Department of Physiotherapy and Rehabilitation, Institute of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.
Department of Orthopaedics and Traumatology, S.B University Umraniye Training and Research Hospital, Istanbul, Turkey.
Eur J Orthop Surg Traumatol. 2023 Oct;33(7):2873-2880. doi: 10.1007/s00590-023-03510-4. Epub 2023 Mar 6.
There are few studies examining anterior cruciate ligament reconstruction (ACLR) and RAMP lesion repair. However, no studies have investigated the level of functional performance and psychological state after ACLR and all-inside RAMP lesion repair.
HYPOTHESIS/PURPOSE: The aim of this study is to determine the effect of ACLR and RAMP lesion repair on psychological status. ACLR and meniscal RAMP lesion repair were hypothesized to be associated with better psychological outcomes.
This is a cohort study.
Patients who underwent ACLR with semitendinosus and gracilis autografts by a single surgeon were determined retrospectively. Fifteen patients who underwent ACLR and all-inside meniscus RAMP lesion repair (ACLR-RR) and 15 patients who underwent isolated ACLR were compared. Patients were evaluated by a physiotherapist at least 9 months after surgery. The primary outcome measure was anterior cruciate ligament-return to sports after injury (ACL-RSI), and the psychological status of the patients was examined. Secondary outcomes were visual analog scale (VAS), Tegner activity score, Lysholm knee score, single hop tests, and limb symmetry index (LSI). While pain intensity at rest and during movement was evaluated with VAS, functional performance level was evaluated with the Tegner activity score, the Lysholm knee score, single hop tests, and limb symmetry index (LSI).
A significant difference was found in the ACL-RSI values in the ACLR-RR group compared to the isolated ACLR group (p = 0.02). The results of the groups in VAS scores at rest and during movement, Tegner activity levels, and Lysholm knee scores, in the intact and operated leg single hop tests (single leg hop, cross hop, triple hop, and six-meter hop test), and the LSI values in the single leg hop tests showed no significant difference.
This study revealed different psychological outcomes and similar functional levels for ACLR and all-inside meniscus RAMP repair compared with isolated ACLR. It was observed that the psychological status of patients with RAMP lesions should also be evaluated.
目前仅有少数研究探讨前交叉韧带重建（ACL）和半月板后根稳定（RAMP）损伤修复。然而，尚无研究调查 ACL 重建和全内半月板 RAMP 损伤修复后功能表现和心理状态的水平。
假设/目的：本研究旨在确定 ACL 重建和 RAMP 损伤修复对心理状态的影响。假设 ACL 重建和半月板 RAMP 损伤修复与更好的心理结果相关。
这是一项队列研究。
回顾性确定由同一位外科医生行半腱肌和股薄肌腱自体移植物行 ACL 重建的患者。比较 15 例行 ACL 重建和全内半月板 RAMP 损伤修复（ACLR-RR）的患者和 15 例行单纯 ACL 重建的患者。患者在术后至少 9 个月由理疗师进行评估。主要结局测量指标是前交叉韧带损伤后重返运动（ACL-RSI），并检查患者的心理状态。次要结局测量指标是视觉模拟量表（VAS）评分、Tegner 活动评分、Lysholm 膝关节评分、单腿跳跃测试和肢体对称性指数（LSI）。VAS 评估休息和运动时的疼痛强度，Tegner 活动评分、Lysholm 膝关节评分、单腿跳跃测试和肢体对称性指数（LSI）评估功能表现水平。
与单纯 ACL 重建组相比，ACLR-RR 组的 ACL-RSI 值存在显著差异（p=0.02）。两组在休息和运动时的 VAS 评分、Tegner 活动水平、Lysholm 膝关节评分、健侧和患侧单腿跳跃测试（单腿跳跃、交叉跳跃、三级跳跃和 6 米跳跃测试）、单腿跳跃测试中的 LSI 值方面无显著差异。
本研究显示，与单纯 ACL 重建相比，ACL 重建和全内半月板 RAMP 修复具有不同的心理结局和相似的功能水平。我们观察到，RAMP 损伤患者的心理状态也应进行评估。
