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

doi:10.1016/j.orthtr.2016.03.050

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 journal › Article › Research › peer-review

4 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 language	English
Pages (from-to)	104-109
Number of pages	6
Journal	Sports Orthopaedics and Traumatology
Volume	32
Issue number	2
DOIs	https://doi.org/10.1016/j.orthtr.2016.03.050
Publication status	Published - 1 Jun 2016

Keywords

Anterior cruciate ligament
Knee
Knee function
Surgery

Access to Document

10.1016/j.orthtr.2016.03.050

Cite this

@article{ec467821f8b44c639699837b8b7cdd9c,

title = "The anterior cruciate ligament clinical pathway: Towards a systematic evaluation of ACL injured patients",

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.",

keywords = "Anterior cruciate ligament, Knee, Knee function, Surgery",

author = "Anouk Urhausen and Caroline Mouton and Roland Kreck{\'e} and Christian N{\"u}hrenb{\"o}rger and Alexander Hoffmann and Dietrich Pape and Daniel Theisen and Romain Seil",

note = "Publisher Copyright: {\textcopyright} 2016 Elsevier GmbH.",

year = "2016",

month = jun,

day = "1",

doi = "10.1016/j.orthtr.2016.03.050",

language = "English",

volume = "32",

pages = "104--109",

journal = "Sports Orthopaedics and Traumatology",

issn = "0949-328X",

publisher = "Elsevier GmbH",

number = "2",

}

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

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 - https://www.scopus.com/pages/publications/84964330441

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 -

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

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this