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Factors correlating with recovery of quadriceps strength after double-bundle anterior cruciate ligament reconstruction with hamstring tendon autografts

  • Original Article • KNEE - LIGAMENTS
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

Recovery of quadriceps strength after anterior cruciate ligament (ACL) reconstruction is one of the criteria used to promote rehabilitation and return to play. The purpose of this study was to investigate the factors associated with recovery of quadriceps strength after ACL reconstruction with hamstring tendon autografts.

Methods

Isokinetic quadriceps strength at 60°/s was measured preoperatively and 6 months after surgery in 101 patients (54 males and 47 females) who underwent double-bundle ACL reconstruction with hamstring tendon autografts. The quadriceps strength index (%) was calculated by normalizing the peak torque of the operated leg with that of the contralateral leg. Details on age, sex, body mass index, time from injury to surgery, pre-injury Tegner activity scale score, previous meniscus repair, and preoperative quadriceps strength index were recorded. The factors associated with the postoperative quadriceps strength index were investigated in univariate and multivariate regression analyses.

Results

Multivariate regression analysis showed that preoperative quadriceps strength index (p = 0.001) was independently associated with the quadriceps strength index at 6 months after surgery. There was a marginally significant inverse association between age and postoperative quadriceps strength, but no statistically significant association was found for any of the other factors investigated.

Conclusions

Postoperative quadriceps strength index at 6 months after double-bundle ACL reconstruction with hamstring tendon autografts was affected by preoperative quadriceps strength index. Adequate preoperative quadriceps strength may need to be considered in order to facilitate better recovery of quadriceps strength after ACL reconstruction and to support an earlier return to sports activities.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima, 770-8503, Japan

    Toshiyuki Iwame, Tetsuya Matsuura & Koichi Sairyo

  2. Department of Rehabilitation, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan

    Tetsuya Okahisa

  3. Department of Orthopedic Surgery, Tokushima Prefectural Central Hospital, 1-10-3 Kuramoto, Tokushima, 770-8539, Japan

    Joji Iwase

  4. Department of Preventive Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan

    Hirokazu Uemura

Authors
  1. Toshiyuki Iwame
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  2. Tetsuya Matsuura
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  3. Tetsuya Okahisa
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  4. Joji Iwase
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  5. Hirokazu Uemura
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  6. Koichi Sairyo
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Correspondence to Toshiyuki Iwame.

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Iwame, T., Matsuura, T., Okahisa, T. et al. Factors correlating with recovery of quadriceps strength after double-bundle anterior cruciate ligament reconstruction with hamstring tendon autografts. Eur J Orthop Surg Traumatol 30, 307–312 (2020). https://doi.org/10.1007/s00590-019-02580-7

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  • DOI: https://doi.org/10.1007/s00590-019-02580-7

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