Isokinetic evaluation of anterior cruciate ligament reconstruction: quadriceps tendon versus patellar tendon

The goal of this prospective randomized study was to compare the isokinetic recovery of thigh strength after anterior cruciate ligament (ACL) reconstruction by using patellar or quadriceps tendon as graft at the 6th month follow-up. The authors evaluated 48 patients who underwent arthroscopic ACL re...

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Bibliographic Details
Published in:	Journal of sports medicine and physical fitness Vol. 44; no. 3; pp. 288 - 293
Main Authors:	PIGOZZI, F, DI SALVO, V, PARISI, A, GIOMBINI, A, FAGNANI, F, FRANCESCHI, W. Magini F, DENARO, E
Format:	Journal Article
Language:	English
Published:	Torino Minerva medica 01-09-2004 Edizioni Minerva Medica
Subjects:	Adult Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Arthroscopy Biological and medical sciences Biomechanical Phenomena Error of Measurement Female Fundamental and applied biological sciences. Psychology Humans Male Measurement Techniques Muscle, Skeletal - physiopathology Muscular system Patients Prospective Studies Recovery of Function - physiology Rehabilitation Rehabilitation Programs Repetition Sports injuries Statistical Analysis Statistical Significance Tendon Transfer - methods Tendons Tendons - transplantation Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports Human Reconstruction Sport Muscle, skeletal Rehabilitation Anterior cruciate ligament Tendon Sports
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Summary:	The goal of this prospective randomized study was to compare the isokinetic recovery of thigh strength after anterior cruciate ligament (ACL) reconstruction by using patellar or quadriceps tendon as graft at the 6th month follow-up. The authors evaluated 48 patients who underwent arthroscopic ACL reconstruction using patellar tendon (PT group) or quadriceps tendon (QT group) as autograft after a 6 months follow-up undergoing the following tests: the Ergojump Bosco System springboard and Universal's FITNET computerized isokinetic system. The counter movement jump (CMJ) test showed a 24% (p<0.01) strength deficit in patients operated with patellar tendon and 11% in the quadriceps tendon group. Also in the leg press test the greater differences in strength (p<0.05) were verified in the patellar tendon group, above all the peak torque (PT) test carried out at 3 repetitions (15%). The strength deficit found in the subjects operated with quadriceps tendon were statistically lower in comparison to that verified in the patellar tendon group. A good recovery in thigh strength after 6 months in patients operated with quadriceps tendon could encourage the use of this kind of graft in order to achieve an easier rehabilitation and a faster release of the patient to daily and sports activity.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-News-3
ISSN:	0022-4707 1827-1928