ArticleActa orthopaedica et traumatologica turcica2023
The effects of remnant-preserving anterior cruciate ligament reconstruction on proprioception: A prospective comparative study.
Article in Acta orthopaedica et traumatologica turcica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Remnant-preserving techniques in anterior cruciate ligament reconstruction: a systematic review and meta-analysis.BMC surgery · 2025Pooled it
- Disrupted sensorimotor control after ACL injury: from mechanoreceptor degeneration to neuroplasticity-oriented rehabilitation.Annals of medicine · 2026Review
- Persistence of mechanoreceptors in ACL remnants: a histological and immunohistochemical analysis of 128 patients.Journal of orthopaedic surgery and research · 2026Article
- Raising the bar: The EBOT-TK Turkish Oral Exam milestone and AOTT's commitment to orthopaedic education.Acta orthopaedica et traumatologica turcica · 2025Article
- Anterior Cruciate Ligament Reconstruction With Additional Remnant-Preserving Stump Repair Using a Button and Suture-Tensioning Technique.Arthroscopy techniques · 2025Article
- MRI-based evaluation of tibial tunnel proximity to the anterior horn of the lateral meniscus in remnant-preserving anterior cruciate ligament reconstruction.Acta orthopaedica et traumatologica turcica · 2025Article
- A Comparative Study to Assess Functional Outcomes and Proprioception in Remnant-Preserving versus Standard Anterior Cruciate Ligament Reconstruction.Journal of orthopaedic case reports · 2025Article
- Effect of Remnant Continuity on Postoperative Outcomes After Remnant Tensioning Anterior Cruciate Ligament Reconstruction in Respect to Clinical, Radiological, and Second-Look Arthroscopic Criteria.Orthopaedic journal of sports medicine · 2025Article
- Comparison of Dynamic Postural Stability in Autografts Versus Allografts Following Anterior Cruciate Ligament Reconstruction With Remnant Preservation: A Prospective Study With 1-Year Follow-up.Orthopaedic journal of sports medicine · 2025Article
- Article
- The apex of the deep cartilage is a stable landmark to position the femoral tunnel during remnant-preserving anterior cruciate ligament reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Is remnant preservation in anterior cruciate ligament reconstruction superior to the standard technique? An overview of systematic reviews.BMC musculoskeletal disorders · 2023Review
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to investigate the effects of anterior cruciate ligament reconstruction performed by preserving remnant tissue on proprioception and to assess the effects it has on isokinetic quadriceps and hamstring muscle strength, as well as on range of motion and functional scores.
methodsA prospective study was conducted with 44 patients who underwent either anterior cruciate ligament reconstruction with remnant preservation (study group, n=22) or with remnant excision (control group, n=22) with the use of a 4-strand hamstring allograft. The mean follow-up time was 20.2 ± 1.4 months after surgery. Using an isokinetic dynamometer, proprioception was evaluated with passive joint position perception at 150, 450, and 600, and quadriceps femoris, and hamstring muscle strength were evaluated at speeds of 900, 1800, and 2400 per second. Range of motion was measured using a goniometer. Functional outcomes were assessed using International Knee Documentation Committee subjective knee evaluation score and Lysholm knee scoring questionnaires.
resultsIt was only at 15° of knee flexion that there was a statistically significant difference in proprioception; the median of the difference in the amount of deviation from the target angle between the healthy knee and the operated side was 1.7 (range, 0.7-20.7) in those with remnant preserved, and 2.7 (range, 1-26) in those with remnant excised (P=.016). At 2400/s speed, the mean quadriceps femoris strength was 77.2 ± 24.3 Nm in those with remnant preserved and 67.6 ± 24.2 Nm in those with remnant excised. (P=.048) There was no difference between the 2 groups in terms of range of motion, International Knee Documentation Committee, and Lysholm knee scoring. (P > .05) Conclusion: The present study has demonstrated that better proprioception and higher quadriceps femoris muscle strength can be obtained by remnant-preserving anatomical single-bundle anterior cruciate ligament reconstruction using a hamstring autograft. LEVEL OF EVIDENCE: Level II, Therapeutic study.
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