The Evaluation Of Tibial Torsion Angle After Anterior Cruciate Ligament Reconstruction
The aim of this study is to investigate the effect of anterior cruciate ligament (ACL) reconstruction on tibial torsion angle (TTA) in the operated limb using computed tomography (CT) and physical examination methods and to show the relationship between post-operative muscle strength features and TT...
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| Format: | Article |
| Language: | English |
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Selcuk University
2020-09-01
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| Series: | Türk Spor ve Egzersiz Dergisi |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/1182151 |
| _version_ | 1797500743499907072 |
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| author | Z Işık Solak Görmüş Mehmet Çelebi Galip Bilen Kürklü Faik Özdengül Ahmet Bayrak Ali Zergeroğlu Bülent Işık |
| author_facet | Z Işık Solak Görmüş Mehmet Çelebi Galip Bilen Kürklü Faik Özdengül Ahmet Bayrak Ali Zergeroğlu Bülent Işık |
| author_sort | Z Işık Solak Görmüş |
| collection | DOAJ |
| description | The aim of this study is to investigate the effect of anterior cruciate ligament (ACL) reconstruction on tibial torsion angle (TTA) in the operated limb using computed tomography (CT) and physical examination methods and to show the relationship between post-operative muscle strength features and TTA by using isokinetic dynamometer. 21 patients between 18 and 36 years old (25.4±6.8) who underwent ACL reconstruction with hamstring tendon (HT) autograft and then completed the ACL rehabilitation were included in this study. Isokinetic strength measurements were evaluated by Biodex-Multi Joint System-Pro 4 dynamometer. To evaluate TTA; CT, transmalleolar and thigh-foot angle (TFA) measurements were carried out. There was no significant TTA differences between 21 operated and non-operated knees for any method (p gt; 0.05). At the isokinetic evaluation to the extension direction there were a significant differences 60-180º/sec in peak torque value (p=0,0001, p=0,003) and average power value (p=0,004, p=0,002). As the percentage of losses in peak torque value to the flexion direction at velocity of 180 º/sec increases, the CT diagnosed angle difference between both knees increases. (p lt;0,01, r=0,548) As the percentage of losses in average power value to the extension direction at the velocity of 60 º/sec increases, the TFA difference between both knees increases. (p lt;0,01, r=0,563) . The isokinetic evaluation findings show that the strength loss between the knees increases the TTA differences. This finding shows the relationship of post-op rehabilitation with TTA varies and re-injury risk. In the isokinetic evaluation, subjects with high loss of strength in the direction of flexion at 180º/sec velocity had higher TTA differences, so rehabilitation protocols should be also focused on muscle endurance. |
| first_indexed | 2024-03-10T03:08:14Z |
| format | Article |
| id | doaj.art-ef0978f2302f43df87cf7839b669ebb6 |
| institution | Directory Open Access Journal |
| issn | 2147-5652 |
| language | English |
| last_indexed | 2024-03-10T03:08:14Z |
| publishDate | 2020-09-01 |
| publisher | Selcuk University |
| record_format | Article |
| series | Türk Spor ve Egzersiz Dergisi |
| spelling | doaj.art-ef0978f2302f43df87cf7839b669ebb62023-11-23T10:32:08ZengSelcuk UniversityTürk Spor ve Egzersiz Dergisi2147-56522020-09-01222279287154The Evaluation Of Tibial Torsion Angle After Anterior Cruciate Ligament ReconstructionZ Işık Solak Görmüş0Mehmet Çelebi1Galip Bilen Kürklü2Faik Özdengül3Ahmet Bayrak4Ali Zergeroğlu5Bülent Işık6MERAM FACULTY OF MEDICINEANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINEMERAM FACULTY OF MEDICINEMERAM FACULTY OF MEDICINESELCUK UNIVERSITYANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINESAĞLIK BAKANLIĞIThe aim of this study is to investigate the effect of anterior cruciate ligament (ACL) reconstruction on tibial torsion angle (TTA) in the operated limb using computed tomography (CT) and physical examination methods and to show the relationship between post-operative muscle strength features and TTA by using isokinetic dynamometer. 21 patients between 18 and 36 years old (25.4±6.8) who underwent ACL reconstruction with hamstring tendon (HT) autograft and then completed the ACL rehabilitation were included in this study. Isokinetic strength measurements were evaluated by Biodex-Multi Joint System-Pro 4 dynamometer. To evaluate TTA; CT, transmalleolar and thigh-foot angle (TFA) measurements were carried out. There was no significant TTA differences between 21 operated and non-operated knees for any method (p gt; 0.05). At the isokinetic evaluation to the extension direction there were a significant differences 60-180º/sec in peak torque value (p=0,0001, p=0,003) and average power value (p=0,004, p=0,002). As the percentage of losses in peak torque value to the flexion direction at velocity of 180 º/sec increases, the CT diagnosed angle difference between both knees increases. (p lt;0,01, r=0,548) As the percentage of losses in average power value to the extension direction at the velocity of 60 º/sec increases, the TFA difference between both knees increases. (p lt;0,01, r=0,563) . The isokinetic evaluation findings show that the strength loss between the knees increases the TTA differences. This finding shows the relationship of post-op rehabilitation with TTA varies and re-injury risk. In the isokinetic evaluation, subjects with high loss of strength in the direction of flexion at 180º/sec velocity had higher TTA differences, so rehabilitation protocols should be also focused on muscle endurance.https://dergipark.org.tr/tr/download/article-file/1182151tibial torsionmuscle strength dynamometeranterior cruciate ligament |
| spellingShingle | Z Işık Solak Görmüş Mehmet Çelebi Galip Bilen Kürklü Faik Özdengül Ahmet Bayrak Ali Zergeroğlu Bülent Işık The Evaluation Of Tibial Torsion Angle After Anterior Cruciate Ligament Reconstruction Türk Spor ve Egzersiz Dergisi tibial torsion muscle strength dynamometer anterior cruciate ligament |
| title | The Evaluation Of Tibial Torsion Angle After Anterior Cruciate Ligament Reconstruction |
| title_full | The Evaluation Of Tibial Torsion Angle After Anterior Cruciate Ligament Reconstruction |
| title_fullStr | The Evaluation Of Tibial Torsion Angle After Anterior Cruciate Ligament Reconstruction |
| title_full_unstemmed | The Evaluation Of Tibial Torsion Angle After Anterior Cruciate Ligament Reconstruction |
| title_short | The Evaluation Of Tibial Torsion Angle After Anterior Cruciate Ligament Reconstruction |
| title_sort | evaluation of tibial torsion angle after anterior cruciate ligament reconstruction |
| topic | tibial torsion muscle strength dynamometer anterior cruciate ligament |
| url | https://dergipark.org.tr/tr/download/article-file/1182151 |
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