Bone-Patellar Tendon-Bone Autograft Harvest Prolongs Extensor Latency during Gait 2 yr after ACLR.
Journal
Medicine and science in sports and exercise
ISSN: 1530-0315
Titre abrégé: Med Sci Sports Exerc
Pays: United States
ID NLM: 8005433
Informations de publication
Date de publication:
01 12 2022
01 12 2022
Historique:
pubmed:
9
8
2022
medline:
18
11
2022
entrez:
8
8
2022
Statut:
ppublish
Résumé
Bone-patellar tendon-bone (BPTB) graft harvest for anterior cruciate ligament reconstruction alters patellar tendon properties, which inflict poor quadriceps neuromuscular function. BPTB autografts are associated with higher rates of posttraumatic osteoarthritis, which in turn is associated with pathological gait. The purpose of this study was to investigate the latency between the time of peak quadriceps activity and the peak knee flexion moment during gait, between those with BPTB grafts ( n = 23) and other graft types (hamstring autograft or allografts, n = 54), 5 ± 2 months and 2 yr (25 ± 3 months) after anterior cruciate ligament reconstruction. We hypothesized that longer latencies would be observed in the BPTB graft group in the involved limb. We expected latencies to shorten over time. Knee moments and quadriceps EMG were collected during gait, and vastus medialis, vastus lateralis, rectus femoris (RF), and quadriceps latencies were calculated. Linear mixed-effects models were used to compare latencies between graft types and over the two time points. The main effects of graft type were observed for vastus medialis ( P = 0.005) and quadriceps ( P = 0.033) latencies with the BPTB graft group demonstrating longer latencies. No main effects of graft type were observed for vastus lateralis ( P = 0.051) and RF ( P = 0.080) latencies. Main effects of time were observed for RF latency ( P = 0.022). Our hypothesis that the BPTB graft group would demonstrate longer extensor latency was supported. Contrary to our second hypothesis, however, latency only improved in RF and regardless of graft type, indicating that neuromuscular deficits associated with BPTB grafts may persist 2 yr after surgery. Persistent deficits may be mediated by changes in the patellar tendon's mechanical properties. Graft-specific rehabilitation may be warranted to address the long-term neuromechanical deficits that are present after BPTB graft harvest.
Identifiants
pubmed: 35941514
doi: 10.1249/MSS.0000000000003009
pii: 00005768-202212000-00013
pmc: PMC9669131
mid: NIHMS1824255
doi:
Banques de données
ClinicalTrials.gov
['NCT01773317']
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
2109-2117Subventions
Organisme : NIAMS NIH HHS
ID : R01 AR048212
Pays : United States
Organisme : NIA NIH HHS
ID : F32 AG066274
Pays : United States
Organisme : NICHD NIH HHS
ID : F30 HD096830
Pays : United States
Organisme : NIGMS NIH HHS
ID : U54 GM104941
Pays : United States
Organisme : NIGMS NIH HHS
ID : P30 GM103333
Pays : United States
Organisme : NICHD NIH HHS
ID : R37 HD037985
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD087459
Pays : United States
Informations de copyright
Copyright © 2022 by the American College of Sports Medicine.
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