No benefit of bracing on the early outcome after anterior cruciate ligament reconstruction

被引：29
作者：
Muellner T. [1 ]
Alacamlioglu Y. [2 ]
Nikolic A. [1 ]
Schabus R. [1 ]
机构：
[1] University Clinic of Traumatology, Waehringerguertel 18-20
[2] Dept. of Phys. Med. and Rehab., University of Vienna Medical School, Vienna
来源：
Knee Surgery, Sports Traumatology, Arthroscopy | 1998年 / 6卷 / 2期
关键词：
Aggressive rehabilitation; Anterior cruciate ligament; Patellar tendon graft;
D O I：
10.1007/s001670050078
中图分类号：
学科分类号：
摘要：
Forty patients were prospectively investigated to evaluate the effects of bandaging after reconstructive surgery of the anterior cruciate ligament (ACL). For the 6 weeks of the postoperative course, the operated knee was bandaged in 20 patients (group A) and braced in the other 20 patients (group B). The isokinetic torque for extension and flexion (Cybex) and the range of motion (ROM) were investigated after 6, 12, 24 and 52 weeks postoperatively. At 24 weeks and 1 year postoperatively the stability of the knee joint (KT-1000) as well as the clinical outcome ('Orthopädische Arbeitsgemeinschaft Knie') were evaluated. No statistically significant differences between the two groups were found for the extension and flexion strengths. Free ROM was achieved significantly earlier in group A than in group B. No statistically significant differences regarding the stability of the operated knee joint nor the early outcome were found between the two groups. This study demonstrated that the renunciation of using a brace had no adverse effect on the early outcome with respect to stability and function. On the contrary, bracing seems not to be mandatory after ACL reconstruction when the central third of the patellar tendon is used.
引用
收藏
页码：88 / 92
页数：4
相关论文
共 26 条
  • [1] Amiel, D., Kleiner, J.B., Roux, R.D., Harwood, F.L., Akeson, W.H., The phenomenon of 'ligamentization': Anterior cruciate ligament reconstruction with autogenous patellar tendon (1986) J Orthop Res, 4, pp. 162-172
  • [2] Arnoczky, S.P., Tarvin, G.B., Marshall, J.L., Anterior cruciate ligament replacement using patellar tendon. An evaluation of graft revascularization in dogs (1982) J Bone Joint Surg [Am], 64, pp. 217-224
  • [3] Barrack, R.L., Skinner, H.B., Buckley, S.L., Proprioception in the anterior cruciate deficient knee (1989) Am J Sports Med, 17, pp. 1-6
  • [4] Barrett, D.S., Cobb, A.G., Bentley, G., Joint proprioception in normal, osteoarthritic and replaced knees (1991) J Bone Joint Surg [Br], 73, pp. 53-56
  • [5] Beard, D.J., Dodd, C.A., Trundle, H.R., Sipmson, A.H., Proprioception enhancement for anterior cruciate ligament deficiency (1994) J Bone Joint Surg [Br], 76, pp. 654-658
  • [6] Blauth, W., Ulrich, H.W., Sinn und Unsinn von Knieorthesen (1990) Unfallchirurg, 93, pp. 221-227
  • [7] Branch, T.P., Hunter, R., Donath, M., Dynamic EMG analysis of anterior cruciate deficient legs with and without bracing during cutting (1989) Am J Sports Med, 17, pp. 35-41
  • [8] Cooper, D.E., Xianghua, H.D., Burstein, A.L., Warren, R.F., The strength of the central third patellar tendon graft (1993) Am J Sports Med, 21, pp. 818-823
  • [9] Daniel, D.M., Malcom, L.L., Losse, G., Stone, M.L., Sachs, R., Burks, R., Instrumented measurement of anterior laxity of the knee (1985) J Bone Joint Surg [Am], 67, pp. 720-726
  • [10] Decker, B., Bosch, U., Gässier, N., Tugtekin, I., Kasperczyk, W., Reale, E., Histochemical aspects of the proteoglycans of patellar tendon autografts used to replace the posterior cruciate ligament (1994) Matrix Biol, 14, pp. 101-111
123