Proprioceptive skills and functional outcome after anterior cruciate ligament reconstruction with a bone–tendon–bone graft

Abstract

Several studies have shown that patients with anterior cruciate ligament (ACL) reconstruction have an improved proprioceptive function compared to subjects with ACL-deficient knees. The measurement of functional scores and proprioception potentially provides clinicians with more information on the status of the ACL-reconstructed knees. To evaluate proprioception in patients following ACL reconstruction with a bone-tendon-bone (BTB) graft, we used the angle reproduction in the sitting, lying and standing positions and the one-leg hop test. Forty-five patients between 19 and 52 years of age were investigated in a 36-month period after the operation. For functional performance measurement, the International Knee Documentation Committee (IKDC) score was used. Very good and good results were seen in 95% of cases. All patients returned to the same activity level as seen before ACL repair. There was a significant difference in the active angle reproduction test between the ACL-reconstructed knees and normal knees in the active sitting position. Tests with passive angle adjustment in the sitting, lying and active standing positions did not show any differences in proprioceptive skills. Good to very good results in the one-leg hop test we found in 95% of patients. After ACL reconstruction, deficiencies in the active angle reproduction test were very small but, nevertheless, were still observed. Overall, the functional and proprioceptive outcomes demonstrate results to recommend the procedure.

Correlation Between Eccentric Training and Functional Tests in Subjects With Reconstructed Acl

“…Indeed, the success of ACL reconstruction may be explained mainly by a good joint functionality. This is supported by studies reporting poor functional results, despite satisfactory joint mechanics and vice-versa, according to Anders et al 29 . Furthermore, Feller and Webster 30 reported that not only surgical and rehabilitation details but also age and injury and surgery times are involved in knee function, vice-versa to return to sports activities.…”

The Analysis of Proprioception Alteration during First Five Months after Anterior Cruciate Ligament Reconstruction

“…Before surgery we found that there were higher differences for JPS errors scores between injured ACL-deficient knee and the contralateral knee (normal knee). Many authors have demonstrated significant proprioceptive deficits in ACL-deficient knees (Pap et al, 1999;Fischer-Rasmussen, Jensen, 2000;Anders et al, 2008;Dhillon et al, 2011). Significant data have come to light demonstrating proprioceptive differences between normal and injured knees, and often between injured and reconstructed knees (Dhillon et al, 2011).…”

Dynamic-Position-Sense Impairment’s Independence of Perceived Knee Function in Women With ACL Reconstruction

“…There is conflicting evidence in the literature regarding whether patients with ACLR demonstrate impaired proprioception. A few reports suggest that proprioception deficits persist after ACLR, 7,8 but most support full recovery of proprioception. [4][5][6][7][8][9] However, the proprioception tasks in many of these studies do not simulate proprioception challenges faced by patients after return to normal activities.…”

“…A few reports suggest that proprioception deficits persist after ACLR, 7,8 but most support full recovery of proprioception. [4][5][6][7][8][9] However, the proprioception tasks in many of these studies do not simulate proprioception challenges faced by patients after return to normal activities. Most previous studies have examined kinesthesia, a subcomponent of proprioception, via joint rotations at low velocity.…”