TY - JOUR
T1 - The anterior cruciate ligament clinical pathway
T2 - Towards a systematic evaluation of ACL injured patients
AU - Urhausen, Anouk
AU - Mouton, Caroline
AU - Krecké, Roland
AU - Nührenbörger, Christian
AU - Hoffmann, Alexander
AU - Pape, Dietrich
AU - Theisen, Daniel
AU - Seil, Romain
N1 - Publisher Copyright:
© 2016 Elsevier GmbH.
PY - 2016/6/1
Y1 - 2016/6/1
N2 - Purpose: To systematically record pre-and post-operative clinical data after ACL reconstruction in an institutional clinical pathway. Material and methods: From 2011 to 2014, 285 patients had an ACL reconstruction with a bone patellar tendon bone (BPTB) (n = 123) or a hamstring (HS) (n = 162) auto-graft. Isokinetic quadriceps and hamstrings force, anterior and rotational knee laxity, hop tests and subjective knee function were evaluated. Results: All outcomes improved significantly throughout the follow-up. Anterior knee laxity was significantly improved by ACL reconstruction (p < 0.01). Quadriceps force deficit was significantly greater in BPTB group compared to HS group at all time points (p < 0.01). The same holds true for functional performance (p < 0.05). Discussion and conclusion: The present study highlighted the progression of ACL-reconstructed patients throughout their rehabilitation. The results of this institutional clinical pathway may serve as an internal and external benchmark, as well as a potential baseline to individualize patient care including return-to-sports.
AB - Purpose: To systematically record pre-and post-operative clinical data after ACL reconstruction in an institutional clinical pathway. Material and methods: From 2011 to 2014, 285 patients had an ACL reconstruction with a bone patellar tendon bone (BPTB) (n = 123) or a hamstring (HS) (n = 162) auto-graft. Isokinetic quadriceps and hamstrings force, anterior and rotational knee laxity, hop tests and subjective knee function were evaluated. Results: All outcomes improved significantly throughout the follow-up. Anterior knee laxity was significantly improved by ACL reconstruction (p < 0.01). Quadriceps force deficit was significantly greater in BPTB group compared to HS group at all time points (p < 0.01). The same holds true for functional performance (p < 0.05). Discussion and conclusion: The present study highlighted the progression of ACL-reconstructed patients throughout their rehabilitation. The results of this institutional clinical pathway may serve as an internal and external benchmark, as well as a potential baseline to individualize patient care including return-to-sports.
KW - Anterior cruciate ligament
KW - Knee
KW - Knee function
KW - Surgery
UR - http://www.scopus.com/inward/record.url?scp=84964330441&partnerID=8YFLogxK
U2 - 10.1016/j.orthtr.2016.03.050
DO - 10.1016/j.orthtr.2016.03.050
M3 - Article
AN - SCOPUS:84964330441
SN - 0949-328X
VL - 32
SP - 104
EP - 109
JO - Sports Orthopaedics and Traumatology
JF - Sports Orthopaedics and Traumatology
IS - 2
ER -