Akbari Aghdam Hossein, Shahrokh Seyedeh Ghazal, Ahmadi Omid, Rostami Koushan, Najafi Mohammad M, Sadeghian Amirhossein, Hosseini Zahra, Anaraki Kasra Talebi
Department of Orthopedic Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfehan, Iran.
Adv Biomed Res. 2024 Nov 30;13:117. doi: 10.4103/abr.abr_281_23. eCollection 2024.
Anterior cruciate ligament (ACL) injury has an incidence of 0.05-0.08 per thousand. An inappropriate treatment plan could lead to articular cartilage damage and early knee osteoarthritis. Some surgical reconstruction techniques use different graft types; all of them try to restore the patient's preinjury activity levels. The current study aims to evaluate the efficacy of ACL reconstruction (ACLR) using an autologous hamstring tendon.
This is a retrospective one-center cohort study performed on consecutive patients with an ACL injury who underwent ACLR using semitendinosus and gracilis autograft. The postsurgical activity and fear were measured using Marx scale and Tampa scale of kinesophobia, respectively, during a follow-up of 18 months.
From a total of 76 patients included in our study, 40.8% were female. The mean age of the participants was 26.25-year-old. Five patients from those with kinesophobia (12.5%) and 34 patients from those with no-kinesophobia (94%) returned to the preinjury activity level ( value < 0.001). Marx scale six months after the surgery was significantly lower than the score before the surgery, but as expected, it improved during the 18-month follow-up.
The current study showed that kinesophobia reduces the rate of return to preinjury levels. Maybe, overcoming this fear will help these patients to reach better results. However, we suggest implementing further trials in larger sample sizes before reaching a solid conclusion.
前交叉韧带（ACL）损伤的发生率为千分之0.05 - 0.08。不恰当的治疗方案可能导致关节软骨损伤和早期膝关节骨关节炎。一些手术重建技术使用不同的移植物类型；所有这些技术都试图恢复患者受伤前的活动水平。本研究旨在评估使用自体腘绳肌腱进行ACL重建（ACLR）的疗效。
这是一项回顾性单中心队列研究，对连续的ACL损伤患者进行，这些患者接受了使用半腱肌和股薄肌自体移植物的ACLR。在18个月的随访期间，分别使用马克思量表和坦帕运动恐惧量表测量术后活动和恐惧程度。
在我们纳入研究的76例患者中，40.8%为女性。参与者的平均年龄为26.25岁。有运动恐惧的患者中有5例（12.5%），无运动恐惧的患者中有34例（94%）恢复到受伤前的活动水平（P值<0.001）。术后6个月的马克思量表评分显著低于术前评分，但正如预期的那样，在18个月的随访期间有所改善。
本研究表明，运动恐惧会降低恢复到受伤前水平的比例。也许，克服这种恐惧将有助于这些患者取得更好的结果。然而，在得出确凿结论之前，我们建议在更大样本量上进行进一步试验。
