Is Cyclic Exercise Performed before Tibial Fixation Effective on Grafts during Anterior Cruciate Ligament Reconstruction?

Autor:	Gunaydin B; Department of Orthopaedics and Traumatology, Tekirdag Namik Kemal University Faculty of Medicine, Tekirdag, Turkey., Dincel YM; Department of Orthopaedics and Traumatology, Tekirdag Namik Kemal University Faculty of Medicine, Tekirdag, Turkey., Sari A; Department of Orthopaedics and Traumatology, Tekirdag Namik Kemal University Faculty of Medicine, Tekirdag, Turkey., Cetin MU; Department of Orthopaedics and Traumatology, Tekirdag Namik Kemal University Faculty of Medicine, Tekirdag, Turkey., Sever C; Department of Orthopaedics and Traumatology, Istanbul Sisli Kolan International Hospital, Istanbul, Turkey., Tekin C; Department of Orthopaedics and Traumatology, Cizre State Hospital, Sirnak, Turkey., Guney M; Department of Orthopaedics and Traumatology, Tekirdag Namik Kemal University Faculty of Medicine, Tekirdag, Turkey., Kabukcuoglu YS; Department of Orthopaedics and Traumatology, Tekirdag Namik Kemal University Faculty of Medicine, Tekirdag, Turkey.
Jazyk:	angličtina
Zdroj:	Sisli Etfal Hastanesi tip bulteni [Sisli Etfal Hastan Tip Bul] 2020 Dec 11; Vol. 54 (4), pp. 475-482. Date of Electronic Publication: 2020 Dec 11 (Print Publication: 2020).
DOI:	10.14744/SEMB.2020.07752
Abstrakt:	Objectives: The necessity of cyclic exercise to pre-stretch the autograft before tibial fixation during ACL reconstruction is unknown. In this study, we evaluated whether there was a statistically significant difference between the results of patients who underwent cyclic exercise by way of physical examinations, knee joint stability tests, and functional evaluation tests, compared with the patients who underwent ACL reconstructions with or without cyclic exercise. Methods: Between March 2016 and May 2018, 59 patients with at least eight months' follow-up of an ACL reconstruction were identified. Thirty patients (Group 1) who underwent cyclic exercise before tibial fixation and 29 patients (Group 2) who did not undergo cyclic exercise were evaluated and compared. Results: The mean age of the patients in Group 1 and Group 2 was 25.9 (range, 18-36) years and 25.2 (range, 18-35) years, respectively. The mean follow-up period in Group 1 was 14.6 (range, 8-22) months and 13.5 months in Group 2 (range, 8-21 months).The mean Lysholm scores of Group 1 and 2 were 95.1 (range, 83-100) and 87.1 (range, 78-100), respectively. The modified Cincinnati scores of Groups 1 and 2 were 28.7 (range, 24-30) and 26.2 (range, 21-30). The mean IKDC subjective knee evaluation scores in Groups 1 and 2 were 91.9 (range, 83-100) and 86.7 (range, 75-100). The mean thigh atrophy was 1.5 cm in Group 1 and 2.5 cm in Group 2. In Group 1, 23 patients jumped 85% of the distance compared with the intact side in the single-legged hop test, and 12 patients in Group 2 were able to hop this distance successfully.Group 1 had statistically significantly better results in Lysholm activity scores, modified Cincinnati scores, IKDC subjective knee assessment scores, two-time IKDC activity scale results, comparison of thigh diameters, and single-legged hop tests (p<0.05). No significant difference was found in other examinations and tests. Conclusion: Cyclic exercise during the operation had a positive effect on functional scores. We believe that cyclic exercise should be added to the operative procedure. Competing Interests: Conflict of Interest: None declared. (Copyright: © 2020 by The Medical Bulletin of Sisli Etfal Hospital.)
Databáze:	MEDLINE
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