Open Access Research Article Article ID: OJOR-5-122

    The effect of transtibial and transportal techniques of graft positioning on strength and proprioception in subjects submitted to anterior cruciate ligament reconstruction surgery

    Eduardo Nicoliche*, Pedro Matos, Cleiton Naves, Gustavo Cardilo, André Marques, Felipe Braga, Alan Mozella, Ubiratã Faleiro Gavilão, Eduardo Branco de Sousa, Carlos Oliveira, José Inácio Salles, Mariana Gongora, Pedro Ribeiro and Bruna Velasques

    Objective: Investigate the effect of ACL reconstruction surgery on proprioception and muscle strength, by comparing transtibial and transporal techniques in the pre and postoperative periods of 3, 6 and 12 months. Hypothesis was that transportal technique would present better results since it provides greater anteroposterior and rotational stability.

    Methods: 100 patients with ACL injury, divided in Transtibial Group and Transportal Group. Evaluations were performed through Joint Position Sense, Isokinetic Test, International Knee Documentation Committee (IKDC) and Tegner Lysholm Knee Scoring Scale. Patients were assessed at 3,6 and 12 months after surgical procedure.

    Results: All variables from all tests only presented better outcomes when comparing the uninjured group to ACL limb, regardless the time or group (p >0.05). Except for IKDC, which showed difference between all instants of time (p <0.01).

    Conclusions: The present research do not support the hypothesis that the Transportal way provides better results than Transtibial in terms of muscle strength and proprioception. Furthermore, none of these values improved after 12 months after ACL reconstruction surgery, regardless the method employed. Such findings may help further review the minimum patients’ discharging time to their normal routine, mainly regarded to sports.


    Published on: Jun 15, 2020 Pages: 14-23

    Full Text PDF Full Text HTML DOI: 10.17352/ojor.000022
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