Similar outcomes and satisfaction after transtibial versus transportal femoral drilling for anterior cruciate ligament reconstruction in young adult recreational athletes
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Título: | Similar outcomes and satisfaction after transtibial versus transportal femoral drilling for anterior cruciate ligament reconstruction in young adult recreational athletes |
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Autor/es: | Ruiz-Lozano, Matias | Miralles Muñoz, Francisco A. | Rubio-Morales, Marta | Martin-Grandes, Rosario | Lizaur-Utrilla, Alejandro | Vizcaya-Moreno, M. Flores |
Grupo/s de investigación o GITE: | Enfermería Clínica (EC) |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Enfermería |
Palabras clave: | Anterior cruciate ligament | ACL | Reconstruction | Satisfaction | Young patient | Non-professional | Recreational sport |
Área/s de conocimiento: | Enfermería |
Fecha de publicación: | 2-ene-2021 |
Editor: | Springer Nature |
Cita bibliográfica: | Knee Surgery, Sports Traumatology, Arthroscopy. 2022, 30: 1197-1203. https://doi.org/10.1007/s00167-020-06393-8 |
Resumen: | Purpose Controversy continues regarding whether the transtibial (TT) and transportal (TP) methods for anterior cruciate ligament (ACL) reconstruction provide similar or different outcomes, and the evidence on patient satisfaction is very limited. The objective of this study was to compare functional outcomes and patient satisfaction in young adult recreational athletes who underwent arthroscopic hamstring ACL reconstruction using either the TT or the TP femoral tunnel drilling method. Methods A nonrandomized prospective study was designed to compare the outcomes of arthroscopic hamstring ACL reconstruction using TT or TP method. Functional outcome was assessed with the Lyshom score, and patient satisfaction with a 5-point Likert scale. Knee stability was measured with the KT-1000 arthrometer. Results 42 patients in the TT group and 41 in TP group, with age ranged 18–40 years, were compared with a mean follow-up of 42 (range 24–60) months. There were no significant differences between groups in the Lysholm score (n.s.), sport return rate (n.s.) or patient satisfaction with the surgery (n.s.). Satisfaction was only significantly associated with the Lysholm score (OR 1.3; IC 95% 1.06–1.6; p = 0.012), but not with the return to sports (n.s.) or knee anterior laxity (n.s.). Conclusion This study showed no statistical differences between the TT and the TP method in functional outcomes or patient satisfaction in young adult recreational athletes. In those patients, satisfaction with the surgery was not influenced by the return to sport activities. This study can guide surgeons in the decision-making for ACL reconstruction in recreational athletes. Level of evidence Level II. |
URI: | http://hdl.handle.net/10045/114995 |
ISSN: | 0942-2056 (Print) | 1433-7347 (Online) |
DOI: | 10.1007/s00167-020-06393-8 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2021 |
Revisión científica: | si |
Versión del editor: | https://doi.org/10.1007/s00167-020-06393-8 |
Aparece en las colecciones: | INV - Enfermería Clínica - Artículos de Revistas |
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