eISSN: 2300-6722
ISSN: 1899-1874
Medical Studies/Studia Medyczne
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vol. 33
Original paper

Quality of life of patients after anterior cruciate ligament reconstruction using LARS synthetic graft and autogenous ST/GR graft

Jędrzej Płocki, Ireneusz Kotela, Agnieszka Bejer, Dominik Pikuła, Mirosław Probachta, Andrzej Kotela

Medical Studies/Studia Medyczne 2017; 32 (3): 208–213
Online publish date: 2017/09/30
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Introduction: Injury to the anterior cruciate ligament (ACL) causes disorders in the functional capabilities of the limb, both in daily life and during attempts to return to full physical activity, and in a later period it contributes to the development of degenerative disease.

Aim of the research: Determination of the level of quality of life in patients after ACL reconstruction using the LARS synthetic ligament or autogenous ST/GR graft 4 years after surgery.

Material and methods: Into the study were qualified 96 patients who had undergone reconstruction due to injury to the anterior cruciate ligament. The patients were divided into two groups according to the type of material used for reconstruction. The study group included 44 (45.8%) patients who were operated on using the LARS synthetic ligament. The control group comprised 52 (54.2%) patients who were implanted with an autogenous graft from semitendinous or gracilis muscle. The study was conducted using the SF36v2 questionnaire for the assessment of quality of life.

Results: The patients expressed the most negative evaluations of quality of life in the domain of General Health (GH) (x– = 62.5 scores) and Mental Health (MH) (x– = 70.4 scores), whereas most positive evaluations concerned the domain related with role limitations – caused both by physical health (Role Pysical – RP) and emotional problems (Role Emotional – RE) (x– > 95 scores). No statistically significant differences in the level of the quality of life were observed in the two selected groups; however, the evaluation of the quality of life in the area of social functioning and psychological health were slightly higher in the group of patients who had undergone surgery using the LARS method.

Conclusions: The quality of life of patients within the period of 4 years after ACL reconstruction procedure using the LARS method and autogenous graft was on a similar, high level.

anterior cruciate ligament injury, reconstruction, LARS method, quality of life

Murray M, Vavken P, Fleming B. The ACL Handbook: Knee Biology, Mechanics and Treatment. Springer Science and Buisiness Media, New York 2013; 3-17.
Stolarczyk A, Kalińska J, Nagraba Ł, Mitek T, Kołodziejski P. Postępowanie w uszkodzeniach więzadła krzyżowego przedniego. Artroskopia i Chirurgia Stawów 2007; 3: 18-29.
Boden BP, Dean GS, Feagin JA Jr, Garrett WE Jr. Mechanisms of anterior cruciate ligament injury. Orthopedics 2000; 23: 573-8.
Culvenor AG, Lai CH, Gabbe BJ, Makdissi M, Collins NJ, Vicenzino B, Morris HG, Crossley KM. Patellofemoral osteoarthritis is prevalent and associated with worse symptoms and function after hamstring tendon autograft ACL reconstruction. Br J Sports Med 2014; 48: 435-9.
Jędrysik M, Noga H, Żerebiec J. Rekonstrukcja więzadła krzyżowego przedniego z użyciem pasma centralnego więzadła rzepki. Acta Clinica 2002; 2: 26-32.
Legnani C, Ventura A, Terzaghi C, Borgo E, Albisetti W. Anterior cruciate ligament reconstruction with synthetic grafts. A review of literature. Int Orthop 2010; 34: 465-71.
Dericks G. Ligament advanced reinforcement system anterior cruciate ligament reconstruction. Oper Tech Sports Med 1995; 3: 187-205.
Chrobak M. Ocena jakości życia zależnej od stanu zdrowia. Probl Pielęgn 2009; 17: 123-7.
Jankowska E. Pojęcie i narzędzia pomiaru jakości życia. Toruńskie Studia Międzynarodowe 2011; 1: 33-9.
Kyritsis P, Witvrouw E. Return to sport after anterior cruciate ligament reconstruction: a literature review. J Nov Physiother 2014; 4: 4-10.
Baltaci G, Yilmaz G, Atay AO. The outcomes of anterior cruciate ligament reconstructed and rehabilitated knees versus healthy knees: a functional comparison. Acta Orthop Traumatol Turc 2012; 46: 186-95.
Barenius B, Nordlander M, Ponzer S, Tidermark J, Eriksson K. Quality of life and clinical outcome after anterior cruciate ligament reconstruction using patellar tendon graft or quadrupled semitendinosus graft an 8-year follow-up of a randomized controlled trial. Am J Sports Med 2010; 38: 1533-41.
Busija L, Osborne RH, Nilsdotter A, Buchbinder R, Roos EM. Magnitude and meaningfulness of change in SF-36 scores in four types of orthopedic surgery. Health Qual Life Outcomes 2008; 6: 55.
Månsson O, Kartus J, Sernert N. Health-related quality of life after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2011; 19: 479-87.
Gao K, Chen S, Wang L, Zhang W, Kang Y, Dong Q, Zhou H, Li L. Anterior cruciate ligament reconstruction with LARS artificial ligament: a multicenter study with 3- to 5-year follow-up. J Arthrosc Related Surg 2010; 26: 515-23.
Falconer T, Dabirrahmani D, Tusak L, et al. Comparison of hamstring and LARS hamstring augmentation double bundle ACL reconstruction – minimum 2 year follow-up. Available at: http://www.revolution-surgical.com/img/LARS/knee/Falconer.pdf
Falconer T, Dabirrahmani D, Tusak L, Pollock J, Breidahl B,Annea P. Comparison of hamstring and LARS hamstring augmentation double bundle ACL reconstruction – minimum 2 year follow-up. Available at: http://www.revolution-surgical.com/img/LARS/ knee/Falconer.pdf
Machotka Z, Scarborough I, Duncan W, Kumar S, Perraton L. Anterior cruciate ligament repair with LARS. Sports Med Arthrosc Rehabil Ther Technol 2010; 2: 29-39.
Jarosz A, Dubaj W, Hładki W, Kruk SM. Assessment of the influence of the results of orthopedic examination on the quality of life in people undergoing reconstruction of the anterior cruciate ligemant of a knee and post-surgery rehabilitation. J Orthop Trauma Surg Rel Res 2013; 3: 33-41.
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