ArticleBMC musculoskeletal disorders2018
Effect of high body mass index on knee muscle strength and function after anterior cruciate ligament reconstruction using hamstring tendon autografts.
Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 25 citations in OpenAlex.
- Early MRI-based quantitative outcomes are associated with a positive functional performance trajectory from 6 to 24 months post-ACL surgery.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- The association between patellar malalignment and Osgood-Schlatter disease in children.Frontiers in pediatrics · 2026Article
- Article
- Clinical and Social Predictors of Surgical Treatment for Anterior Cruciate Ligament Injuries.Orthopaedic journal of sports medicine · 2025Article
- Longitudinal changes in adiposity following anterior cruciate ligament reconstruction and associations with knee symptoms and function.Osteoarthritis and cartilage open · 2024Article
- Patient-Reported Measures Associated with the Return to Pre-Injury Levels of Sport 2 Years after Anterior Cruciate Ligament Reconstruction.Journal of functional morphology and kinesiology · 2023Article
- Early Return to Play After Anterior Cruciate Ligament Reconstruction: Is It Worth the Risk?Annals of rehabilitation medicine · 2022Article
- Return to Play and Performance After Anterior Cruciate Ligament Reconstruction in National Football League Players.Orthopaedic journal of sports medicine · 2022Article
- Terminal knee extension deficit and female sex predict poorer quadriceps strength following ACL reconstruction using all-soft tissue quadriceps tendon autografts.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Tranexamic acid: current use in obstetrics, major orthopedic, and trauma surgery.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021Review
- Young age and high BMI are predictors of early revision surgery after primary anterior cruciate ligament reconstruction: a cohort study from the Swedish and Norwegian knee ligament registries based on 30,747 patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIncreased body mass index (BMI) has been associated with poorer function in patients who have undergone anterior cruciate ligament (ACL) reconstruction. However, the effect of high BMI on muscle strength in these patients remained unclear. The current study aimed to compare knee muscle strength and Knee injury and Osteoarthritis Outcome Score (KOOS) in ACL-reconstructed patients with a variety of different BMIs.
methodsFrom November 2013 to March 2016, we prospectively enrolled 30 patients who underwent ACL reconstruction (18-60 years of age). Anthropometric parameters, body compositions, isokinetic muscle strength and KOOS were assessed preoperatively, and at post-operative 16th week and 28th week. The patients were stratified into two groups by BMI, i.e. normal BMI (18.5-24.9 kg/m
resultsTwelve patients in the normal BMI group completed the follow-up, while sixteen patients did so in the high BMI group. In comparison of muscle strength between baseline and 28th week follow-up, the normal BMI group had significant increases in overall knee muscle strength, while the high BMI group only had increases in extensors of uninjured knee and flexors of the injured knee. However, there were significant increases in all KOOS subscales for the high BMI group. The high BMI patients reported increased KOOS, which may reflect the contribution of ligament stability in the presence of inadequate muscle strength.
conclusionsThe normal BMI patients had improvement in all knee muscle strength following ACL reconstruction, while high BMI patients only had increases in certain knee muscles. High BMI patients had a decreased quadriceps muscle symmetry index, as compared to their normal BMI counterparts. Increases in quadriceps muscle strength of the uninjured knee and ACL reconstruction were associated with improvements in KOOS in high BMI patients.
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