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Rehabilitation and functional outcomes in internally braced and standard ACL reconstructions.

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Citation: Journal of Orthopaedics. 33:95-99, 2022 Sep-Oct.PMID: 35899098Institution: MedStar Washington Hospital CenterDepartment: Department of Orthopedics and Sports MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleYear: 2022 ISSN:

0972-978X

Name of journal: Journal of orthopaedicsAbstract: Conclusion: This study demonstrates no statistical difference in functional outcome scores when comparing patients with internally braced ACL reconstruction compared to standard reconstruction. Therefore, the increased structural support provided by use of internal bracing in ACL reconstruction does not afford to quicker improvement in patient-reported recovery.Methods: Patients who underwent ACL reconstruction and had a minimum two-year follow-up were included. Demographics including age, gender, use of internal bracing, and pre-operative level of activity were collected. Patient-reported outcomes were assessed using KOOS scores.Purpose: The purpose of this study was to compare surgical outcomes in patients who underwent ACL reconstruction, with and without internal bracing, at 1-3, 4-7, and 8-12 months of postoperative physical therapy. Previous studies show that ACL reconstruction with internal bracing allows earlier and more aggressive rehabilitation. Therefore, it was hypothesized that patients with internal bracing would display superior surgical recovery compared to ACL reconstruction alone after adjusting for length of physical therapy.1, 2, 3.Results: 46 patients underwent ACL reconstruction between January 2013 and December 2015. The mean age was 31.53 +/- 8.37 years. Patients who received ACL reconstruction with internal bracing reported similar improvement in KOOS scores (mean = 42.82 +/- 15.44; median = 46.39 [34.52-51.80]) compared to ACL reconstruction alone (mean = 38.18 +/- 19.91; median = 40.17 [29.49-53.90]) (p = 0.475). Patients who received ACL reconstruction with internal bracing reported comparable improvement to ACL reconstruction alone at 0-3 months (Internal bracing: mean = 35.39 +/- 15.26, median = 40.45 [26.49-47.73]; No internal bracing: mean = 42.51 +/- 12.33, median = 39.32 [35.69-52.94], p = 0.4113), 4-7 months (Internal bracing: 41.96 +/- 14.49, 45.55 [33.94-52.68]; No internal bracing: 30.64 +/- 32.29, 41.65 [26.17-46.12], p = 0.7491) and 8+ months groups (Internal bracing: 63.36 +/- 13.06, 63.36 [58.74-67.98]; No internal bracing: 47.05 +/- 10.14, 47.05 [43.46-50.63]) (p = 0.6985).All authors: Szakiel PM, Aksu NE, Kirloskar KM, Gruber MD, Zittel KW, Grieme CV, Geng X, Argintar EHFiscal year: Digital Object Identifier:

https://dx.doi.org/10.1016/j.jor.2022.07.002

Date added to catalog: 2023-11-22

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Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	35899098	Available		35899098

Conclusion: This study demonstrates no statistical difference in functional outcome scores when comparing patients with internally braced ACL reconstruction compared to standard reconstruction. Therefore, the increased structural support provided by use of internal bracing in ACL reconstruction does not afford to quicker improvement in patient-reported recovery.

Methods: Patients who underwent ACL reconstruction and had a minimum two-year follow-up were included. Demographics including age, gender, use of internal bracing, and pre-operative level of activity were collected. Patient-reported outcomes were assessed using KOOS scores.

Purpose: The purpose of this study was to compare surgical outcomes in patients who underwent ACL reconstruction, with and without internal bracing, at 1-3, 4-7, and 8-12 months of postoperative physical therapy. Previous studies show that ACL reconstruction with internal bracing allows earlier and more aggressive rehabilitation. Therefore, it was hypothesized that patients with internal bracing would display superior surgical recovery compared to ACL reconstruction alone after adjusting for length of physical therapy.1, 2, 3.

Results: 46 patients underwent ACL reconstruction between January 2013 and December 2015. The mean age was 31.53 +/- 8.37 years. Patients who received ACL reconstruction with internal bracing reported similar improvement in KOOS scores (mean = 42.82 +/- 15.44; median = 46.39 [34.52-51.80]) compared to ACL reconstruction alone (mean = 38.18 +/- 19.91; median = 40.17 [29.49-53.90]) (p = 0.475). Patients who received ACL reconstruction with internal bracing reported comparable improvement to ACL reconstruction alone at 0-3 months (Internal bracing: mean = 35.39 +/- 15.26, median = 40.45 [26.49-47.73]; No internal bracing: mean = 42.51 +/- 12.33, median = 39.32 [35.69-52.94], p = 0.4113), 4-7 months (Internal bracing: 41.96 +/- 14.49, 45.55 [33.94-52.68]; No internal bracing: 30.64 +/- 32.29, 41.65 [26.17-46.12], p = 0.7491) and 8+ months groups (Internal bracing: 63.36 +/- 13.06, 63.36 [58.74-67.98]; No internal bracing: 47.05 +/- 10.14, 47.05 [43.46-50.63]) (p = 0.6985).

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