NTERIOR CRUCIATE LIGAMENT RECONSTRUCTION: WITH BRACE VS WITHOUT BRACE AFTER OPERATION A RANDOMIZED CONTROLLED CLINICAL TRIAL
Abstract
Introduction. Anterior cruciate ligament (ACL) ruputer specially in athletics induces knee instability results in pateint disability. Surgical treatment consist of ACL reconstruction and repair. In this study the efficacy of surgical management with brace after operation was compaired to surgical management without brace.
Methods. One hundred ACL ruptured pateints had reconstructed with BPB graft in two randomzed gruops (50 with brace afetr operation and 50 without brace). Study durated 4 year (1997-2000) in alzahra hospital (affiliated to IUMSHS). Patients had followed for 12 months after operation.
Results. Knee range of motion after 1, 3, 6, 12 months follow up were the same in both groups (P > 0.05). Degree and duration of returning to sport, complications, need to reoperation, stair climbing, specific ACL tests, patelofemoral pain, pain in squatting, running and cutting and quadriceps atrophy, after 12 months follow up were the same in both groups (P > 0.05). Patients without brace returned to their job more sooner than another group (P < 0.05).
Discussion. There are no significant differnce in cilinical results in tow groups and ACL reconstruction with BPB dose not require to routine bracing. Faster return to job in non bracing group is due to removal of liminting effect of brace wearing. Lesser rate of pain in patients that return to sport due to quadriceps strengthening.
Methods. One hundred ACL ruptured pateints had reconstructed with BPB graft in two randomzed gruops (50 with brace afetr operation and 50 without brace). Study durated 4 year (1997-2000) in alzahra hospital (affiliated to IUMSHS). Patients had followed for 12 months after operation.
Results. Knee range of motion after 1, 3, 6, 12 months follow up were the same in both groups (P > 0.05). Degree and duration of returning to sport, complications, need to reoperation, stair climbing, specific ACL tests, patelofemoral pain, pain in squatting, running and cutting and quadriceps atrophy, after 12 months follow up were the same in both groups (P > 0.05). Patients without brace returned to their job more sooner than another group (P < 0.05).
Discussion. There are no significant differnce in cilinical results in tow groups and ACL reconstruction with BPB dose not require to routine bracing. Faster return to job in non bracing group is due to removal of liminting effect of brace wearing. Lesser rate of pain in patients that return to sport due to quadriceps strengthening.
Keywords
B.P.B graft, ACL reconstruction , Brace