Long-Term Follow-up of Skeletally Immature Patients With Physeal-Sparing Combined Extra-/Intra-articular Iliotibial Band Anterior Cruciate Ligament Reconstruction: A 3-Dimensional Motion Analysis

被引:9
作者
Sugimoto, Dai [1 ,2 ,3 ]
Whited, Amy J. [2 ]
Brodeur, Jeff J. [2 ]
Liotta, Elizabeth S. [4 ]
Williams, Kathryn A. [5 ]
Kocher, Mininder S. [1 ,2 ,4 ]
MicheIrt, Lyle J. [1 ,2 ,4 ]
Heyworth, Benton E. [1 ,2 ,4 ]
机构
[1] Boston Childrens Hosp, Div Sports Med, Dept Orthoped, 300 Longwood Ave,HU 217, Boston, MA 02115 USA
[2] Micheli Ctr Sports Injury Prevent, Waltham, MA USA
[3] Waseda Univ, Fac Sport Sci, Tokyo, Japan
[4] Harvard Med Sch, Dept Orthopaed Surg, Boston, MA 02115 USA
[5] Boston Childrens Hosp, Biostat & Res Design Ctr, Boston, MA 02115 USA
关键词
Physeal-sparing IT band ACL reconstruction; kinetics; kinematics; skeletal immaturity; KNEE ADDUCTION MOMENT; BIOMECHANICAL MEASURES; DISEASE PROGRESSION; INJURY RISK; ADOLESCENTS; CHILDREN; DELAY; TEARS; JOINT; SEVERITY;
D O I
10.1177/0363546520927399
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: The physeal-sparing iliotibial band (ITB) anterior cruciate ligament (ACL) reconstruction (ACLR) is a well-established technique for treating skeletally immature patients with ACL rupture. However, the long-term implications of the procedure on the intricacies of kinetic and kinematic function of the knee have not been comprehensively investigated. Purpose: To assess the short-, mid-, and long-term effects of ITB ACLR on kinetic and kinematic parameters of knee functions. Study Design: Case series; Level of evidence, 4. Methods: A total of 38 patients who had undergone an ITB ACLR as a skeletally immature child were recruited to participate in a 3-dimensional (3D) motion analysis testing protocol at an institutional injury prevention center between 1 and 20 years after reconstruction. Exclusion criteria were congenital ACL deficiency and any other major knee injury (defined as an injury requiring surgery or rehabilitation >3 months) on either knee. 3D and force plate parameters included in the analysis were knee moment, ground-reaction force, and vertical jump height measured during drop vertical jump and vertical single-limb hop. Pairedttests and equivalency analyses were used to compare the parameters between cases (ITB ACLR limb) and controls (contralateral/nonsurgical limbs). Results: Pairedttests showed no statistically significant differences between limbs, and equivalency analyses confirmed equivalency between limbs for all tested outcome variables. Conclusion: The ITB ACLR appears to restore normal, symmetric, physiologic kinetic and kinematic function in the growing knee by 1 year after reconstruction, with maintenance of normal parameters for up to 20 years.
引用
收藏
页码:1900 / 1906
页数:7
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