Isokinetic comparative study at the third postoperative month after surgery of the anterior cruciate ligament with arthroscopy or after mini-arthrotomy
Franceschi, J.P.; Rochwerger, A.; Benezet, P.; Bataille, J.F.; Viton, J.M.; Groulier, P.
Revue de Chirurgie Orthopedique et Reparatrice de l'Appareil Moteur 85(7): 708-712
1999
ISSN/ISBN: 0035-1040 PMID: 10612135 Document Number: 503833
A double blind prospective study was performed in 64 patients with a clinical and isokinetic assessment three months after anterior cruciate ligament (A.C.L.) reconstruction. This work included 64 patients (47 males and 17 females), divided in two groups: 41 patients had an arthroscopically assisted bone-tendon-bone A.C.L. reconstruction, 17 had an open procedure. The isokinetic records concerned peak torque and muscular work at two different speeds. Three months after surgery there was no significant difference between both groups particularly what concerns the isokinetic assessment in muscular performances. Peak torque in hamstring averaged 151.4 Nm in the open procedure group and 149.2 Nm in the arthroscopically assisted group (p = 0.7), in quadriceps 156.10 Nm vs 149.3 Nm (p = 0.47). The advantages of arthroscopy in early muscular recovery are rarely admitted in medical literature. The favorable opinion of the authors to the arthroscopically assisted A.C.L. reconstruction concerning its rapid muscular recovery abilities is only based on subjective criterions.