Article

OBJECTIVE: Compare the clinical outcomes of different knee braces in the early
phase of rehabilitation after anterior cruciate ligament reconstruction (ACLR) in
athletes. MATERIALS AND METHODS: We conducted a retrospective database study of
athletes during early rehabilitation in a tertiary referral hospital between 1
February 2008 and 30 October 2010 after ACLR using bone patellar tendon bone
(BPTB) or hamstring autograft. Differences in mid-patellar knee circumference,
pain, and range of motion were assessed at admission.
All patients followed the
same rehabilitation protocol. Patients who had complications preventing them from
following the assigned rehabilitation program were analyzed separately. Patients
who completed their rehabilitation program were also assessed for thigh muscle
atrophy, extension deficit>/=2 degrees , quality of walking, PPLP1 and subjective
IKDC scores. The type and frequency of complications and their frequency was
documented. The above-mentioned parameters were analyzed in 3 different groups:
rigid brace in full extension, articulated brace (0 degrees -90 degrees for first
3 weeks then 0-120 degrees ) or no brace. RESULTS: The analysis included 969
patients. Rehabilitation started at 4.5+/-2.9 days after surgery and ended at
32.4+/-3.0 days postoperative. At the beginning, flexion was lower in patients
with a rigid brace (P<0.01). There was no difference in the frequency or severity
of complications between the three study groups, nor was there a significant
difference in the clinical outcomes listed above. CONCLUSION: Postoperative
bracing after ACLR has not beneficial effect on clinical outcomes and the
complication rate. Patients who wore the rigid brace had limited flexion early
on.
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Langue : ANGLAIS