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Korean J Sports Med. 2015 Dec;33(2):120-125. Korean.
Published online December 07, 2015.  https://doi.org/10.5763/kjsm.2015.33.2.120
Copyright © 2015 The Korean Society of Sports Medicine
Gender Differences in Knee Laxity and Function after Anterior Cruciate Ligament Reconstruction
Do Kyung Kim and Won Hah Park
Division of Sports Medicine, Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Correspondence: Won Hah Park. Division of Sports Medicine, Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea. Tel: +82-2-3410-3847, Fax: +82-2-3410-6687, Email: hrmax1@naver.com
Received October 07, 2015; Revised November 11, 2015; Accepted November 16, 2015.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Anterior cruciate ligament (ACL) reconstruction is frequently performed to restore knee stability and function following ACL injury. Little is known about the outcome differences between man and women patients after anterior cruciate ligament reconstruction. Therefore, the purpose of the present study was compared between the genders after a minimum of 1 year following arthroscopic ACL reconstruction. Between 2012 and 2015, 30 men (mean age, 27.0±8.7 years) and 30 women (mean age, 25.3±7.2 years) who had undergone primary ACL reconstructions were recruited from Samsung Medical Centers. We assessed the knee laxity using the KT-2000 arthrometer, and subjective functional questionnaire was assessed with the Lysholm score and International Knee Documentation Committee (IKDC) subject score. Also we had measured the performance test which is single-leg hop test. As a result, no significant gender differences were found at knee laxity and knee Lyshlom and IKDC score. However, there is significantly difference between men and women with only single-leg hop test. Compared to male patients, female patients reported significantly less single-leg hop distance and less improvement 1 year after reconstruction. Subjective criteria failed to detect clinically significant differences in KT-2000 arthrometer, and subjective functional questionnaire result between men and women. However, we had found that women got less hop distance than men which means more safety functional test must be required before returning to sports.

Keywords: Anterior cruciate ligament; Gender; Function

Tables


 Table 1
Patient demographics
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Table 2
Comparison of Lysholm and IKDC score between in gender
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Table 3
Comparison of anterior translation and single-leg hop test between in gender
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Notes

Conflict of Interest:No potential conflict of interest relevant to this article was reported.

References
1. Nordenvall R, Bahmanyar S, Adami J, Stenros C, Wredmark T, Fellander-Tsai L. A population-based nationwide study of cruciate ligament injury in Sweden, 2001-2009: incidence, treatment, and sex differences. Am J Sports Med 2012;40:1808–1813.
2. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med 2011;45:596–606.
3. Caborn DN, Johnson BM. The natural history of the anterior cruciate ligament-deficient knee: a review. Clin Sports Med 1993;12:625–636.
4. Kvist J. Rehabilitation following anterior cruciate ligament injury: current recommendations for sports participation. Sports Med 2004;34:269–280.
5. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to the preinjury level of competitive sport after anterior cruciate ligament reconstruction surgery: two-thirds of patients have not returned by 12 months after surgery. Am J Sports Med 2011;39:538–543.
6. Moisala AS, Jarvela T, Kannus P, Jarvinen M. Muscle strength evaluations after ACL reconstruction. Int J Sports Med 2007;28:868–872.
7. Irrgang JJ, Snyder-Mackler L, Wainner RS, Fu FH, Harner CD. Development of a patient-reported measure of function of the knee. J Bone Joint Surg Am 1998;80:1132–1145.
8. Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 1985;(198):43–49.
9. Higgins LD, Taylor MK, Park D, et al. Reliability and validity of the International Knee Documentation Committee (IKDC) Subjective Knee Form. Joint Bone Spine 2007;74:594–599.
10. Prodromos CC, Han Y, Rogowski J, Joyce B, Shi K. A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen. Arthroscopy 2007;23:1320–1325.e6.
11. Ageberg E, Forssblad M, Herbertsson P, Roos EM. Sex differences in patient-reported outcomes after anterior cruciate ligament reconstruction: data from the Swedish knee ligament register. Am J Sports Med 2010;38:1334–1342.
12. Chandy TA, Grana WA. Secondary school athletic injury in boys and girls: a three year comparison. Physician Sports Med 1985;13:106–111.
13. Paterno MV, Weed AM, Hewett TE. A between sex comparison of anterior-posterior knee laxity after anterior cruciate ligament reconstruction with patellar tendon or hamstrings autograft: a systematic review. Sports Med 2012;42:135–152.
14. Fitzgerald GK, Lephart SM, Hwang JH, Wainner RS. Hop tests as predictors of dynamic knee stability. J Orthop Sports Phys Ther 2001;31:588–597.
15. Gustavsson A, Neeter C, Thomee P, et al. A test battery for evaluating hop performance in patients with an ACL injury and patients who have undergone ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 2006;14:778–788.
16. ACL injuries: the gender bias. Proceedings and abstracts from Research Retreat II. April 4-5, 2003. Lexington, Kentucky, USA. J Orthop Sports Phys Ther 2003;33:A1–A30.
17. Deie M, Sakamaki Y, Sumen Y, Urabe Y, Ikuta Y. Anterior knee laxity in young women varies with their menstrual cycle. Int Orthop 2002;26:154–156.
18. Ministry of Culture, Sports and Tourism. National sport participation survey in Korea [Internet]. Sejong (KR): Ministry of Culture, Sports and Tourism; [cited 2015 Nov 18].
Available from: http://www.mcst.go.kr/web/s_data/research/researchView.jsp?pSeq=1598&pMenuCD=0406000000&pCurrentPage=1&pTypeDept=&pSearchType=01&pSearchWord=%EA%B5%AD%EB%AF%BC%EC%83%9D%ED%99%9C%EC%B2%B4%EC%9C%A1.
19. Daniel DM, Stone ML, Sachs R, Malcom L. Instrumented measurement of anterior knee laxity in patients with acute anterior cruciate ligament disruption. Am J Sports Med 1985;13:401–407.
20. Barber-Westin SD, Noyes FR, Andrews M. A rigorous comparison between the sexes of results and complications after anterior cruciate ligament reconstruction. Am J Sports Med 1997;25:514–526.
21. Ferrari JD, Bach BR Jr, Bush-Joseph CA, Wang T, Bojchuk J. Anterior cruciate ligament reconstruction in men and women: An outcome analysis comparing gender. Arthroscopy 2001;17:588–596.
22. Bak K, Jorgensen U, Ekstrand J, Scavenius M. Results of reconstruction of acute ruptures of the anterior cruciate ligament with an iliotibial band autograft. Knee Surg Sports Traumatol Arthrosc 1999;7:111–117.
23. Gobbi A, Francisco R. Factors affecting return to sports after anterior cruciate ligament reconstruction with patellar tendon and hamstring graft: a prospective clinical investigation. Knee Surg Sports Traumatol Arthrosc 2006;14:1021–1028.
24. Ross MD, Irrgang JJ, Denegar CR, McCloy CM, Unangst ET. The relationship between participation restrictions and selected clinical measures following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2002;10:10–19.
25. Reid A, Birmingham TB, Stratford PW, Alcock GK, Giffin JR. Hop testing provides a reliable and valid outcome measure during rehabilitation after anterior cruciate ligament reconstruction. Phys Ther 2007;87:337–349.
26. Almqvist KF, Willaert P, De Brabandere S, Criel K, Verdonk R. A long-term study of anterior cruciate ligament allograft reconstruction. Knee Surg Sports Traumatol Arthrosc 2009;17:818–822.
27. Risberg MA, Holm I, Myklebust G, Engebretsen L. Neuromuscular training versus strength training during first 6 months after anterior cruciate ligament reconstruction: a randomized clinical trial. Phys Ther 2007;87:737–750.
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