anterior Cruciate Ligament Reconstructed Knees.
Comparison of Knee Stability, Strength Deficits, and Functional Score in Primary and Revision Anterior Cruciate Ligament Reconstructed Knees.
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DOI：
10.1038/s41598-018-27595-8
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发表时间：
2018-06-15
影响因子：
4.6
通讯作者：
Park WH
中科院分区：
文献类型：
--
作者：
Kim DK;Park G;Kadir KBHMS;Kuo LT;Park WH
与初次手术相比，ACL重建翻修术的技术要求更高，失败率更高。理论上，ACL重建术后康复治疗可以改善膝关节功能。本研究旨在比较初次和翻修ACL重建膝关节的稳定性、强度和功能。2013年4月至2016年5月期间，纳入了40例初次ACL重建手术和40例翻修ACL重建手术。翻修手术患者的前后平移高于初次重建患者（中位松弛度，2.0 mm vs. 3.0 mm，p = 0.0022）。初次和翻修ACL重建膝关节在60°/sec或180°/sec时膝关节伸肌（分别为p = 0.308，p = 0.931）或60°/sec或180°/sec时屈肌肌力无差异（分别为p = 0.091，p = 0.343）。首次手术后第12个月，初次手术与翻修手术的功能评分（包括IKDC评分和Lysholm评分）之间也无显著差异（分别为p = 0.154，p = 0.324）。总之，尽管存在较高的前后不稳定性，但在适当康复后，与初次ACL重建患者相比，翻修ACL重建患者的等速膝关节强度和功能结局不劣于初次ACL重建患者。
Comparing to primary surgery, revision ACL reconstruction is more technically demanding and has a higher failure rate. Theoretically, rehabilitation can improve knee function after ACL reconstruction surgery. This study aimed to compare knee stability, strength, and function between primary and revision ACL reconstructed knees. 40 primary and 40 revision ACL reconstruction surgeries were included between April 2013 and May 2016. Patients with revision surgery had a higher anteroposterior translation comparing those with primary reconstruction (median laxity, 2.0 mm vs. 3.0 mm, p = 0.0022). No differences were noted in knee extensor at 60°/sec or 180°/sec (p = 0.308, p = 0.931, respectively) or in flexor muscle strength at 60°/sec or 180°/sec between primary and revision ACL reconstruction knees (p = 0.091, p = 0.343, respectively). There were also no significant differences between functional scores including IKDC score and Lysholm score in primary versus revision surgeries at 12th months after index operation (p = 0.154, p = 0.324, respectively). In conclusion, despite having higher anteroposterior instability, patients with revision ACL reconstruction can have non-inferior outcomes in isokinetic knee strength and function compared to those with primary ACL reconstruction after proper rehabilitation.
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影响因子：
1.7
作者：
Keays, S. L.;Bullock-Saxton, J. E.;Bullock, M. I.
通讯作者：
Bullock, M. I.
DOI：
10.1097/00003086-199604000-00010
发表时间：
1996-04-01
影响因子：
4.2
作者：
Uribe, JW;Hechtman, KS;TjinATsoi, EW
通讯作者：
TjinATsoi, EW
影响因子：
4.8
作者：
Diamantopoulos, Andreas P.;Lorbach, Olaf;Paessler, Hans H.
通讯作者：
Paessler, Hans H.
DOI：
10.1016/j.arthro.2009.09.014
发表时间：
2010-06-01
影响因子：
4.7
作者：
Muneta, Takeshi;Hara, Kenji;Sekiya, Ichiro
通讯作者：
Sekiya, Ichiro
影响因子：
39.2
作者：
Slemenda, C;Brandt, KD;Wolinsky, FD
通讯作者：
Wolinsky, FD