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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 5/2011

01-05-2011 | Knee

The influence of graft choice on isokinetic muscle strength 4–24 months after anterior cruciate ligament reconstruction

Authors: Sofia A. Xergia, Jodie A. McClelland, Joanna Kvist, Haris S. Vasiliadis, Anastasios D. Georgoulis

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2011

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Abstract

Purpose

Regaining adequate strength of the quadriceps and hamstrings after anterior cruciate ligament (ACL) reconstruction is important for maximizing functional performance. However, the outcome of muscle strength after either BPTB or hamstrings autograft is unclear given the plethora of published studies that report post-operative muscle strength. The purpose of this study was to systematically compare the muscle strength of patients who have undergone ACL reconstruction using either Bone Patellar Tendon Bone (BPTB) or Hamstrings (HST) autograft.

Methods

The databases of MEDLINE, Cinahal and EMBASE were systematically searched for articles that report muscle strength outcome following ACL reconstruction. The quality of the studies was evaluated and a meta-analysis of the muscle strength outcomes was conducted on reported data.

Results

Fourteen studies were included in this systematic review: eight Randomized Control Studies (RCT) and six non-Randomized Control Studies (non-RCT). A meta-analysis was performed involving eight of the included studies (4 RCTs & 3 non-RCTs). At 60°/s and 180°/s, patients with BPTB graft showed a greater deficit in extensor muscle strength and lower deficit in flexor muscle strength compared with patients with HST.

Conclusion

This systematic review of Level III evidence showed that isokinetic muscle strength deficits following ACL reconstruction are associated with the location of the donor site. These deficits appear to be unresolved up to 2 years after ACL reconstruction.

Level of evidence

III.
Appendix
Available only for authorised users
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Metadata
Title
The influence of graft choice on isokinetic muscle strength 4–24 months after anterior cruciate ligament reconstruction
Authors
Sofia A. Xergia
Jodie A. McClelland
Joanna Kvist
Haris S. Vasiliadis
Anastasios D. Georgoulis
Publication date
01-05-2011
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-010-1357-0

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