The anterior cruciate ligament clinical pathway: Towards a systematic evaluation of ACL injured patients

详细信息    查看全文

• 作者：Anouk Urhausen¹ ; ⁵ ; Caroline Mouton² ; Roland Krecké ; ¹ ; ⁵ ; Christian Nü ; hrenbö ; rger³ ; Alexander Hoffmann⁴ ; Dietrich Pape² ; ⁴ ; Daniel Theisen² ; Romain Seil² ; ⁴ ; ^{rseil@yahoo.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Knee ; anterior cruciate ligament ; surgery ; knee function
• 刊名：Sport-Orthop?die - Sport-Traumatologie - Sports Orthopaedics and Traumatology
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：32
• 期：2
• 页码：104-109
• 全文大小：233 K

文摘

To systematically record pre-and post-operative clinical data after ACL reconstruction in an institutional clinical pathway.

Material and methods

From 2011 to 2014, 285 patients had an ACL reconstruction with a bone patellar tendon bone (BPTB) (n = 123) or a hamstring (HS) (n = 162) auto-graft. Isokinetic quadriceps and hamstrings force, anterior and rotational knee laxity, hop tests and subjective knee function were evaluated.

Results

All outcomes improved significantly throughout the follow-up. Anterior knee laxity was significantly improved by ACL reconstruction (p < 0.01). Quadriceps force deficit was significantly greater in BPTB group compared to HS group at all time points (p < 0.01). The same holds true for functional performance (p < 0.05).

Discussion and conclusion

The present study highlighted the progression of ACL-reconstructed patients throughout their rehabilitation. The results of this institutional clinical pathway may serve as an internal and external benchmark, as well as a potential baseline to individualize patient care including return-to-sports.