Influencia de la reconstrucción del ligamento cruzado anterior sobre la calidad de vida, nivel de confianza y retorno al deporte: un seguimiento de 15 años

##plugins.themes.bootstrap3.article.main##

Ana Paula Ramos Marinho Rodrigo Okubo

Resumen

Antecedentes: la articulación de la rodilla es una de las más afectadas y lesionadas, siendo la lesión del ligamento cruzado anterior (ACL) la más frecuente entre ellas, alcanzando aproximadamente el 79% de todas las lesiones de rodilla. Esta lesión, cuando involucra atletas, causa compromisos físicos, fisiológicos y especialmente psicológicos, considerando la alta tasa de incidencia o lesión contralateral después de regresar al deporte. Este compromiso a veces aleja al atleta del deporte, o disminuye su rendimiento. Toda esta limitación o deterioro afecta directamente la calidad de vida de los atletas. Caso clínico: en el presente estudio se realizó seguimiento de una atleta femenina de balonmano durante 15 años, que fue sometida a 3 reconstrucciones del LCA, para evaluar el deterioro físico, funcional y psicológico que estas cirugías causaron a lo largo de los años. Conclusión: se comprobó que el paciente se alejó por completo de las actividades posteriores a las cirugías, además de haber desarrollado un severo proceso de artrosis como consecuencia de un importante déficit muscular.



##plugins.themes.bootstrap3.article.details##

Sección
Investigación
Citas

Almosnino, S., Brandon, SC., Day, AG., Stevenson, JM., Dvir, Z., & Bardana, DD. (2014). Principal Component Modeling of Isokinetic Moment Curves for Discriminating between the Injured and Healthy Knees of Unilateral ACL Deficient Patients. Journal of Electromyography and Kinesiology: Official Journal of the International Society of Electrophysiological Kinesiology 24(1): 134–43. doi:10.1016/j.jelekin.2013.10.012


Costa Astur, D., Xerez, M., Rozas, J., Vargas Debieux, P., Franciozi, C., & Cohen, M. (2016). Anterior Cruciate Ligament and Meniscal Injuries in Sports: Incidence, Time of Practice until Injury, and Limitations Caused after Trauma. Revista Brasileira de Ortopedia: x. doi: http://dx.doi.org/10.1016/j.rboe.2016.04.008



Bentley, G., Biant, L.C., Carrington, R.W., et al. (2003). A Prospective, Randomised Comparison of Autologous Chondrocyte Implantation versus Mosaicplasty for Osteochondral Defects in the Knee. The Journal of Bone and Joint Surgery. British Volume 85 (2): 223–30.


Bryant, AL., Pua, YH. & Clark, RA. (2009). Morphology of Knee Extension Torque-Time Curves Following Anterior Cruciate Ligament Injury and Reconstruction. The Journal of Bone and Joint Surgery. American Volume 91(6): 1424–31. doi:10.2106/JBJS.H.01335


Danneskiold-Samsoe, B., Bartels, EM., Bulow, PM., Lund, H., Stockmarr, A., Holm, CC., Watjen, I., Appleyard, M. & Bliddal, H. (2009). Isokinetic and Isometric Muscle Strength in a Healthy Population with Special Reference to Age and Gender. Acta Physiologica (Oxford, England) 197 Suppl: 1–68. doi:10.1111/j.1748-1716.2009.02022.x.


Filbay, SR., Ackerman, IN., Russell, TG., Macri, EM. & Crossley, KM. (2014). Health-Related Quality of Life after Anterior Cruciate Ligament Reconstruction: A Systematic Review. Am J Sports Med 42(5): 1247–55. doi:10.1177/0363546513512774


Filbay, SR., Crossley, KM., Ackerman, IN. (2016). Activity Preferences, Lifestyle Modifications and Re-Injury Fears Influence Longer-Term Quality of Life in People with Knee Symptoms Following Anterior Cruciate Ligament Reconstruction: A Qualitative Study. J Physiother 62(2): 103–10. doi:10.1016/j.jphys.2016.02.011


Filbay, SR., Culvenor, AG., Ackerman, IN., Russell,TG. & Crossley, KM. (2015). Quality of Life in Anterior Cruciate Ligament-Deficient Individuals: A Systematic Review and Meta-Analysis. British Journal of Sports Medicine 49(16): 1033–41. doi:10.1136/bjsports-2015-094864


Garratt, AM., Brealey, S., Robling, M., Atwell, C., Russell, I., Gillespie, W., & King, D. (2008). Development of the Knee Quality of Life (KQoL-26) 26-Item Questionnaire: Data Quality, Reliability, Validity and Responsiveness. Health and Quality of Life Outcomes 6(1): 48. doi:10.1186/1477-7525-6-48


Gifstad, T., Sole, A, Strand, T., Uppheim, G., Grøntvedt, T., Drogset, JO. (2013). Long-Term Follow-up of Patellar Tendon Grafts or Hamstring Tendon Grafts in Endoscopic ACL Reconstructions. Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA 21(3): 576–83. doi:10.1007/s00167-012-1947-0


Heckmann, TP., Noyes, FR., and Barber-Westin, SD. (2009). Rehabilitation of Primary and Revision Anterior Cruciate Ligament Reconstruction BT - Noyes’ Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes. In, Second, 303–36. Elsevier. doi:http://dx.doi.org/10.1016/B978-0-323-32903-3.00011-1


Heijne, A., Hagstromer, M. and Werner, S. (2015). A Two- and Five-Year Followup of Clinical Outcome after ACL Reconstruction Using BPTB or Hamstring Tendon Grafts: A Prospective Intervention Outcome Study. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA 23(3): 799–807. doi:10.1007/s00167-013-2727-1


Johnson, CC., Garcia, GH., Garner, MR. and Marx, RG. (2016). Quality of Life Following ACL Reconstruction: Baseline Predictors of Patient-Reported Outcomes. HSS Journal 12(1): 94–97. doi:10.1007/s11420-015-9473-5


Kraus, T., Švehlík, M., Singer, G., Schalamon, J., Zwick, E., Linhart W. (2012). The Epidemiology of Knee Injuries in Children and Adolescents. Archives of Orthopaedic and Trauma Surgery 132 (6): 773–79. doi:10.1007/s00402-012-1480-0


Logerstedt, DS., Snyder-Mackler, L., Ritter, RC., and Axe, MJ. (2010). Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions. The Journal of Orthopaedic and Sports Physical Therapy 40(6). doi:10.2519/jospt.2010.0304


Mohtadi, N. (1998). Development and Validation of the Quality of Life Outcome Measure (Questionnaire) for Chronic Anterior Cruciate Ligament Deficiency. The American Journal of Sports Medicine 26(3): 350–59.


Peccin, MS., Ciconelli,R., and Cohen, M. (2006). Questionário Específico Para Sintomas Do joelho ‘Lysholm Knee Scoring Scale’: Tradução E Validação Para a Língua Portuguesa. Acta Ortopédica Brasileira 14: 268–72.


Rothenberg, P., Grau, L., Kaplan, L. and Baraga, MG. (2016). Knee Injuries in American Football: An Epidemiological Review. American Journal of Orthopedics (Belle Mead, N.J.) 45(6). United States: 368–73.


Shelbourne, KD., and Gray, T. (1997). Anterior Cruciate Ligament Reconstruction with Autogenous Patellar Tendon Graft Followed by Accelerated Rehabilitation: A Two- to Nine-Year Followup. The American Journal of Sports Medicine 25(6): 786–95. doi:10.1177/036354659702500610


Swärd, P., Kostogiannis, I. and Roos, H. (2010). Risk Factors for a Contralateral Anterior Cruciate Ligament Injury. Knee Surgery, Sports Traumatology, Arthroscopy 18(3): 277–91. doi:10.1007/s00167-009-1026-3


Tegner, Y., and Lysholm, J. (1985). Rating Systems in the Evaluation of Knee Ligament Injuries. Clinical Orthopaedics and Related Research, no. 198 (September): 43–49.


Trees, AH., Howe, TE., Dixon, J. & White, L. (2011). Exercise for treating isolated anterior cruciate ligament injuries in adults. Cochrane Database of Systematic Reviews, no. 5. doi:10.1002/14651858.CD005316.pub3


Webster, KE., Feller, JA., and Lambros, C. (2008). Development and Preliminary Validation of a Scale to Measure the Psychological Impact of Returning to Sport Following Anterior Cruciate Ligament Reconstruction Surgery. Physical Therapy in Sport: Official Journal of the Association of Chartered Physiotherapists in Sports Medicine 9(1): 9–15. doi:10.1016/j.ptsp.2007.09.003


Wipfler, B., Donner, S., Zechmann, CM., Springer, J., Siebold, R., and Paessler, HH. (2011). Anterior Cruciate Ligament Reconstruction Using Patellar Tendon versus Hamstring Tendon: A Prospective Comparative Study with 9-Year Follow-Up. Arthroscopy: The Journal of Arthroscopic & Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association 27(5): 653–65. doi:10.1016/j.arthro.2011.01.015


Wright, RW., Magnussen,RA., Dunn, WR., and Spindler, KP. (2011). Ipsilateral Graft and Contralateral ACL Rupture at Five Years or More Following ACL Reconstruction: A Systematic Review. J Bone Joint Surg Am 93(12): 1159–65. doi:10.2106/jbjs.j.00898


Xaverova, Z., Dirnberger, J., Lehnert, M., Belka, J., Wagner, H., and Orechovska, K. (2015). Isokinetic Strength Profile of Elite Female Handball Players. Journal of Human Kinetics 49: 257–66. doi:10.1515/hukin-2015-0128

Cómo citar
Ramos Marinho, A., & Okubo, R. (2017). Influencia de la reconstrucción del ligamento cruzado anterior sobre la calidad de vida, nivel de confianza y retorno al deporte: un seguimiento de 15 años. Ciencias De La Actividad Física UCM, 18(2), 1-13. https://doi.org/10.29035/rcaf.18.2.3