The Evaluation of Tibial Torsion Angle After Anterior Cruciate Ligament Reconstruction
Yükleniyor...
Dosyalar
Tarih
2020 Eylül
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
The aim of this study is to investigate the effect of anterior cruciate ligament (ACL) reconstruction on tibial torsion angle
(TTA) in the operated limb using computed tomography (CT) and physical examination methods and to show the relationship
between post-operative muscle strength features and TTA by using isokinetic dynamometer. 21 patients between 18 and 36
years old (25.4±6.8) who underwent ACL reconstruction with hamstring tendon (HT) autograft and then completed the ACL
rehabilitation were included in this study. Isokinetic strength measurements were evaluated by Biodex-Multi Joint System-Pro
4 dynamometer. To evaluate TTA; CT, transmalleolar and thigh-foot angle (TFA) measurements were carried out. There was no
significant TTA differences between 21 operated and non-operated knees for any method (p> 0.05). At the isokinetic evaluation
to the extension direction there were a significant differences 60-180º/sec in peak torque value (p=0,0001, p=0,003) and average
power value (p=0,004, p=0,002). As the percentage of losses in peak torque value to the flexion direction at velocity of 180 º/sec
increases, the CT diagnosed angle difference between both knees increases. (p<0,01, r=0,548) As the percentage of losses in
average power value to the extension direction at the velocity of 60 º/sec increases, the TFA difference between both knees
increases. (p<0,01, r=0,563) . The isokinetic evaluation findings show that the strength loss between the knees increases the TTA
differences. This finding shows the relationship of post-op rehabilitation with TTA varies and re-injury risk. In the isokinetic
evaluation, subjects with high loss of strength in the direction of flexion at 180º/sec velocity had higher TTA differences, so
rehabilitation protocols should be also focused on muscle endurance.
Açıklama
Anahtar Kelimeler
Anterior Cruciate Ligament, Tibial Torsion, Muscle Strength Dynamometer
Kaynak
Turkish Journal of Sport and Exercise
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
2
Künye
Kürklü, G. B., Özdengül, F., Çelebi, M. M., Bayrak, A., Görmüş, Z. S., Işık, B., Zergeroğlu, A. M., (2020). The Evaluation of Tibial Torsion Angle After Anterior Cruciate Ligament Reconstruction. Turkish Journal of Sport and Exercise, 22(2), 279-287.
DOI: 10.15314/tsed.762117
