Knee pain after anterior cruciate ligament reconstruction: evaluation of a rehabilitation protocol (original) (raw)
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Journal of orthopaedic surgery and research, 2016
Pain in the immediate post-operative period after anterior cruciate ligament (ACL) surgery, apart from an unpleasant experience for the patient, can act as a barrier for static quadriceps contractions and optimum execution of the initial rehabilitation protocol resulting in slow recovery and a later return to full function for a sportsperson. There is no report in the literature comparing pain in the immediate post-operative period after using the two most widely used autografts, bone patellar tendon bone (BPTB) graft and hamstring graft. The present study compared the visual analogue scale (VAS) pain score in the immediate post-operative period after arthroscopic ACL reconstruction with the BPTB and hamstring autografts. Both groups consisted of 50 patients each. The mean age of the BPTB and hamstring cohorts was 26.9 ± 7.3 years (age range 18-59 years) and 26.7 ± 9.0 years (age range 17-52 years), respectively. Unpaired t test was applied to compare pain scores between the BPTB an...
Anterior Knee Pain After Anterior Cruciate Ligament Reconstruction
Orthopaedic Journal of Sports Medicine, 2020
Background:Anterior knee pain is a frequent condition after anterior cruciate ligament reconstruction (ACLR), but its origin remains uncertain. Studies have suggested that donor site morbidity in autologous bone–patellar tendon–bone reconstructions may contribute to patellofemoral pain, but this does not explain why hamstring tendon reconstructions may also present with anterior pain.Purpose:To evaluate the prevalence of anterior knee pain after ACLR and its predisposing factors.Study Design:Case-control study; Level of evidence, 3.Methods:We evaluated the records of all patients who underwent ACLR between 2000 and 2016 at a private facility. The prevalence of anterior knee pain after surgery was assessed, and possible risk factors (graft type, patient sex, surgical technique, range of motion) were evaluated.Results:The records of 438 patients (mean age, 30 years) who underwent ACLR were analyzed. Anterior knee pain was found in 6.2% of the patients. We found an increased prevalence...
The American journal of sports medicine, 2016
Progression of tibiofemoral (TF) and patellofemoral (PF) osteoarthritis (OA) and changes in knee function more than 15 years after anterior cruciate ligament reconstruction (ACLR) are not well understood. To examine the progression of knee OA and changes in symptoms and function in isolated and combined injuries from 15 to 20 years after ACLR. Cohort study; Level of evidence, 2. A total of 210 subjects with ACLR were prospectively followed. At the 15- and 20-year follow-ups, radiographs were obtained and classified by the Kellgren and Lawrence (K-L) grading system. Symptoms and function were evaluated with the Knee injury and Osteoarthritis Outcome Score (KOOS) as well as isokinetic quadriceps and hamstring muscle strength tests. There were 168 subjects (80%) who returned for the 20-year follow-up, with a mean (±SD) age of 45 ± 9 years, mean body mass index of 27 ± 4, and median Tegner activity level of 4 (range, 0-9). The prevalence of radiographic TF and PF OA at the 20-year follo...
Evaluation of Rehabilitation Parameters After Anterior Cruciate Ligament Reconstruction
Introduction: The purpose of this study is to find out the ideal number of pre and post-operative physical therapy sessions, the importance of age, the training after the reeducation visits, the optimal time of evaluation after surgery, and the impact of the period between the time of injury and surgery on the post-operative functional outcomes of the knee. Materials and Methods: We have selected 50 patients among 539 individuals who have had ACL reconstruction surgeries (from six months and more) using the Kenneth Jones technic (KJ), aged between 18 and 50 years, and have gone through the same reeducation protocol. They had to complete the IKDC score to evaluate and analyze the outcomes across the 6 variables cited above. Results and Discussion: The student's t-test has validated the results for the age (P<0.05). As a matter fact, the age above 35 years in not an obstacle any more to have good functional outcomes in the knee. The results of the surgery in relation with the p...
Physical Therapy Rehabilitation Science, 2022
The purpose of this study was to assess the validity of the global rating of knee function as a measure of participation restrictions experienced during activities of daily living and sports by patients with a history of anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional study. Methods: Forty-three subjects (33 males, 10 females, age＝20.3 ± 1.3 years), at a mean of 31.2 ± 14.4 months following ACLR, participated in this study. During testing, subjects were first asked to provide a global rating of function by assessing their level of knee function on a 0 to 100 scale, with 0 points representing complete loss of function due to their knee injury and 100 points representing their level of function prior to their knee injury. After providing a global rating of function, subjects completed the Knee Outcome Survey (KOS) Activities of Daily Living Scale (ADLS) and Sports Activity Scale (SAS), which served as the measure of participation restrictions in this study. Results: Pearson product correlations revealed moderate relationships between the global rating of function and the ADLS (r＝ 0.66, p＜0.0001) and SAS (r＝0.69, p＜0.0001). Conclusions: The global rating of knee function provides a valid measure of participation restrictions experienced during activities of daily living and sports by patients with a history of ACLR.