PowerPoint Presentation
Post-operative quality of life in ACL injuries: a short-term
monthly comparisonAuthor : Feier AndreiCo-authors : Branea Radu,
Coman Oana, Ostopovici Marta, Kovacs Mihai Scientific coordonator :
lecturer, Russu Octav MD, PhD;MARISIENSIS 2014International
Congress for Students Young Physicians and
Pharmacists11IntroductionAnterior cruciate ligamentsituated in the
middle cavity of the knee jointoriginates from the anterior
intercondylar area of the tibia and ends on the lateral femoral
condyle.
22ACL tearsa consequence of a violent tension force applied to
the kneefactors that lead to injuries: sudden deceleration, landing
and pivoting during sports
Femur and tibia twists in opposite directions under the full
body weightVideo3Video source : Torson, Cityclinic4
ACL reconstruction
Two tunnels
Hamstring autograft was used in all cases5
Quality of lifea conceptual model that tries to present the
patients status, perspective and satisfaction level using
numbers
Quality of life is more important than life itselfAlexis Carrel
Nobel Prize in Physiology or Medicine (1912)6Purpose of the studyto
determine and compare the quality of life on a monthly basis on
different groups of patients who underwent ACL
reconstruction.77Materials and methodShort-term retrospective
study
36 patients, 27 male and 9 female, divided into six groups
according to the monthly period when the surgical intervention took
place
October 2013 and March 2014
Orthopedics and Traumatology Clinic in Trgu Mure.8Materials and
methodTegner Lysholm knee scoring scale
describes 8 commonly affected everyday life abilities
the score ranges from 0 to 100, a higher value means a better
life condition
9
Tegner Lysholm knee scoring scale
10Distribution by genderother studies have shown that the
incidence of ACL tear in female is two to eight times higher than
in men[1] our study:11Distribution by age12Results13Conclusions
the study shows a significant increase in the patients quality
of life from one month to another
patients are able to retain almost full function of the knee in
approximately five to six months from the surgery
14DiscussionsPros: - scoring scale often used in this type of
studies - in accordance with recent and old studies[3][4]
- often approached subject
Cons: - short term study
- sample of patients too small
15Bibliography[1] Arden CL,Webster KE,Taylor NF,et al. Return to
sport following anterior cruciate ligament reconstruction surgery:
a systematic review and meta-analysis of the state of play. Br J
Sports Med (2011)
[2] Papoutsidakis A. Predisposing factors for anterior cruciate
ligament injury. Br J Sports Med 2011;45
[3] Tegner Y.; Lysholm J.. Rating System in the Evaluation of
the Knee Ligament Injuries. Symposium: Progress in Sports Medicine
1985.
[4] Karen K.B. et al. The Reliability, Validity, and
Responsiveness of the Lysholm Score and Tegner Activity Scale for
Anterior Cruciate Ligament Injuries of the Knee 25 years later. Am
J Sports Med. 2009 May;37(5):890-7.
[5] Arden CL,Feller JA, Taylor NF, et al. Return to the
preinjury level of competitive sport after anterior cruciate
ligament reconstruction surgery: two-thirds of patients have not
returned by 12 months after surgery. Am J Sports Med. 2011
Mar;39(3):538-43.
16Thank you !
17
