A Systematic Review and Meta-Analysis of Strength Recovery Measured by Isokinetic Dynamometer Technology after Anterior Cruciate Ligament Reconstruction Using Quadriceps Tendon Autografts vs. Hamstring Tendon Autografts or Patellar Tendon Autografts

Fahed Herbawi, Mario Lozano-Lozano, Maria Lopez-Garzon, Paula Postigo-Martin, Lucia Ortiz-Comino, Jose Luis Martin-Alguacil, Manuel Arroyo-Morales and Carolina Fernandez-Lao
Additional contact information
Fahed Herbawi: Department of Physical Therapy, Health Science Faculty, University of Granada, Avda de la Ilustración 60, 18016 Granada, Spain
Mario Lozano-Lozano: Department of Physical Therapy, Health Science Faculty, University of Granada, Avda de la Ilustración 60, 18016 Granada, Spain
Maria Lopez-Garzon: Department of Physical Therapy, Health Science Faculty, University of Granada, Avda de la Ilustración 60, 18016 Granada, Spain
Paula Postigo-Martin: Department of Physical Therapy, Health Science Faculty, University of Granada, Avda de la Ilustración 60, 18016 Granada, Spain
Lucia Ortiz-Comino: Department of Physical Therapy, Health Science Faculty, University of Granada, Avda de la Ilustración 60, 18016 Granada, Spain
Jose Luis Martin-Alguacil: Department of Orthopaedic Surgery, Andalusian Mutuality of Soccer Players and Martín Gómez Clinic, 18005 Granada, Spain
Manuel Arroyo-Morales: Department of Physical Therapy, Health Science Faculty, University of Granada, Avda de la Ilustración 60, 18016 Granada, Spain
Carolina Fernandez-Lao: Department of Physical Therapy, Health Science Faculty, University of Granada, Avda de la Ilustración 60, 18016 Granada, Spain

IJERPH, 2022, vol. 19, issue 11, 1-18

Abstract: Background: This systematic review and meta-analysis compared the isokinetic strength of the muscular knee joint between quadriceps tendon autografts (QTAs) and hamstring tendon autografts (HTAs) or patellar tendon autografts (PTAs) after anterior cruciate ligament (ACL) reconstruction by determining the isokinetic angular velocity and follow-up time points. The functional outcomes and knee stability at the same time points were also compared using isokinetic technology. Methods: Two independent reviewers searched the Medline (via PubMed search engine), Scopus, Web of Science and Cochrane Library databases to include full text comparative studies that assessed isokinetic strength test following ACL reconstruction. The DerSimonian and Laird method was used. Results: In total, ten studies were included; seven compared studies QTAs vs. HTAs, and three compared QTAs vs. PTAs. Five studies were included in the meta-analysis. Isokinetic strength data were reported 3, 6, 12 and 24 months after ACL reconstruction. Conclusions: The QTAs showed better and significant results with knee flexion compared with HTAs, similar results to PTAs at 6 and 12 months. While HTAs showed better and significant results with knee extension at 6 months and similar results at 12 months compared to QTAs. Furthermore, a standardized isokinetic strength test must be followed to achieve a more specific conclusion and better clinical comparison among participants.

Keywords: anterior cruciate ligament reconstruction; isokinetic test; quadriceps tendon autograft (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/11/6764/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/11/6764/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:11:p:6764-:d:829841

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().