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International Orthopaedics

, Volume 32, Issue 5, pp 627–633 | Cite as

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

  • J. O. AndersEmail author
  • R. A. Venbrocks
  • M. Weinberg
Original Paper

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.

Keywords

Anterior Cruciate Ligament Anterior Cruciate Ligament Reconstruction Tibial Tunnel International Knee Documentation Committee Joint Position Sense 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Plusieurs études ont montré que des patients ayant bénéficié d’une reconstruction du ligament croisé antérieur ont été améliorés sur le plan de la fonction proprioceptive surtout si on compare les sujets à des sujets non traités gardant un déficit au niveau du ligament croisé antérieur. La mesure des différents scores, fonction et proprioception, donne un certain nombre d’informations sur ces genoux qui ont été opérés. Nous avons évalué la proprioception de patients opérés par greffes du ligament croisé antérieur par un greffon de type BTB et évalué cette proprioception en position assise, debout, en appui monopodal et après tests de sauts.45 patients entre 19 et 52 ans ont été analysés sur une période de 36 mois après l’intervention chirurgicale. Le score IKDC a également été mesuré. Les résultats ont été considérés comme très bons dans 95% des cas. Les patients ont repris une activité au même niveau que celle qu’ils avaient avant la réparation. Il n’y a pas de différences significatives entre les genoux reconstruits et le genou normal, notamment en ce qui concerne les tests en positions assises. Un très bon résultat des tests de sauts est retrouvé chez 95% des patients. On peut considérer après reconstruction du ligament croisé antérieur, que la récupération fonctionnelle et proprioceptive est excellente et confirme la nécessité de reconstruire les ligaments après rupture.

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.Department of Orthopedic Surgery Friedrich-Schiller-University Jena, Waldkrankenhaus “Rudolf Elle” EisenbergEisenbergGermany

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