We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Knee flexor strength at 6 months after anterior cruciate ligament reconstruction using hamstring tendon can be predicted from that at 3 months.
- Authors
Sengoku, Takuya; Nakase, Junsuke; Mizuno, Yushin; Ishida, Yoshihiro; Yanatori, Yusuke; Takemoto, Naoki; Demura, Satoru
- Abstract
Purpose: This study aimed to identify factors influencing persistent muscle weakness in knee flexor strength after anterior cruciate ligament (ACL) reconstruction using the hamstring tendon and establish a clear cut‐off value at 3 months postoperatively for the limb symmetry index (LSI) to exceed 90% at 6 months postoperatively. Methods: One hundred forty‐eight patients undergoing ACL reconstruction were included and categorised into two groups based on knee flexor strength at 6 months postoperatively: patients with LSI of 90% or greater (achieved group: n = 114) and patients with LSI less than 85% (nonachieved group: n = 34). Items with significant differences between the two groups (preoperative waiting period, LSI to body weight ratio of knee flexor and extensor strength at 3 months postoperatively and peak torque angle of knee flexor muscle) were included in the multiple logistic regression analysis. Additionally, a receiver operating characteristic curve was used to calculate the cut‐off value of the LSI at 3 months postoperatively, which was required to achieve the LSI criteria for knee flexor strength 6 months postoperatively. Results: Multiple logistic regression analysis extracted the preoperative waiting period and LSI for knee flexor strength at 3 months postoperatively. The cut‐off value at 3 months postoperatively was 76.9% (area under the curve value, 0.82; sensitivity, 0.76; and specificity, 0.81) of the LSI. Conclusion: The LSI of at least 76.9% for knee flexor strength at 3 months after ACL reconstruction was an indicator for achieving the 6 months postoperatively. This is a criterion to aim for, considering the stress on the graft and the regeneration process of the semitendinosus tendon. Level of evidence: Level III.
- Subjects
ANTERIOR cruciate ligament surgery; RECEIVER operating characteristic curves; MULTIPLE regression analysis; PREOPERATIVE period; LOGISTIC regression analysis
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2024, Vol 32, Issue 9, p2474
- ISSN
0942-2056
- Publication type
Article
- DOI
10.1002/ksa.12370