Physical Therapy Service, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil; Department of Physical Therapy, Speech and Occupational Therapy, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Department of Physical Therapy, Speech and Occupational Therapy, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Clinics (Sao Paulo). 2023 Aug 17;78:100267. doi: 10.1016/j.clinsp.2023.100267. eCollection 2023.
To evaluate hip and knee muscular function, knee patient-reported outcome measures and hop performance in patients with a clinical indication for combined ACL+ALL reconstruction surgery compared to patients with an isolated ACL reconstruction surgery indication (preoperative phase) and to a control group.
Cross-sectional study.
The sample was composed of male individuals, aged between 18 and 59 years, divided into three groups (ACL, ACL+ALL and Control). Isokinetic dynamometry was performed for the flexor and extensor knee muscles and for the hip abductors and adductors. SLHT, COHT and the Lysholm score were performed. Pain, swelling, and thigh trophism were also measured.
The study participants were 89 male individuals: 63 in the injury group and 26 in the control group. After applying the criteria for an ALL reconstruction indication, 33 patients were assigned to the ACL Group and 30 patients to the ACL+ALL Group. Regarding knee and hip muscle function, both groups presented worse results when compared to the control group, however, did not show significant differences compared to each other. Regarding the functional variables, the ACL+ALL group showed a significantly shorter distance achieved in the Crossover Hop Test than the other groups, as well as more pain during the tests.
Knee and hip muscular functions are impaired after an ACL injury and do not seem to be influenced or worsened in individuals with greater rotational instability with clinical indications for combined reconstruction of the anterior cruciate and the anterolateral ligaments of the knee.
评估髋关节和膝关节肌肉功能、膝关节患者报告的结局测量指标和跳跃表现，比较有临床指征行 ACL+ALL 重建手术的患者与仅行 ACL 重建手术指征的患者（术前阶段）以及对照组。
横断面研究。
样本由年龄在 18 至 59 岁之间的男性个体组成，分为三组（ACL、ACL+ALL 和对照组）。对膝关节的屈肌和伸肌以及髋关节的外展肌和内收肌进行等速肌力测试。进行 SLHT、COHT 和 Lysholm 评分。还测量了疼痛、肿胀和大腿营养状况。
本研究参与者为 89 名男性个体：63 名损伤组和 26 名对照组。在应用 ALL 重建指征标准后，33 名患者被分配到 ACL 组，30 名患者被分配到 ACL+ALL 组。关于膝关节和髋关节肌肉功能，两组与对照组相比结果较差，但彼此之间无显著差异。关于功能变量，ACL+ALL 组在交叉跳跃测试中完成的距离明显短于其他组，并且在测试过程中疼痛更多。
ACL 损伤后膝关节和髋关节肌肉功能受损，并且对于具有更大旋转不稳定性的个体，其功能似乎不会受到影响或恶化，这些个体有临床指征进行前交叉韧带和膝关节前外侧韧带的联合重建。
