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International Orthopaedics
Published in:

13-02-2024 | Original Paper

Changes in gait patterns after anterior cruciate ligament reconstruction in children

Authors: Monica Urseï, Jérôme Briot, Marino Scandella, Jérôme Sales de Gauzy, Franck Accadbled

Published in: International Orthopaedics | Issue 6/2024

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Abstract

Purpose

Anterior cruciate ligament reconstruction (ACLR) in children is indicated to reduce recurrent knee instability and further damage to the joint. Postoperative modified gait pattern was reported in the adult population after ACLR. The aim of this study was to analyse gait abnormalities, and especially knee and ankle adaptations during gait in children after ACLR.

Methods

A prospective study was performed between 2018 and 2022 on 50 children, aged nine to 15 years with unilateral ACL deficiency. Changes in gait pattern were evaluated by gait analysis before surgery and at the latest follow-up of 24 months. Kinematic data of ACL-deficient limb were compared to contralateral limb and to those of a matched control group of healthy children.

Results

Compared to control group, knee flexion was decreased for both ACL-deficient and contralateral knee before surgery. Decreased knee flexion during gait cycle persisted at latest follow-up. Ankle kinematics showed decreased dorsal flexion for both ACL-deficient and contralateral limb before surgery. At latest follow-up, ankle kinematics were modified for ACL-reconstructed limbs only at initial contact and showed no significant difference for contralateral limb compared to the control group.

Conclusion

In children with ACL injury, abnormal gait patterns persist two years after ligament reconstruction, in spite of extensive rehabilitation and no clinical complaints. These findings might guide neuromuscular training to improve clinical outcomes and reduce the rerupture rate.
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Metadata
Title
Changes in gait patterns after anterior cruciate ligament reconstruction in children
Authors
Monica Urseï
Jérôme Briot
Marino Scandella
Jérôme Sales de Gauzy
Franck Accadbled
Publication date
13-02-2024
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 6/2024
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-024-06108-5

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