[Influence of anterior cruciate reconstruction on postural stability: A pre- and postoperative comparison].
BACKGROUND
Ruptures of the anterior cruciate ligament (ACL) lead to an anteromedial rotational instability in the knee joint and, thus, to a deterioration of the patient's ability to stand (postural control). It still remains unclear whether postural control can be restored by ACL reconstruction. The aim of this study was to investigate the effect of a unilateral ACL graft on the ability to stably stand on the injured leg using computer-aided dynamic posturography (CDP); the stability indices on standing on one leg were compared pre- and postoperatively.


METHODS
A total of 25 patients were studied after unilateral ACL injury and subsequent ACL reconstruction using CDP. The average time of follow-up was 608 days (range 357-821 days). The ability to stably stand on the healthy and injured leg was compared and evaluated for significant differences.


RESULTS
There was a significant improvement of postural control after ACL reconstruction. The Overall Stability Index (OSI) for the leg with ACL rupture was 3.7° ± 1.6° preoperatively and 3.0° ± 1.1° postoperatively (p < 0.05). In the postoperative comparison with the healthy leg, the value in the operated leg was 3.0° ± 1.1° and the healthy leg was 3.0° ± 1.4° (p = 0.99).


CONCLUSIONS
ACL replacement can be improve stability compared to the preoperative value by about 21% and even the stability level of the contralateral healthy knee can be achieved.
Klinik für Unfallchirurgie und Orthopädie, Unfallchirurgische Forschungsgruppe, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland, hans-georg.palm@extern.uni-ulm.de.
H-G
HG
Palm
S
S
Schlumpberger
H-J
HJ
Riesner
B
B
Friemert
P
P
Lang
D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology* / Q000517:prevention & control*; D007718:Knee Injuries / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D004856:Postural Balance; D011187:Posture; D057234:Preoperative Period; D016896:Treatment Outcome