QUALITY OF LIFE AFTER ACL RECONSTRUCTION USING THE

IKDC QUESTIONNAIRE

Author: Vitalis LorandCoordinator: Lecturer Russu Octav, MD, Phd

Coauthor: Modi Viviana Alexandra; Miler Georgiana

BackgroundArthroscopic procedures can be performed for:

• ACL reconstruction

• torn floating cartilage

• torn surface cartilage

• trimming damaged cartilage

Knee arthroscopy

Objective • Quality of life

• Anterior cruciate ligament reconstruction (ACL)

• Hamstring autografts

• IKDC knee score

Normal knee joint

ACL rupture causes:

Skiing

Football

Jumping

other sports with lots of stop-and-go movements

ACL reconstruction:

Flip cutter

Hamstering autograft

Up side anchored by clamp

Down side fixt by bioabsorbable plug

Material and method• retrospectiv study• 66 patients who were admitted to the Clinic of Orthopedics and Traumatology II of Târgu Mureș;

• single bundle ACL reconstruction with hamstring autografts;• between January 2012 and January 2014;• rehabitation protocol was identical to all of the patients

• femur-first technique and close braided loop fixation on the femoral side;• biocomposite screw fixation on the tibial side;

Material and method• We used the IKDC knee rating system• From the 10th to the 52nd week postoperatively (by phone interview).• Questionnaire item included:

symptoms functional limitations in sports daily activities knee condition sports occupational activity level

Material and method

ResultsThe IKDC knee rating system score after

ACL reconstruction: • between 79,5-97,7

• average score of 89,9

• mean age of the patients was 38 year

• range between 34-53 years • 53 male and 13 female patients

What is the highest level of activity that you can perform without significant knee pain?

Group score:<83 - 100% Moderat

83-93 – 9,1% Very hard 77.3% Intens 13.6% Moderat

93-100 – 47.1% Very hard

52.9% Intens

How does your knee affect your ability to jump?

Group score:<83 – 20% Not difficult at

all 40% Minimally

difficult 40% Moderately

difficult

83-93 – 53,7% Not difficult at all

46,2% Minimally difficult

93-100 – 100 % Not difficult at all

How does your knee affect your ability to run?

Group score: <83 – 60% Not difficult at

all 40% Minimally

difficult

83-93 –84,1% Not difficult at all 15,9% Minimally

difficult

93-100 – 88,2% Not difficult at all

11,8% Minimally difficult

What is the highest level of activity you can perform without significant giving way in your knee?

Group score:<83 - 40% Intens

60% Moderat

83-93 – 34,1% Very hard 52.3% Intens 13.6% Moderat

93-100 – 100% Very hard

How does your knee affect your ability to go up stairs?

Group score: <83 – 20% Not difficult at

all60% Minimally

difficult20% Moderat difficult

83-93 –65,9,% Not difficult at all 27,3% Minimally difficult

6,8% Moderat difficult

93-100 – 100% Not difficult at all

In the past 4 week did your knee lock or catch?

Group score:Yes – 32 patientsNo – 34 patients

IKDC ACL Reconstruction score in percent

Excellent ( 100 – 95) 15,2%

Good(94 - 84) 77,23%

Fair ( 83 - 65) 7,57%

Poor ( 64 - 0) -

ConclusionIKDC knee rating system score after ACL

reconstruction whit an average score of 89,9

separate responses for each question whit a good outcome

92,43 % the outcome is good or excellent

The results mentioned before shows an improvement on patient’s life condition, after ACL reconstruction and rehabilitation.

Thank you for your attention