Central European Journal of Sport Sciences and Medicine

ISSN: 2300-9705     eISSN: 2353-2807    OAI
CC BY-SA   Open Access   DOAJ  DOAJ

Issue archive / Vol. 6, No. 2/2014
Subjective vs Objective Evaluation of Knee Stability in Patients before and after Anterior Cruciate Ligament Reconstruction

Authors: Joanna Ficek
Galen Orthopaedic Rehabilitation Centre, Bieruń, Poland

Krzysztof Ficek
Galen Orthopaedic Rehabilitation Centre, Bieruń, Poland

Grzegorz Juras
Faculty of Human Motor Skills, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland

Dawid Pawlak
Galen Orthopaedic Rehabilitation Centre, Bieruń, Poland

Aleksandra Wysota
Galen Orthopaedic Rehabilitation Centre, Bieruń, Poland
Keywords: Anterior cruciate ligament (ACL) IKDC 2000 score Lysholm score scale arthrometric measurement
Data publikacji całości:2014
Page range:8 (59-66)

Abstract

Every year, the number of anterior cruciate ligament ruptures increases considerably. The present analysis compares patients’ subjective sensations after the ACL injury to an objective arthrometric examination. The subjective evaluation of the knee-joint condition was performed using the Lysholm score scale and IKDC 2000 scale, whereas the objective evaluation was performed using a GNRB device to obtain an arthrometric measurement. Both measurement methods were performed before ACL reconstruction and after the rehabilitation process of ±11.5 months. The following research was conducted on a group of 8 patients who underwent anterior cruciate ligament reconstruction. Statistical analysis did not reveal any significant differences between the arthrometric examination and the subjective score scales. The test indicated the significant differences between the score scales questionnaires completed before and after the surgery. The conclusions that can be drawn from the present analysis show us the importance of using subjective evaluation devices. Despite the lack of significance in the examination performed with the objective device, the self-evaluation of knee-joint efficiency made by the patient indicated a significant improvement.
Download file

Article file

Bibliography

1.Adamczyk G. Diagnostyka kliniczna uszkodzeń więzadeł krzyżowych stawu kolanowego. Clinical examination of crucial ligaments lesions. Carolina Medical Center, Warszawa 2001.
2.Ballock RT, Woo SL, Lyon RM, Hollis JM, Akeson WH. Use of patellar tendon autograft for anterior cruciate ligament reconstruction in the rabbit: a long-term histologic and biomechanical study. J Orthop Res. 1989; 7: 474-85.
3.Collette M, Courville J, Forton M, Gagnie`re B. Objective evaluation of anterior knee laxity; comparison of the KT-1000 and GNRB arthrometers. Knee Surg Sports TraumatolArthrosc. 2011;DOI 10.1007/s00167-011-1869-2.
4.Christel P, Akgun U, Yasar T, Karahan M, Demirel B. The contribution of each anterior cruciate ligament bundle to the Lachman test. J Bone Joint Surg Br. 2012;94-B: 68-74.
5.Csintalan RP, Inacio MCS, Funahashi TT. Incidence rate of anterior cruciate ligament reconstructions. Perm J. 2008; 12(3): 17–21.
6.Farshad M, Gerber C, Szucs T, Meyer D. Determining utility values in patients with anterior cruciate ligament tears using clinical scoring systems. BMC health Services Research. 2011; 11:182.
7.Gonko A, Engebretsen L, Ozer H. The Rolimeter: a new arthrometer compared with the KT-1000. Knee Surg, Sports Traumatol, Artrosc. 2000; 8:36-39.
8.Slauterbeck JR, Fuzie SF, Smith MP, Clark RJ, Xu KT, Starch DW, Hardy DM. The Menstrual Cycle, Sex Hormones, and Anterior Cruciate Ligament Injury. Texas Tech University Health Sciences Center, Lubbock, TX 2002; 37(3):275–280.
9.Lin H, Chang Ch, Hsu H, Lai W, Lu T. A new diagnostic approach using regional analysis of anterior knee laxity in patients with anterior cruciate ligament deficiency. Knee Surg Sports Traumatol Arthrosc. 2011; 19:760-767.
10.Lloyd M. Anterior Cruciate Ligament Injury in Female Athletes: Epidemiology. Kentucky Sports Medicine Clinic, Lexington, KY, 1999; 34 (2): 150-154.
11.Lorbach O, Kieb M, Brogard P, Maas S, Pape D, Seil R. Static rotational and sagittal knee laxity measurements after reconstruction of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2011 DOI 10.1007/s00167-011-1635-5.
12.Monaco E, Labianca L, Maestri B, De Carli A,Conteduca F, Ferretti A. Instrumented measuremenrs of knee laxity KT-1000 versus navigation. Knee Surg Sports Traumatol Arthrosc. 2009; 17:617-621.
13.Collete M. Objective Evaluation of Anterior Knee LaxityIntra and inter reproducibility analysis of 2 arthrometers, the KT-1000 and the GNRB®. Belgium.
14.Pasierbiński A, Jarząbek A. Biomechanika więzadeł krzyżowych. Biomechanics of cruciate ligaments. Carolina Medical Center, Warszawa 2001.
15.Piontek T, Ciemniewska-Gorzela K, Naczk J, Cichy K, Szulc A. Adaptacja kulturowa i językowa na język polski formularza subiektywnej oceny dolegliwości stawu kolanowego IKDC 2000 i skali Lysholma. Polish Orthopaedics and Traumatology. 2012; 77: 115-119.
16.Rochcongar P, Laboute E, Jan J, Carling C. Ruptures of the anterior cruciate ligament in soccer. Medicine du Sport, CHU, France Int J Sports Med. 2009 May;30(5):372-8. Epub 2009 Feb 6.
17.Sernert N, Kartus J, Kohler K, Ejerhed L, Karlsson J. Evaluation of the reproducibility of the KT-1000 arthrometer. Scand J Med Sci Sports. 2001:11:120-125.
18.Sólyom Á, ZuhGyS, Ivănescu A, Nagy Ö. Comparative and Morphological Analysis of Patellar Tendon with the Native Anterior Cruciate Ligament (ACL): an Electron, Microscopic and Morphological Study. Acta Medica Marisiensis. Aug 2011, Vol. 57 Issue 4, p.345-3
19.Woo SL-Y, Wu C, Dede O, Vercillo F, Noorani S. Biomechanics and anterior cruciate ligament reconstruction. J Orthop Surg. 2006; 1:2.
20.Van Eck CF, Loopik M, Van den Bekerom MP, Fu F, Kerkhoffs G. Methods to diagnose acute anterior cruciate ligament rupture:ametaanalysis of instrumented knee laxity tests. Knee Surg Sports Traumatol Arthrosc. 2012.
21.Walden M, Hagglund M, Magnusson H, Ekstrand J. Anterior cruciate ligament injury in elite football: a prospective three-cohort study. Knee Surg Sports Traumatol Arthrosc. 2011;19:11-19.
22.Walden M., Hagglund M., Magnusson H., Ekstrand J. The Epidemiology of anterior cruciate ligament injury in football (soccer): a review of the literature from a gender-related perspective. Knee Surg Sports Traumatol Arthrosc. 2011;19:3-10.
23.Lefevre N., Bohu Y., Naouri J.F., klouche S., Herman S. Validity of GNRB arthrometer compared to Telos in the assessment of partial anterior cruciate ligament tears. Knee Surg Sports Traumatol Arthrosc. 2014,vol.22, Issue 2,pp 285-290.