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Medical Studies/Studia Medyczne
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3/2017
vol. 33
 
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abstract:
Original paper

Quality of life of patients after anterior cruciate ligament reconstruction using LARS synthetic graft and autogenous ST/GR graft

Jędrzej Płocki
1, 2
,
Ireneusz Kotela
3, 4
,
Agnieszka Bejer
1, 5
,
Dominik Pikuła
1
,
Mirosław Probachta
1, 5
,
Andrzej Kotela
3, 6

  1. Department of Rehabilitation, Holy Family Specialist Hospital, Rudna Mała, Poland
  2. Chair of Physiotherapy, Faculty of Medicine, University of Information Technology and Management with Seat, Rzeszow, Poland
  3. Department of Orthopaedics and Traumatology Clinic of Orthopaedics and Traumatology, Central Clinical Hospital of the Ministry of Internal Affairs, Warsaw, Poland
  4. Department of Rehabilitation in Disease of the Locomotor, Institute of Physiotherapy, Faculty of Health Sciences, Jan Kochanowski University (JKU), Kielce, Poland
  5. Department of Medicine, Institute of Physiotherapy, Faculty of Medicine, University of Rzeszow, Rzeszow, Poland
  6. Department of Orthopaedics and Traumatology, 1st Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland
Medical Studies/Studia Medyczne 2017; 32 (3): 208–213
DOI: https://doi.org/10.5114/ms.2017.70347
Online publish date: 2017/09/30
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Introduction: Injury to the anterior cruciate ligament (ACL) causes disorders in the functional capabilities of the limb, both in daily life and during attempts to return to full physical activity, and in a later period it contributes to the development of degenerative disease.

Aim of the research: Determination of the level of quality of life in patients after ACL reconstruction using the LARS synthetic ligament or autogenous ST/GR graft 4 years after surgery.

Material and methods: Into the study were qualified 96 patients who had undergone reconstruction due to injury to the anterior cruciate ligament. The patients were divided into two groups according to the type of material used for reconstruction. The study group included 44 (45.8%) patients who were operated on using the LARS synthetic ligament. The control group comprised 52 (54.2%) patients who were implanted with an autogenous graft from semitendinous or gracilis muscle. The study was conducted using the SF36v2 questionnaire for the assessment of quality of life.

Results: The patients expressed the most negative evaluations of quality of life in the domain of General Health (GH) (x– = 62.5 scores) and Mental Health (MH) (x– = 70.4 scores), whereas most positive evaluations concerned the domain related with role limitations – caused both by physical health (Role Pysical – RP) and emotional problems (Role Emotional – RE) (x– > 95 scores). No statistically significant differences in the level of the quality of life were observed in the two selected groups; however, the evaluation of the quality of life in the area of social functioning and psychological health were slightly higher in the group of patients who had undergone surgery using the LARS method.

Conclusions: The quality of life of patients within the period of 4 years after ACL reconstruction procedure using the LARS method and autogenous graft was on a similar, high level.
keywords:

anterior cruciate ligament injury, reconstruction, LARS method, quality of life
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