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Int J Sports Med 2005; 26(7): 599-606
DOI: 10.1055/s-2004-821342
Orthopedics & Biomechanics

© Georg Thieme Verlag KG Stuttgart · New York

Isokinetic and Anterior Cruciate Ligament Reconstruction with Hamstrings or Patella Tendon Graft: Analysis of Literature

M. Dauty1 , L. Tortellier1 , P. Rochcongar2
  • 1Pôle de Rééducation, Hôpital Saint Jacques, CHU Nantes, Nantes, France
  • 2Unité de Biologie et de Médecine du Sport, CHU Rennes, Rennes, France
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Publication History

Accepted after revision: July 31, 2004

Publication Date:
08 November 2004 (online)

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Abstract

We report isokinetic results of anterior cruciate ligament reconstruction with patellar tendon or hamstring graft from the literature analysis. The literature was defined from two search “textwords”: Isokinetic and Anterior cruciate ligament reconstruction, and from three databases: Medline, Pascal, and Herasmus. Two independent physicians (Physical Medicine and Rehabilitation) carried out an analysis according to the French National Accreditation and Health Evaluation Agency recommendations. Fifty-three studies were selected: 29 reported isokinetic results after anterior cruciate ligament reconstruction with patellar tendon graft, 15 reported isokinetic results after anterior cruciate ligament reconstruction with hamstring graft, and 9 studies compared the two surgical procedures. After discussing different bias and in reference to prospective randomised and comparative studies, the anterior cruciate ligament reconstruction with patellar tendon graft involves a knee extensors deficit during several months. The hamstring surgical procedure involves a less important knee extensor deficit (from 6 to 19 % against 8 to 21 %). Knee sprain and intra-articular surgery involve a long-lasting knee extensors deficit. Anterior cruciate ligament reconstruction with hamstrings graft involves a knee flexors deficit over several months. The patellar tendon surgical procedure involves a less important knee flexors deficit (from 1 to 15 % against 5 to 17 %). In reference to isokinetic parameters, no difference between the two surgical procedures (patellar tendon graft or hamstring graft) is shown after more than twenty-four post-surgical months.

Key words

Isokinetic - anterior cruciate ligament reconstruction - patellar tendon - hamstring graft

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M. Dauty

Pôle de Rééducation, Hôpital Saint Jacques, CHU Nantes

85 rue Saint Jacques

44035 Nantes Cedex 01

France

Phone: + 0240846211

Fax: + 02 40 84 61 91

Email: marc.dauty@chu-nantes.fr

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