Isokinetic Evaluation of Anterior Cruciate Ligament Reconstruction: Hamstring Versus Patellar Tendon

Carter, Thomas R.; Edinger, Samantha

doi:10.1053/ar.1999.v15.0150161

Cited by 125 publications

(113 citation statements)

References 17 publications

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“…One study found that after 6 months ACLinjured participants had the same isokinetic knee extensor and -flexor strength than control participants. Several studies reported that the mean isokinetic strength deficit for knee flexors or extensors decreased from surgery to 6 months postoperatively, with the highest measured deficit occurring at 6 months postoperatively [3,7,15,39,53,75,79].…”

Section: Resultsmentioning

confidence: 99%

“…Nineteen of these studies compared patients with a patellar tendon autograft to patients with a hamstring tendon autograft [2,3,11,12,14,15,20,27,33,35,41,44,50,51,53,75,79]. Seven of these studies showed that after 12-24 months after ACL reconstruction patients with BPTB graft showed a greater deficit in extensor muscle strength and lower deficit in flexor muscle strength compared with patients with HST and vice versa.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Return to play following ACL reconstruction: a systematic review about strength deficits

Petersen

Taheri

Forkel

et al. 2014

Arch Orthop Trauma Surg

189

143

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Return to play following ACL reconstruction: a systematic review about strength deficits

Petersen

Taheri

Forkel

et al. 2014

Arch Orthop Trauma Surg

189

143

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show abstract

“…In most of these studies, the follow-up time has not exceeded 2 years [1,3,5,10,12,15]. In the study of Marder et al [28] the patients were evaluated at a minimum of 24 months and Beynnon et al [7] followed their patients for an average of 36 months.…”

Section: Introductionmentioning

confidence: 99%

Isokinetic quadriceps and hamstring muscle strength and knee function 5 years after anterior cruciate ligament reconstruction: comparison between bone-patellar tendon-bone and hamstring tendon autografts

Lautamies¹,

Harilainen

Kettunen

et al. 2008

Knee Surg Sports Traumatol Arthr

141

123

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Existing clinical studies have not proven which graft is to be preferred in anterior cruciate ligament (ACL) reconstruction. In recent years, bone-patellar tendon-bone and hamstring tendons have been the most frequently used graft types. Muscle strength deficit is one of the consequences after ACL reconstruction. The aim of this study was to evaluate possible differences in hamstring and quadriceps muscle strength and knee function 5 years after ACL reconstruction between the BPTB and the STG groups. The study group consisted of 288 patients (132 women, 156 men) with a unilateral ACL rupture who had received a BPTB (175 patients) or STG (113 patients) ACL reconstruction. Lower extremity concentric isokinetic peak extension and flexion torques were assessed at the angular velocities of 60 degrees /s and 180 degrees /s. The International Knee Documentation Committee (IKDC), the Tegner activity level, the Lysholm knee and the Kujala patellofemoral scores were also collected. Isokinetic quadriceps peak torque (percentage of the contralateral side) was 3.9% higher in the STG group than in the BPTB group at the velocity of 60 degrees /s and 3.2% higher at the velocity of 180 degrees /s and the isokinetic hamstring peak torque 2% higher in the BPTB group than in the STG group at the velocity of 60 degrees /s and 2.5% higher at the velocity of 180 degrees /s. In both groups the subjects had weaker quadriceps and hamstring muscle strength in the injured extremity compared with the uninjured one. In the single-leg hop test (according to the IKDC recommendations) there was a statistically significant difference (P = 0.040) between the groups. In the STG group, 68% of the patients had the single-leg hop ratio (injured vs. uninjured extremity) > or =90%, 31% of the patients 75-89% and 1% of the patients <75%, while in the BPTB group the corresponding percentages were 72, 21 and 7%. However, no statistically significant differences in clinical outcome were found between the groups as determined by the IKDC, Tegner activity level, Lysholm knee and Kujala patellofemoral scores.

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“…Assim como Carter e Edinger (20) , nossos resultados também demonstram déficit de força dos músculos quadríceps e flexores após seis meses de cirurgia reparadora do LCA com TP e ST-G; a maioria dos pacientes não apresentava força muscular normal ao final de seis meses de PO.…”

Section: Discussionunclassified

Comparação entre os resultados obtidos na reconstrução do ligamento cruzado anterior do joelho utilizando dois tipos de enxertos autólogos: tendão patelar versus semitendíneo e grácil

Abdalla¹,

Monteiro²,

Dias³

et al. 2009

Rev. bras. ortop.

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RESUMOObjetivo: O objetivo deste trabalho é comparar os resultados da artrometria e do exame isocinético entre dois tipos de enxertos autólogos: o terço central do ligamento patelar e o formado pelos tendões dos músculos semitendíneo e grácil, dentro de um mesmo protocolo de reabilitação no sexto mês pós-operatório. Materiais e Métodos: Foram analisados os resultados obtidos dos exames realizados em 63 pacientes divididos em dois grupos. Em um grupo de 30 pacientes, utilizou-se o tendão patelar como enxerto e em outro grupo de 33 pacientes, utilizou-se o tendão dos músculos semitendíneo e grácil. Ambos os enxertos foram fixados da mesma forma, com Endobutton™ para fixação suspensória no fêmur e um parafuso de interferência bioabsorvível para fixação no túnel tibial. Resultados: A artrometria 30 não apresentou diferença estatística entre os dois grupos observados. Já na avaliação isocinética, constatou-se que o grupo de tendão patelar possui em média maior pico de torque de flexão e maior déficit de extensão e o grupo de flexores possui, em média, melhor relação flexão/extensão e maior déficit de flexão percentual. Não há diferença estatística significante entre os grupos quanto à medida de pico de torque de extensão. Conclusão: portanto, no presente estudo, quando o tendão patelar é utilizado, há maior déficit extensor e quando são utilizados os tendões flexores, há maior déficit flexor.Descritores -Ligamento cruzado anterior; Joelho; Reconstrução; Artroscopia.

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Isokinetic Evaluation of Anterior Cruciate Ligament Reconstruction: Hamstring Versus Patellar Tendon

Cited by 125 publications

References 17 publications

Return to play following ACL reconstruction: a systematic review about strength deficits

Return to play following ACL reconstruction: a systematic review about strength deficits

Isokinetic quadriceps and hamstring muscle strength and knee function 5 years after anterior cruciate ligament reconstruction: comparison between bone-patellar tendon-bone and hamstring tendon autografts

Comparação entre os resultados obtidos na reconstrução do ligamento cruzado anterior do joelho utilizando dois tipos de enxertos autólogos: tendão patelar versus semitendíneo e grácil

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