author: vitalis lorand coordinator: lecturer russu octav, md, phd coauthor: modi viviana alexandra;...
TRANSCRIPT
QUALITY OF LIFE AFTER ACL RECONSTRUCTION USING THE
IKDC QUESTIONNAIRE
Author: Vitalis LorandCoordinator: Lecturer Russu Octav, MD, Phd
Coauthor: Modi Viviana Alexandra; Miler Georgiana
BackgroundArthroscopic procedures can be performed for:
• ACL reconstruction
• torn floating cartilage
• torn surface cartilage
• trimming damaged cartilage
Knee arthroscopy
Objective • Quality of life
• Anterior cruciate ligament reconstruction (ACL)
• Hamstring autografts
• IKDC knee score
Normal knee joint
ACL rupture causes:
Skiing
Football
Jumping
other sports with lots of stop-and-go movements
ACL reconstruction:
Flip cutter
Hamstering autograft
Up side anchored by clamp
Down side fixt by bioabsorbable plug
Material and method• retrospectiv study• 66 patients who were admitted to the Clinic of Orthopedics and Traumatology II of Târgu Mureș;
• single bundle ACL reconstruction with hamstring autografts;• between January 2012 and January 2014;• rehabitation protocol was identical to all of the patients
• femur-first technique and close braided loop fixation on the femoral side;• biocomposite screw fixation on the tibial side;
Material and method• We used the IKDC knee rating system• From the 10th to the 52nd week postoperatively (by phone interview).• Questionnaire item included:
symptoms functional limitations in sports daily activities knee condition sports occupational activity level
Material and method
ResultsThe IKDC knee rating system score after
ACL reconstruction: • between 79,5-97,7
• average score of 89,9
• mean age of the patients was 38 year
• range between 34-53 years • 53 male and 13 female patients
What is the highest level of activity that you can perform without significant knee pain?
Group score:<83 - 100% Moderat
83-93 – 9,1% Very hard 77.3% Intens 13.6% Moderat
93-100 – 47.1% Very hard
52.9% Intens
How does your knee affect your ability to jump?
Group score:<83 – 20% Not difficult at
all 40% Minimally
difficult 40% Moderately
difficult
83-93 – 53,7% Not difficult at all
46,2% Minimally difficult
93-100 – 100 % Not difficult at all
How does your knee affect your ability to run?
Group score: <83 – 60% Not difficult at
all 40% Minimally
difficult
83-93 –84,1% Not difficult at all 15,9% Minimally
difficult
93-100 – 88,2% Not difficult at all
11,8% Minimally difficult
What is the highest level of activity you can perform without significant giving way in your knee?
Group score:<83 - 40% Intens
60% Moderat
83-93 – 34,1% Very hard 52.3% Intens 13.6% Moderat
93-100 – 100% Very hard
How does your knee affect your ability to go up stairs?
Group score: <83 – 20% Not difficult at
all60% Minimally
difficult20% Moderat difficult
83-93 –65,9,% Not difficult at all 27,3% Minimally difficult
6,8% Moderat difficult
93-100 – 100% Not difficult at all
In the past 4 week did your knee lock or catch?
Group score:Yes – 32 patientsNo – 34 patients
IKDC ACL Reconstruction score in percent
Excellent ( 100 – 95) 15,2%
Good(94 - 84) 77,23%
Fair ( 83 - 65) 7,57%
Poor ( 64 - 0) -
ConclusionIKDC knee rating system score after ACL
reconstruction whit an average score of 89,9
separate responses for each question whit a good outcome
92,43 % the outcome is good or excellent
The results mentioned before shows an improvement on patient’s life condition, after ACL reconstruction and rehabilitation.
Thank you for your attention