Department of Sports Medical Center, Anam Hospital, Korea University College of Medicine, Seoul, 02841, Republic of Korea.
Department of Orthopedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, 02841, Republic of Korea.
Sci Rep. 2024 May 20;14(1):11440. doi: 10.1038/s41598-024-62444-x.
This study aimed to compare functional outcomes sequentially up to 1 year after combined anterior cruciate ligament reconstruction (ACLR) and anterolateral ligament reconstruction (ALLR) and isolated ACLR. Fifty patients who underwent ACLR with versus without ALLR were analyzed at four different time points (preoperatively and 3, 6, and 12 months postoperatively). For the functional outcomes, muscle strength and acceleration time (AT) were measured using an isokinetic dynamometer. Proprioception was evaluated using joint position sense and dynamic postural stability. Patient-reported outcomes were measured using the Tampa Scale for Kinesiophobia (TSK-11) scores. Functional performance was assessed using single-leg hop distance (SLHD) and Limb Symmetry Index. In the operated knees, quadriceps (at 6 months postoperatively, p = 0.003) and hamstring (at 6 and 12 months postoperatively, p < 0.001) strength were significantly higher in the combined ACLR and ALLR group than the isolated ACLR group. The TSK-11 (at 6 and 12 months postoperatively, p < 0.001) was significantly lower in the combined ACLR and ALLR group than the isolated ACLR group. SLHD was significantly higher in the combined ACLR and ALLR group than the isolated ACLR group (at 6 months, p = 0.022 and at 12 months, p = 0.024). The addition of ALLR to primary ACLR yielded better muscle performance, fear of movement, and functional performance than isolated ACLR.
本研究旨在比较前交叉韧带重建（ACLR）联合前外侧韧带重建（ALLR）与单纯 ACLR 术后 1 年内的功能结果。分析了 50 例接受 ACLR 联合与不联合 ALLR 的患者，在 4 个不同时间点（术前及术后 3、6 和 12 个月）进行评估。对于功能结果，使用等速测力计测量肌肉力量和加速时间（AT）。使用关节位置感和动态姿势稳定性评估本体感觉。使用 Tampa 运动恐惧量表（TSK-11）评分评估患者报告的结果。使用单腿跳跃距离（SLHD）和肢体对称性指数评估功能表现。在手术膝关节中，联合 ACLR 和 ALLR 组在术后 6 个月时（p=0.003）股四头肌和术后 6 和 12 个月时（p<0.001）腘绳肌的力量明显高于单纯 ACLR 组。联合 ACLR 和 ALLR 组的 TSK-11 在术后 6 和 12 个月时（p<0.001）明显低于单纯 ACLR 组。联合 ACLR 和 ALLR 组的 SLHD 在术后 6 个月（p=0.022）和 12 个月（p=0.024）时明显高于单纯 ACLR 组。与单纯 ACLR 相比，将 ALLR 加入到原发性 ACLR 中可获得更好的肌肉性能、运动恐惧和功能表现。
