Study of objective radiographic assessment of tibial anterior translation after anterior cruciate ligament reconstruction surgery

Dr. G Jagadesh, Dr. Raja Shekhar K
2020 International Journal of Orthopaedics Sciences  
The clinical guidance regarding advice to patient about return to activity after anterior cruciate ligament reconstruction (ACLR) surgery, is a complex one and related literature is not clear on this subject. In general, single leg hop test is included in this process. We evaluated a simple objective stress radiographic technique to measure anterior tibial translation and compared the results with that of single leg hop tests in a male population of 24 patients that underwent ACLR at a tertiary
more » ... care orthopaedic hospital. Tests were recorded after 9 th month of post-operative period. Patients were again evaluated at 12 th month of post-operative period to record patient reported outcome. Results show average anterior translation of 2.3mm with range 1-4 mm and average hop index of 0.91 ranging from 0.85-0.95. 15 out of 24 patients recorded satisfactory outcome in both the test results. IKDC subjective evaluation scores at 12 th month of post-period were satisfactory with average score 72. In conclusion, this objective radiographic measurement technique can be routinely used as a part of decision-making regarding advice of return to activity after ACLR along with single leg hop test and patient reported outcome tools.
doi:10.22271/ortho.2020.v6.i3j.2267 fatcat:aj2pziuvtrg7zix3tqwwppp6qq