Jose Luis Martin-Alguacil1, Manuel Arroyo-Morales2, Jose Luis Martín-Gomez3, Isidro Manuel Monje-Cabrera3, Juan F Abellán-Guillén4, Francisco Esparza-Ros5, Mario Lozano Lozano6, Irene Cantarero-Villanueva7. 1. Department of Orthopaedic Surgery, Andalusian Mutuality of Soccer Players and Martín Gómez Clinic, Granada, Spain. 2. Department of Physiotherapy, Faculty of Health Sciences, Granada University, Granada, Spain; Institute for Biomedical Research (ibs), Granada, Spain; Mixed University Sport and Health Institute (iMUDS), Granada, Spain. Electronic address: marroyo@ugr.es. 3. Department of Orthopaedic Surgery, Andalusian Mutuality of Soccer Players and Martín Gómez Clinic, Granada, Spain; Department of Orthopaedic Surgery, Andalusian Mutuality of Soccer Players, Seville, Spain. 4. Department of Orthopaedic Surgery, Hospital Morales Meseguer, Murcia, Spain. 5. Department of Sports Medicine, Universidad Católica de Murcia, Murcia, Spain. 6. Department of Physiotherapy, Faculty of Health Sciences, Granada University, Granada, Spain; Mixed University Sport and Health Institute (iMUDS), Granada, Spain. 7. Department of Physiotherapy, Faculty of Health Sciences, Granada University, Granada, Spain; Institute for Biomedical Research (ibs), Granada, Spain; Mixed University Sport and Health Institute (iMUDS), Granada, Spain.
Abstract
BACKGROUND: The comparison between HT and QT grafts in strength recovery and function after an ACLR is scarce in the literature. METHODS:A total of 56 participants were enrolled in this randomized controlled trial and placed into two groups: HT or QT. The hamstring/quadriceps (H/Q) ratio was the primary end-point measured with a Genu-3 dynamometer. Peak torque, functional assessment (Lysholm knee scoring scale and Cincinnati Knee Rating System), and anteroposterior laxity (KT-2000™ arthrometer) were also assessed. An intention-to-treat analysis was performed. RESULTS: The results of the H/Q ratio analysis of the participants over time revealed significant differences at 60, 180, and 300°/s at three, six, and 12months of follow-up (60°/s: F=5.3, p=0.005; 180°/s: F=5.5, p=0.004; 300°/s: F=5.1, p=0.005). Furthermore, they revealed significant differences at 60°/s, 180°/s, and 300°/s in the participants over time for peak torque in the extensor muscle strength at three and six months of follow-up, with higher values in the hamstring tendon group but not at 12months of follow-up. There were no significant differences in functional endpoints or arthrometer assessments at 24months of follow-up. CONCLUSION: An ACLR with a QT graft showed similar functional results with a better isokinetic H/Q ratio compared to an ACLR with the HT at 12months of follow-up in soccer players. This higher H/Q ratio observed with the QT could be an advantage of this graft over the HT for an ACLR.
RCT Entities:
BACKGROUND: The comparison between HT and QT grafts in strength recovery and function after an ACLR is scarce in the literature. METHODS: A total of 56 participants were enrolled in this randomized controlled trial and placed into two groups: HT or QT. The hamstring/quadriceps (H/Q) ratio was the primary end-point measured with a Genu-3 dynamometer. Peak torque, functional assessment (Lysholm knee scoring scale and Cincinnati Knee Rating System), and anteroposterior laxity (KT-2000™ arthrometer) were also assessed. An intention-to-treat analysis was performed. RESULTS: The results of the H/Q ratio analysis of the participants over time revealed significant differences at 60, 180, and 300°/s at three, six, and 12months of follow-up (60°/s: F=5.3, p=0.005; 180°/s: F=5.5, p=0.004; 300°/s: F=5.1, p=0.005). Furthermore, they revealed significant differences at 60°/s, 180°/s, and 300°/s in the participants over time for peak torque in the extensor muscle strength at three and six months of follow-up, with higher values in the hamstring tendon group but not at 12months of follow-up. There were no significant differences in functional endpoints or arthrometer assessments at 24months of follow-up. CONCLUSION: An ACLR with a QT graft showed similar functional results with a better isokinetic H/Q ratio compared to an ACLR with the HT at 12months of follow-up in soccer players. This higher H/Q ratio observed with the QT could be an advantage of this graft over the HT for an ACLR.
Authors: Christopher Kuenze; Brian Pietrosimone; Caroline Lisee; Margaret Rutherford; Tom Birchmeier; Adam Lepley; Joseph Hart Journal: Knee Surg Sports Traumatol Arthrosc Date: 2018-10-16 Impact factor: 4.342
Authors: Harasees Singh; Isaac Glassman; Andrew Sheean; Yuichi Hoshino; Kanto Nagai; Darren de Sa Journal: Knee Surg Sports Traumatol Arthrosc Date: 2022-10-18 Impact factor: 4.114
Authors: Jose L Martin-Alguacil; Manuel Arroyo-Morales; Jose Luis Martin-Gómez; Mario Lozano-Lozano; Noelia Galiano-Castillo; Irene Cantarero-Villanueva Journal: Acta Orthop Traumatol Turc Date: 2019-06-12 Impact factor: 1.511
Authors: Andrew T Pennock; Kristina P Johnson; Robby D Turk; Tracey P Bastrom; Henry G Chambers; Kelly E Boutelle; Eric W Edmonds Journal: Orthop J Sports Med Date: 2019-09-17
Authors: Michael Letter; Michael G Baraga; Thomas M Best; Lee D Kaplan; Andrew N L Buskard; Lauren Catena; Moataz Eltoukhy; Joenghoon Oh; Keri Strand; Joseph Signorile Journal: Orthop J Sports Med Date: 2019-12-17