Abstract:
INTRODUCTION:The effect of leg dominance on anterior cruciate ligament (ACL) injuries has been studied with some studies noting a propensity for injuries in the non-dominant leg. Its effect on post-ACL reconstruction recovery, however, is not well known. The authors hypothesize that dominant limb injuries undergo rehabilitation faster and positively affect early functional outcome scores and return to sports and set about studying these effects. METHODS:This is a retrospective study of 254 patients from a single institution who underwent ACL reconstruction for acute ACL ruptures and the results were compared between patients with dominant and non-dominant limb injuries. Objective measurements including the KT-1000, single-leg hop distance and Biodex knee extension peak torque were used to evaluate recovery. Pre- and post-operative functional outcome scores such as the International Knee Documentation Committee (IKDC), Tegner activity score and Lysholm knee scale were documented. RESULTS:Early functional outcomes were similar. Minimal clinically important difference (MCID) improvement in IKDC scores was achieved in 69.7% of the dominant versus 66.0% of the non-dominant injury group (p = 0.99), 75.2% versus 79.6% (p = 0.45) for the Lysholm knee scale, and 81.6% versus 84.9% (p = 0.50) for the Tegner activity score. The majority of patients in both subgroups had a return of at least 80% of peak knee flexion and extension peak torque at 5.4 months post-operatively; 92.9% of subjects with a non-dominant leg injury and 87.2% with a dominant leg injury had returned to their pre-injury sports 1 year from surgery. CONCLUSIONS:Results from this study suggest that despite theoretical differences, leg dominance does not have a significant impact on short-term functional outcomes and return to sports. Objective measurements suggest that limb strength recovers at a comparable rate. Injuries to either leg demonstrate equally positive improvement post-ACL reconstruction given the same post-operative rehabilitation. LEVEL OF EVIDENCE:III, retrospective comparative study. LEVEL OF EVIDENCE:III, retrospective cohort study.
journal_name
J Orthop Surg (Hong Kong)journal_title
Journal of orthopaedic surgery (Hong Kong)authors
Boo HC,Howe TS,Koh JSdoi
10.1177/2309499019896232subject
Has Abstractpub_date
2020-01-01 00:00:00pages
2309499019896232issue
1eissn
1022-5536issn
2309-4990journal_volume
28pub_type
杂志文章abstract::We report the clinicoradiological features of tuberculosis in the clavicle in 4 patients. The patients' ages ranged from 9 months to 29 years. All patients were managed with antitubercular drug therapy for one year and one underwent surgical debridement and curettage as well. Clinicians should be aware of the varied p...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/230949900901700128
更新日期:2009-04-01 00:00:00
abstract:PURPOSE:Global sagittal spinal alignment undergoes changes on the basis of sagittal malalignment (trunk inclined forward) in natural degenerative progression. We hypothesized that this change would associate with the disease state of the degenerative lumbar spondylolisthesis (DS). This study aimed to evaluate the globa...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/2309499019885190
更新日期:2019-09-01 00:00:00
abstract:INTRODUCTION:The aim of this study was to analyze the survival of the Echelon® femoral stems in revision hip surgeries in patients with Paprosky I-IIIA femoral defects. PATIENTS AND METHODS:Sixty-six patients (70 hips) who underwent revision hip surgery with at least 3 years of follow-up data were included in the stud...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/2309499018783906
更新日期:2018-05-01 00:00:00
abstract:INTRODUCTION:Hyalofast grafting with microfracture is a new minimally invasive treatment method being proposed for joint cartilage defects. This study was done to measure the clinical efficacy of Hyalofast grafting after microfractures. METHODS:Forty-six patients were assessed for knee function using knee injury and o...
journal_title:Journal of orthopaedic surgery (Hong Kong)
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doi:10.1177/2309499020905158
更新日期:2020-01-01 00:00:00
abstract:PURPOSE:This study is performed to identify risk factors for delirium in osteoporotic hip fractures and to evaluate the hospitalization cost and clinical outcomes of delirium in osteoporotic hip. METHODS:A total of 221 patients with osteoporotic hip fractures were assessed for eligibility between 2010 and 2014. Among ...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/2309499017739485
更新日期:2017-09-01 00:00:00
abstract::Adamantinoma is a rare, low-grade, malignant bone tumour. We report on a 46-year-old woman who had early multiple recurrences of adamantinoma of the right tibia and late metastasis to the lung and ribs 13 years after the first surgical treatment. She underwent multiple complete tumour excisions and eventually below-kn...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/230949901402200330
更新日期:2014-12-01 00:00:00
abstract:AIM:To determine whether a mechanical, high-frequency vibration device (Tenease™) can improve pain and function for the treatment of tennis elbow (TE), compared with standard treatment. METHODS:Adults presenting to an elbow clinic with a clinical diagnosis of TE were randomized to standard treatment with physiotherapy...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章,随机对照试验
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更新日期:2018-05-01 00:00:00
abstract::Plica syndrome is a pathological condition secondary to inflammation. Plicae around the knee are common and generally asymptomatic. They often are misdiagnosed. The morphology of knee plicae varies; mediopatellar plicae are the most common cause of the plicae syndrome. An intermittent dull pain is the most common symp...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章,评审
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更新日期:2011-12-01 00:00:00
abstract:PURPOSE:To study the course of L4 to S3 nerve roots and their distance with the ala of the sacrum and the sacroiliac joint. METHODS:The embalmed left half pelvis of 25 male and 27 female cadavers aged 30 to 91 (mean, 68) years were studied. The ventral rami of the L4, L5, S1, S2, and S3 nerve roots were dissected alon...
journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2010-12-01 00:00:00
abstract::To clarify the effect of CTLA4-lg on immune rejection of bone grafts, we observed the effect of CTLA4-lg on lymphocyte proliferation of BALB/C mice stimulated by lymphocytes and bone supernatant of C57BL/6 mice. The splenic lymphocytes and bone supernatant of C57BL/6 mice, as the stimulator cells and stimulator antige...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/230949900000800114
更新日期:2000-06-01 00:00:00
abstract::One hundred and sixty-six cementless primary total hip arthroplasties were performed in 133 patients with porous coated Omnifit prosthesis. The average age was 49.7 years. The mean follow-up period was 8.2 years with a minimum of 5 years. Good to excellent clinical results were achieved in 93% of patients. The overall...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/230949900000800209
更新日期:2000-12-01 00:00:00
abstract:BACKGROUND:In vivo three-dimensional (3D) kinematics of the scapula after reverse total shoulder arthroplasty (rTSA) have been sparsely investigated. The aim of this study was to analyze static and dynamic kinematic alterations of the scapula after rTSA in vivo with the use of computer-aided 3D reconstruction program. ...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/2309499020921979
更新日期:2020-01-01 00:00:00
abstract:PURPOSE:To review the outcome of acetabular revision with bone grafting and cementation for aseptic loosening after primary Charnley low-friction hip arthroplasty with structural bulk autografts in 15 patients. METHODS:Records were reviewed for 3 men and 12 women aged 31 to 72 (mean, 53) years who underwent acetabular...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/1602400311
更新日期:2016-12-01 00:00:00
abstract:PURPOSE:To compare gait parameters in women after unilateral total knee arthroplasty (TKA) versus sequential bilateral TKA to determine the need for sequential TKA. METHODS:35 women aged 60 to 74 (mean, 70) years with bilateral varus knee osteoarthritis (OA) underwent unilateral (n=23) or sequential bilateral (n=12) T...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
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更新日期:2015-04-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/2309499017718928
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Our hypothesis is to utilize a simple suture-guiding device for minimally invasive repair of Achilles tendon without any extra cost with a minimal risk of rerupture. The purpose of this study is to investigate the results of our minimally invasive technique for Achilles tendon repair using a simple ovarian c...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/2309499017739484
更新日期:2017-09-01 00:00:00
abstract:PURPOSE:To review treatment results of 29 patients with haemodynamically unstable pelvic fractures after implementation of a standardised multidisciplinary protocol. METHODS:Records of 14 men and 15 women aged 14 to 84 (mean, 46) years who were treated for haemodynamically unstable closed (n=27) or open (n=2) pelvic f...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/230949901402200212
更新日期:2014-08-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
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journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/230949901402200232
更新日期:2014-08-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2010-12-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2004-12-01 00:00:00
abstract::A 7-year-old girl presented with a 2-day history of acute neck pain without any preceding injury. The pain was around the left posterior paraspinal muscle and was aggravated by neck movement. There was no neurological abnormality; white cell count and inflammatory markers were slightly elevated. Radiology of the cervi...
journal_title:Journal of orthopaedic surgery (Hong Kong)
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doi:10.1177/1602400331
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journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章,评审
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更新日期:2013-12-01 00:00:00
abstract::Restricted hip movement along with femoroacetabular impingement (FAI) has been reported to be an important risk factor in anterior cruciate ligament (ACL) injury. We performed a literature review assessing the evidence that FAI, or restricted hip movement, contributes to the likelihood of sustaining an ACL injury to p...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章,评审
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更新日期:2018-05-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2017-01-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
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更新日期:2011-04-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
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更新日期:2012-04-01 00:00:00
abstract:PURPOSE:The purpose of this article is to explore the real-life practice of clinical management of humeral shaft fracture associated with traumatic radial nerve palsy among orthopedic trauma surgeons. METHODS:Two hundred seventy-nine orthopedic surgeons worldwide reviewed 10 real cases of a humeral shaft fracture asso...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章,多中心研究
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更新日期:2017-09-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2019-05-01 00:00:00
abstract::A 76-year-old man presented with a 4-day history of bilateral leg pain. Magnetic resonance imaging (MRI) of the lumbosacral spine revealed a spinal subarachnoid and spinal epidural haematomas. MRI of the brain revealed a chronic intracranial subdural haematoma with a midline shift. On further questioning, the patient ...
journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2009-12-01 00:00:00