Jang Suk Hwan, Kim Jin Goo, Ha Jeong Ku, Wang Bae Gun, Yang Sang Jin
Department of Orthopedic Surgery, Inje University, Seoul Paik Hospital, Seoul, Republic of Korea.
Department of Orthopedic Surgery, Inje University, Seoul Paik Hospital, Seoul, Republic of Korea.
Knee. 2014 Jan;21(1):95-101. doi: 10.1016/j.knee.2013.08.017. Epub 2013 Sep 17.
There is a lack of standardized objective criteria to accurately assess the ability of a patient to progress through the end stages of rehabilitation and safely return to their previous level of athletic activity after anterior cruciate ligament (ACL) reconstruction.
To determine objective factors involved in returning to sports following ACL reconstruction.
Based on our inclusion criteria of a minimum 2-year follow-up, pre-injury sports activity level of Tegner 5 or greater, we retrospectively evaluated 67 patients who underwent ACL reconstruction. The patients were divided into "return-to-sports" (n=51) and "non-return" groups (n=16) by surveying participants using a questionnaire. Comparisons between the two groups were made using pre-operative and post-operative International Knee Documentation Committee questionnaires (IKDC), Lysholm score, and KT-2000 arthrometer. Flexor and extensor muscle strength, and functional performance tests (one-leg-hop test, co-contraction, shuttle run, and carioca tests) were used for assessment.
Overall clinical results, including IKDC score, Lysholm score, and KT-2000 arthrometer, improved in all patients post-operatively and no significant difference was seen between the two groups (P>0.05). Although there was no significant difference in flexor or extensor deficits, one-leg-hop test, or shuttle run test, "return-to-sports" group obtained significantly better scores in the co-contraction and carioca tests (P<0.05).
Tests that assess rotational stability showed statistically significant differences between the two groups. Further prospective studies with larger cohort are needed to determine the factors associated with returning to sports after ACL reconstruction.
Retrospective comparative study, Level III.
目前缺乏标准化的客观标准来准确评估患者在前交叉韧带（ACL）重建后度过康复末期并安全恢复至先前运动水平的能力。
确定ACL重建后恢复运动所涉及的客观因素。
基于我们设定的至少2年随访、伤前Tegner运动活动水平为5或更高的纳入标准，我们回顾性评估了67例行ACL重建的患者。通过问卷调查将患者分为“恢复运动”组（n = 51）和“未恢复”组（n = 16）。使用术前和术后国际膝关节文献委员会问卷（IKDC）、Lysholm评分和KT - 2000关节测径仪对两组进行比较。采用屈伸肌力量以及功能表现测试（单腿跳测试、共同收缩、往返跑和 carioca测试）进行评估。
所有患者术后的总体临床结果，包括IKDC评分、Lysholm评分和KT - 2000关节测径仪结果均有所改善，两组间无显著差异（P>0.05）。尽管屈伸肌缺陷、单腿跳测试或往返跑测试无显著差异，但“恢复运动”组在共同收缩和carioca测试中得分显著更高（P<0.05）。
评估旋转稳定性的测试显示两组间存在统计学显著差异。需要进一步开展更大样本量的前瞻性研究来确定与ACL重建后恢复运动相关的因素。
回顾性比较研究，III级。
