title: Isokinetic evaluation after two-stage bicruciate reconstruction.
abstract: OBJECTIVE
  To assess the functional balance of the knee after bicruciate reconstruction and its correlation with clinical score.
  
  
  METHODS
  14 patients (11 men and three women), mean age 29.9±7.65 years, mean BMI 26.2±2.51 kg/m(2) underwent surgical reconstruction of the Posterior Cruciate Ligament (PCL) and Anterior Cruciate Ligament (ACL) in two stages, with a mean interval of 3 months between procedures. With a mean follow-up period of 27.33 months, the isokinetic knee analysis was performed at 60°/s and 180°/s and the Lysholm and Tegner scores were applied.
  
  
  RESULTS
  The Lysholm score was 86.8±11.1 points and the Tegner score showed a deficit of 30% compared to pre-injury level. In isokinetic evaluation, the deficit of the operated quadriceps average torque was 17.05% at 60°/s and 12.16% at 180°/s, while the average flexor torque deficit was 3.43% at 60°/s and 5.82% at 180°/s. Although it was observed torque deficit between members, there were no statistical differences regarding the functional balance between hamstrings and quadriceps.
  
  
  CONCLUSIONS
  Although the results of isokinetic evaluation has shown a functional balance of the knee (flexor-extensor), which may have contributed to the good subjective Lysholm score in the bicruciate two-stage reconstruction, two-stage reconstruction did not restore the pre-injury functional level. Level of Evidence IV, Case Series.
authors.affiliation: Unicamp, Faculdade de Ciências Médicas, Campinas, SP, Brazil, Sports and Exercise Medicine Group, Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brazil.
authors.forename: Igor
authors.initials: I
authors.lastname: Gigliotakaes
authors.affiliation: Unicamp, Faculdade de Ciências Médicas, Campinas, SP, Brazil, Sports and Exercise Medicine Group, Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brazil.
authors.forename: Mauro Mituso
authors.initials: MM
authors.lastname: Inada
authors.affiliation: Unicamp, Faculdade de Ciências Médicas, Department of Orthopedics and Traumatology, Campinas, SP, Brazil, Department of Orthopedics and Traumatology, Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brazil.
authors.forename: João Batista
authors.initials: JB
authors.lastname: de Miranda
authors.affiliation: Unicamp, Faculdade de Ciências Médicas, Campinas, SP, Brazil, Faculdade de Educação Física, Unicamp, Campinas, SP, Brazil.
authors.forename: Sérgio Augusto
authors.initials: SA
authors.lastname: Cunha
authors.affiliation: Unicamp, Faculdade de Ciências Médicas, Campinas, SP, Brazil, Sports and Exercise Medicine Group, Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brazil.
authors.forename: Sérgio Rocha
authors.initials: SR
authors.lastname: Piedade
keywords: Anterior cruciate ligament; Biomechanics; Knee; Posterior cruciate ligament