The Effect Of Addıtıonal Surgery On Muscle Strength, Proprıoceptıon And Balance In Anterıor Crucıate Lıgament Surgery

Medipol University

Status: Completed

Conditions: Anterior Cruciate Ligament Injuries; Meniscus Lesion

Treatments: Other: Lysholm Knee Scoring Scale; Other: Tegner Activity Level; Other: Muscle strength measurement; Other: Fall risk test; Other: Balance; Other: Knee joint proprioception

Study type: Observational

Funder types: Other

Identifiers

NCT06319040

MEDİPOL MEGA 1

Details and patient eligibility

About

Meniscal tears and RAMP lesions are frequently seen together with ACL injuries. The aim of this study was to evaluate the effects of meniscus repair and RAMP lesion repair ACL reconstruction surgery in terms of muscle strength, proprioception, and balance. In our study, the clinical outcomes of both anterior cruciate ligament reconstruction (ACLR), medial meniscus repair (MR) and RAMP lesion repair (RR) have been compared with those of isolated ACLR.

Full description

Methods:

Fifteen patients of isolated ACLR performed, 15 patients of ACLR with MR or RR performed, and 15 healthy participants were included in our study. Besides, patients to whom ACLR and additional interventions performed divide into subgroups: 7 patients with RR and 8 patients with MR. Isokinetic muscle strength, proprioception, balance, fall risk, Lysholm Knee Scoring and Tegner Activity Level scale of patients were evaluated preoperatively and at the postoperative 6th week.

The data obtained in the research were analyzed using the SPSS (Statistical Package for Social Sciences) for Windows 22.0 program. Number, percentage, mean, and standard deviation were used as descriptive statistical methods in the evaluation of the data. The relationship between grouped variables was tested by chi-square analysis. One-way Anova test was used to compare quantitative continuous data between more than two independent groups. Scheffe test was used as a complementary post-hoc analysis to determine the differences after the Anova test. The difference between within-group measurements was analyzed with the paired-group t-test.

Enrollment: 45 patients

Sex: All

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being between 18 and 40 years of age, not having had any previous knee surgery and not having any diagnosis of knee pathology, not having any musculoskeletal injury, cardiopulmonary or vestibular dysfunction that would prevent performing the tests in the study were the inclusion criteria for control group.

Exclusion criteria

• In addition to ACL injury, the patients with cartilage damage, knee arthrosis, misalignment in the lower extremity and additional ligament pathologies, history of previous knee surgery, any pathology in the opposite lower extremity, and additional neuromuscular diseases were excluded.

Trial design

45 participants in 3 patient groups

Study Group 1

Description:

15 patients who underwent isolated ACLR

Treatment:

Other: Muscle strength measurement

Other: Lysholm Knee Scoring Scale

Other: Fall risk test

Other: Tegner Activity Level

Other: Balance

Other: Knee joint proprioception

Study Group 2

Description:

15 patients who underwent ACLR with additional intervention

Treatment:

Other: Muscle strength measurement

Other: Lysholm Knee Scoring Scale

Other: Fall risk test

Other: Tegner Activity Level

Other: Balance

Other: Knee joint proprioception

Control Group

Description:

15 healthy individuals

Treatment:

Other: Muscle strength measurement

Other: Lysholm Knee Scoring Scale

Other: Fall risk test

Other: Tegner Activity Level

Other: Balance

Other: Knee joint proprioception