Analysis of Postural Control following Anterior Cruciate Ligament Reconstruction with Ipsilateral Peroneus Longus Tendon Graft
https://doi.org/10.5704/MOJ.2303.016
- Author:
Sahoo PK
1
;
Sahu MM
2
Author Information
1. Department of Physical Medicine and Rehabilitation, Swami Vivekanand National Institute of Rehabilitation Training and Research, Cuttack, India
2. Department of Physiotherapy, Swami Vivekanand National Institute of Rehabilitation Training and Research, Cuttack, India
- Publication Type:Journal Article
- Keywords:
anterior cruciate ligament, peroneus longus tendon, centre of pressure, postural control, force plate
- From:Malaysian Orthopaedic Journal
2023;17(No.1):133-141
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Harvesting peroneus longus for ACL
reconstruction is thought to create ankle instability which
could add to postural instability from an ACL injury. This
apprehension prevents its use as a graft of primary choice for
many surgeons. To date, there is no evidence available
describing changes in postural control after its use in ACL
reconstruction. The purpose of the study was to analyse the
changes in postural control in the form of static and dynamic
body balance after ACL reconstruction with Peroneus
Longus Tendon Graft and compare it with the unaffected
limb at different time intervals.
Materials and methods: Thirty-one participants with ACL
injury were selected and subjected to an assessment of static
and dynamic balance before and after ACL reconstruction
using the HUMAC balance system. Outcome measures for
Centre of Pressure (COP) assessment were average velocity,
path length, stability score, and time on target. Comparison
of scores was done pre-operatively as well as at three- and
six-months post-reconstruction with Peroneus longus tendon
graft.
Results: Static balance of the affected limb showed
significant improvement with a decrease in average velocity
(F=4.522, p=0.026), path length (F=4.592: p=0.024) and
improvement of stability score (F=8.283, p=0.001).
Dynamic balance measured by the time on the target variable
also showed significant improvement at six-month follow-up
(F=10.497: p=0.000). There was no significant difference
between the affected and non-affected limb when compared
at the different time intervals.
Conclusion: The static and dynamic balance, which is
impaired after ACL injury, improves with ACL
reconstruction with PLT autologous graft. Hence PLTG can
be safely used as a graft for ACL reconstruction without
affecting postural control and body balance.
- Full text:16.2023my1303.pdf
