Post-Operative Modified All-Inside ACL Reconstruction Technique's Clinical Outcomes and Isokinetic Strength Assessments

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dc.authoridCeritoğlu, Kubilay Uğurcan / 0000-0002-7111-6831
dc.contributor.authorGenç, Ahmet Serhat
dc.contributor.authorGüzel, Nizamettin
dc.contributor.authorYılmaz, Ali Kerim
dc.contributor.authorErmiş, Egemen
dc.contributor.authorPekesen Kurtca, Mine
dc.contributor.authorAgar, Anıl
dc.contributor.authorCeritoğlu, Kubilay Uğurcan
dc.date.accessioned2025-01-27T20:24:21Z
dc.date.available2025-01-27T20:24:21Z
dc.date.issued2023
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground and Objective: Anterior cruciate ligament (ACL) injuries are very common among the athletic population. ACL reconstruction (ACLR) performed because of these injuries is one of the procedures performed by orthopedic surgeons using different grafting methods. This study aims to compare the data related to post-operative 6-month isokinetic strength values, strengthrelated asymmetry rates, time parameters, and joint angle in athletes who underwent ACLR with the Modified All-inside (4ST) technique, on both the healthy knee (HK) and the ACLR-applied sides. Materials and Methods: A total of 20 athletes from various sports on whom the 4ST ACLR technique had been applied by the same surgeon were evaluated retrospectively. Lysholm, Tegner, and International Knee Documentation Committee (IKDC) scores of the patients were obtained preoperative and at 6 months post-operative. Isokinetic knee extension (Ex) and flexion (Flx) strengths on the HK and ACLR sides of the patients were evaluated with a series of four different angular velocities (60, 180, 240, and 300(circle)/s). In addition to peak torque (PT) and hamstring/quadriceps ratio (H/Q) parameters, the findings were also evaluated with additional parameters such as joint angle at peak torque (JAPT), time to peak torque (TPT), reciprocal delay (RD), and endurance ratio (ER). Results: There was a significant improvement in the mean Lysholm, Tegner, and IKDC scores after surgery compared with pre-operative levels (p < 0.05). As for PT values, there were significant differences in favor of the HK in the 60, 180, and 300(circle)/s Ex phases (p < 0.05). In terms of the H/Q and (hamstring/hamstring)/(quadriceps/quadriceps) (HH/QQ) ratios, there were significant differences at 300(circle) /s (p < 0.05). In terms of JAPT, there were significant differences in the 300(circle)/s Ex and 180(circle)/s Flx phases (p < 0.05). In terms of TPT, there were significant differences in the 300ffi /s Ex phase (p < 0.05). In terms of RD and ER, no significant difference was observed between the HK and ACLR sides at any angular velocity. Conclusions: Although differences were observed in PT values, particularly in the Ex phase, this did not cause a significant change in H/Q ratios. Similar results were observed for additional parameters such as JAPT, TPT, RD, and ER. The results show that this ACLR technique can be used in athletes in view of strength gain and a return to sports.
dc.description.sponsorshipThe authors thank all of the athletes who participated in this study.
dc.description.sponsorshipThe authors thank all of the athletes who participated in this study.
dc.identifier.doi10.3390/diagnostics13172787
dc.identifier.issn2075-4418
dc.identifier.issue17
dc.identifier.pmid37685325
dc.identifier.scopus2-s2.0-85170364971
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.3390/diagnostics13172787
dc.identifier.urihttps://hdl.handle.net/20.500.12428/22174
dc.identifier.volume13
dc.identifier.wosWOS:001065895400001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherMdpi
dc.relation.ispartofDiagnostics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectanterior cruciate ligament reconstruction
dc.subjectreturn to sports
dc.subjectisokinetic evaluations
dc.subjectmodified all-inside
dc.subjectknee strength
dc.subjectknee scores
dc.subjectsurgical side
dc.titlePost-Operative Modified All-Inside ACL Reconstruction Technique's Clinical Outcomes and Isokinetic Strength Assessments
dc.typeArticle

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