Fonction et niveau d’activité physique deux à cinq ans après la reconstruction du ligament croisé antérieur (LCA)

Abstract

ObjectivesEvaluation of functionality and level of physical activity in patients 2 to 5 years after anterior cruciate ligament reconstruction. Material and methodsA nonrandomized study, which included consecutive patients (n=31) who underwent ACL reconstruction and were evaluated 2-5 years after ligament reconstruction. The surgical techniques used were the bone-patellar tendon-bone graft (BTB), quadriceps tendon (QT) and semitendinosus gracilis tendons (ST-G). The clinical evaluation included the Tegner activity Index (TI), Lysholm Index (LI), Index Knee Outcome Survey (KOS) in their sub-divisions “Total”, “Activities of Daily Living” and “Functionality” (KOS-T, KOS-ADL, KOS-IF) and Noyes Test (NT). The Package for Social Sciences (SPSS) version 17.0 for Windows was used for the statistical study. ResultsBefore injury, the TI was 6.74 and after injury 4.35; the LI average was 89.55; the KOS-T was 70.48, KOS-ADL 30.48 and KOS-FI 39.95; and the NT gave a symmetry score of 96.6%. No significant correlations were found between the values of the TI before and after injury, or between the values of the LI and KOS-ADL, and the LI and NT. ConclusionACL injury is associated with a high number of meniscal and chondral injuries, with direct impact on the prognosis of these patients’ sport activity and a reduction in activity levels. This reduction is not accompanied by a significant functional loss and normal daily activities are unaffected. The motivation of the patient and medical advice are considered key factors in promoting recovery to the pre-lesional level.