Test isocinétique précoce après ligamentoplastie antérieure de genou : résultats et conclusions

Abstract

ObjectivesTo compare 4-months isokinetic results after anterior cruciate ligament reconstruction with patellar tendon or hamstring tendons. Material and methodsA retrospective study during 5years concerning isokinetic records from patients who went to our rehabilitation center after anterior cruciate ligament reconstruction, and who did an isokinetic test 4months after surgery. There was 146 patients, 116 males and 30 females, 69 with hamstring reconstruction and 77 with patellar tendon reconstruction. ResultsIn Kenneth-Jones surgery, there is more deficience on leg extensors, while hamstrings are more deficient after hamstrings reconstruction surgery. This deficience concerns peak torque and work, whatever speed. ConclusionLeg flexion deficience in hamstring reconstruction surgery is due to late work during reeducation, because of pain and injuries localized on sample area. There is also loose of biomechanical properties due to muscular fibrosis. For the two reconstruction surgeries, leg extension deficience is due to pain and edema.