The influence of graft choice on isokinetic muscle strength 4-24 months after anterior cruciate ligament reconstruction
2011 (English)In: KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, ISSN 0942-2056, Vol. 19, no 5, 768-780 p.Article in journal (Refereed) Published
Regaining adequate strength of the quadriceps and hamstrings after anterior cruciate ligament (ACL) reconstruction is important for maximizing functional performance. However, the outcome of muscle strength after either BPTB or hamstrings autograft is unclear given the plethora of published studies that report post-operative muscle strength. The purpose of this study was to systematically compare the muscle strength of patients who have undergone ACL reconstruction using either Bone Patellar Tendon Bone (BPTB) or Hamstrings (HST) autograft. The databases of MEDLINE, Cinahal and EMBASE were systematically searched for articles that report muscle strength outcome following ACL reconstruction. The quality of the studies was evaluated and a meta-analysis of the muscle strength outcomes was conducted on reported data. Fourteen studies were included in this systematic review: eight Randomized Control Studies (RCT) and six non-Randomized Control Studies (non-RCT). A meta-analysis was performed involving eight of the included studies (4 RCTs andamp; 3 non-RCTs). At 60A degrees/s and 180A degrees/s, patients with BPTB graft showed a greater deficit in extensor muscle strength and lower deficit in flexor muscle strength compared with patients with HST. This systematic review of Level III evidence showed that isokinetic muscle strength deficits following ACL reconstruction are associated with the location of the donor site. These deficits appear to be unresolved up to 2 years after ACL reconstruction. III.
Place, publisher, year, edition, pages
Springer Science Business Media , 2011. Vol. 19, no 5, 768-780 p.
ACL reconstruction, Isokinetic muscle strength, Systematic review, Meta-analysis
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-67964DOI: 10.1007/s00167-010-1357-0ISI: 000289529700012OAI: oai:DiVA.org:liu-67964DiVA: diva2:414738
The original publication is available at www.springerlink.com:
Sofia A Xergia, Jodie A McClelland, Joanna Kvist, Haris S Vasiliadis and Anastasios D Georgoulis, The influence of graft choice on isokinetic muscle strength 4-24 months after anterior cruciate ligament reconstruction, 2011, KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, (19), 5, 768-780.
Copyright: Springer Science Business Media