Functional Bracing after Anterior Cruciate Ligament Reconstruction
| Autor: | Mark D. Miller, John Parry Gerber, Daniel T. Hinkin, Dean C. Taylor, Gregg Ziemke, Edward R. McDevitt, Robert A. Arciero, Patrick St. Pierre, John M. Uhorchak |
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| Rok vydání: | 2004 |
| Předmět: |
Joint Instability
Male musculoskeletal diseases medicine.medical_specialty Randomization Anterior cruciate ligament reconstruction medicine.medical_treatment Anterior cruciate ligament Physical Therapy Sports Therapy and Rehabilitation Knee Injuries law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine Prospective Studies Anterior Cruciate Ligament Prospective cohort study Functional bracing Postoperative Care 030222 orthopedics Braces business.industry Anterior Cruciate Ligament Injuries 030229 sport sciences musculoskeletal system Brace Surgery Clinical trial Military Personnel Treatment Outcome medicine.anatomical_structure Athletic Injuries Female business human activities Follow-Up Studies |
| Zdroj: | The American Journal of Sports Medicine. 32:1887-1892 |
| ISSN: | 1552-3365 0363-5465 |
| DOI: | 10.1177/0363546504265998 |
| Popis: | BackgroundBracing after anterior cruciate ligament reconstruction is expensive and is not proven to prevent injuries or influence outcomes.PurposeTo determine whether postoperative functional knee bracing influences outcomes.Study DesignProspective, randomized, multicenter clinical trial.MethodsOne hundred volunteers from the 3 US service academies with acute anterior cruciate ligament tears were randomized into braced or nonbraced groups. Only those subjects with anterior cruciate ligament tears treated surgically within the first 8 weeks of injury were included. Patients with chondral injuries, significant meniscal tears, or multiple knee ligament injuries were excluded. Surgical procedures and the postoperative physical therapy protocols were identical for both groups. The braced group was instructed to wear an off-the-shelf functional knee brace for all cutting, pivoting, or jumping activities for the first year after surgery.ResultsNinety-five subjects were available with a minimum 2-year follow-up. There were no statistically significant differences between groups in knee stability, functional testing with the single-legged hop test, International Knee Documentation Committee scores, Lysholm scores, knee range of motion, or isokinetic strength testing. Two braced subjects had reinjuries, and 3 nonbraced subjects had reinjuries.ConclusionsIn this young, active population, postoperative bracing does not appear to change the clinical outcomes after anterior cruciate ligament reconstruction. |
| Databáze: | OpenAIRE |
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