The anterior cruciate ligament clinical pathway: Towards a systematic evaluation of ACL injured patients

Anouk Urhausen, Caroline Mouton, Roland Krecké, Christian Nührenbörger, Alexander Hoffmann, Dietrich Pape, Daniel Theisen, Romain Seil*

*Corresponding author for this work

    Research output: Contribution to journalArticleResearchpeer-review

    3 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)104-109
    Number of pages6
    JournalSports Orthopaedics and Traumatology
    Volume32
    Issue number2
    DOIs
    Publication statusPublished - 1 Jun 2016

    Keywords

    • Anterior cruciate ligament
    • Knee
    • Knee function
    • Surgery

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