Knee extension deficit during gait and knee extensor weakness persisting after saucerization and repair of discoid lateral meniscus tears
Physical function and knee kinematics recovery after discoid lateral meniscus (DLM) tear surgery are essential for a better prognosis. However, these alterations remain unclear. Therefore, this study aimed to investigate changes in physical function and knee kinematics following saucerization and DL...
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| Veröffentlicht in: | The knee 2024-03, Vol.47, p.171-178 |
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| container_title | The knee |
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| creator | Ogata, Yuta Tabuchi, Kosuke Kinouchi, Shotaro Sato, Koji Hashida, Ryuki Matsuse, Hiroo Murotani, Kenta Soejima, Takashi Maeda, Akira Hiraoka, Koji |
| description | Physical function and knee kinematics recovery after discoid lateral meniscus (DLM) tear surgery are essential for a better prognosis. However, these alterations remain unclear. Therefore, this study aimed to investigate changes in physical function and knee kinematics following saucerization and DLM tear repair.
We enrolled 16 patients who underwent saucerization and DLM tear repair. Postoperative changes in knee kinematics during gait, and physical function, were evaluated at 3, 6, and 12 months.
The peak flexion angle of the operated limb during weight acceptance was significantly higher than that of the contralateral limb at 3 (operated limb: 34.6 ± 8.9°, contralateral limb: 23.7 ± 8.3°; P |
| doi_str_mv | 10.1016/j.knee.2023.12.008 |
| format | Article |
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We enrolled 16 patients who underwent saucerization and DLM tear repair. Postoperative changes in knee kinematics during gait, and physical function, were evaluated at 3, 6, and 12 months.
The peak flexion angle of the operated limb during weight acceptance was significantly higher than that of the contralateral limb at 3 (operated limb: 34.6 ± 8.9°, contralateral limb: 23.7 ± 8.3°; P < 0.01) and 6 months (operated limb: 32.1 ± 9.7°, contralateral limb: 24.6 ± 8.2°; P = 0.03) postoperatively, but not at 12 months (operated limb: 27.1 ± 7.1°, contralateral limb: 23.1 ± 9.5°; P = 0.22) postoperatively. The knee extensor strength of the operated limb was significantly lower than that of the contralateral limb at 3 (operated limb: 1.00 ± 0.59 Nm/kg, contralateral limb: 1.37 ± 0.59 Nm/kg; P = 0.01), 6 (operated limb: 1.22 ± 0.55 Nm/kg, contralateral limb: 1.48 ± 0.60 Nm/kg; P < 0.01), and 12 months (operated limb: 1.39 ± 0.57 Nm/kg, contralateral limb: 1.55 ± 0.64 Nm/kg; P = 0.04) postoperatively.
Knee extension deficits and extensor weakness persisted at 6 months after saucerization and repair of DLM tears. Postoperative rehabilitation should be focused on knee extension function.</description><identifier>ISSN: 0968-0160</identifier><identifier>ISSN: 1873-5800</identifier><identifier>EISSN: 1873-5800</identifier><identifier>DOI: 10.1016/j.knee.2023.12.008</identifier><identifier>PMID: 38401341</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Biomechanical Phenomena ; DLM tear ; Female ; Gait - physiology ; Gait analysis ; Humans ; Knee Joint - physiopathology ; Knee Joint - surgery ; Male ; Meniscal repair ; Menisci, Tibial - physiopathology ; Menisci, Tibial - surgery ; Middle Aged ; Muscle strength ; Muscle Weakness - etiology ; Muscle Weakness - physiopathology ; Range of Motion, Articular - physiology ; Recovery of Function ; Rehabilitation ; Tibial Meniscus Injuries - physiopathology ; Tibial Meniscus Injuries - surgery ; Young Adult</subject><ispartof>The knee, 2024-03, Vol.47, p.171-178</ispartof><rights>2023 Elsevier B.V.</rights><rights>Copyright © 2023 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c307t-f6e44181e117f2d187c3c47c8f02f7a27cb40709cc6158c637b74d641e833c7d3</cites><orcidid>0000-0002-1599-5974 ; 0009-0005-7798-8381</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S096801602300265X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38401341$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ogata, Yuta</creatorcontrib><creatorcontrib>Tabuchi, Kosuke</creatorcontrib><creatorcontrib>Kinouchi, Shotaro</creatorcontrib><creatorcontrib>Sato, Koji</creatorcontrib><creatorcontrib>Hashida, Ryuki</creatorcontrib><creatorcontrib>Matsuse, Hiroo</creatorcontrib><creatorcontrib>Murotani, Kenta</creatorcontrib><creatorcontrib>Soejima, Takashi</creatorcontrib><creatorcontrib>Maeda, Akira</creatorcontrib><creatorcontrib>Hiraoka, Koji</creatorcontrib><title>Knee extension deficit during gait and knee extensor weakness persisting after saucerization and repair of discoid lateral meniscus tears</title><title>The knee</title><addtitle>Knee</addtitle><description>Physical function and knee kinematics recovery after discoid lateral meniscus (DLM) tear surgery are essential for a better prognosis. However, these alterations remain unclear. Therefore, this study aimed to investigate changes in physical function and knee kinematics following saucerization and DLM tear repair.
We enrolled 16 patients who underwent saucerization and DLM tear repair. Postoperative changes in knee kinematics during gait, and physical function, were evaluated at 3, 6, and 12 months.
The peak flexion angle of the operated limb during weight acceptance was significantly higher than that of the contralateral limb at 3 (operated limb: 34.6 ± 8.9°, contralateral limb: 23.7 ± 8.3°; P < 0.01) and 6 months (operated limb: 32.1 ± 9.7°, contralateral limb: 24.6 ± 8.2°; P = 0.03) postoperatively, but not at 12 months (operated limb: 27.1 ± 7.1°, contralateral limb: 23.1 ± 9.5°; P = 0.22) postoperatively. The knee extensor strength of the operated limb was significantly lower than that of the contralateral limb at 3 (operated limb: 1.00 ± 0.59 Nm/kg, contralateral limb: 1.37 ± 0.59 Nm/kg; P = 0.01), 6 (operated limb: 1.22 ± 0.55 Nm/kg, contralateral limb: 1.48 ± 0.60 Nm/kg; P < 0.01), and 12 months (operated limb: 1.39 ± 0.57 Nm/kg, contralateral limb: 1.55 ± 0.64 Nm/kg; P = 0.04) postoperatively.
Knee extension deficits and extensor weakness persisted at 6 months after saucerization and repair of DLM tears. Postoperative rehabilitation should be focused on knee extension function.</description><subject>Adult</subject><subject>Biomechanical Phenomena</subject><subject>DLM tear</subject><subject>Female</subject><subject>Gait - physiology</subject><subject>Gait analysis</subject><subject>Humans</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Meniscal repair</subject><subject>Menisci, Tibial - physiopathology</subject><subject>Menisci, Tibial - surgery</subject><subject>Middle Aged</subject><subject>Muscle strength</subject><subject>Muscle Weakness - etiology</subject><subject>Muscle Weakness - physiopathology</subject><subject>Range of Motion, Articular - physiology</subject><subject>Recovery of Function</subject><subject>Rehabilitation</subject><subject>Tibial Meniscus Injuries - physiopathology</subject><subject>Tibial Meniscus Injuries - surgery</subject><subject>Young Adult</subject><issn>0968-0160</issn><issn>1873-5800</issn><issn>1873-5800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcuO1DAQRS0EYpqBH2CBvGSTUI6d2JHYoBEvMRIbWFtuuzxyTzppXA6vP-CvcdQD7FhVqXTuVVVdxp4KaAWI4cWhvZ0R2w462YquBTD32E4YLZveANxnOxgH01QSLtgjogMADKPqH7ILaRQIqcSO_fpQLTh-LzhTWmYeMCafCg9rTvMNv3G1d3Pgt_-wJfNv6OqAiJ8wU6KyoS4WzJzc6jGnn65sbpsy48mlzJfIQyK_pMAnV0k38SPOdbISL-gyPWYPopsIn9zVS_b5zetPV--a649v31-9um68BF2aOKBSwggUQscu1HO99Ep7E6GL2nXa7xVoGL0fRG_8IPVeqzAogUZKr4O8ZM_Pvqe8fFmRij3WLXCa3IzLSlZCD6Mc-0FWtDujPi9EGaM95XR0-YcVYLcI7MFuj7FbBFZ0tkZQRc_u_Nf9EcNfyZ-fV-DlGcB65deE2ZJPOHsMKaMvNizpf_6_AU0UmkA</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Ogata, Yuta</creator><creator>Tabuchi, Kosuke</creator><creator>Kinouchi, Shotaro</creator><creator>Sato, Koji</creator><creator>Hashida, Ryuki</creator><creator>Matsuse, Hiroo</creator><creator>Murotani, Kenta</creator><creator>Soejima, Takashi</creator><creator>Maeda, Akira</creator><creator>Hiraoka, Koji</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1599-5974</orcidid><orcidid>https://orcid.org/0009-0005-7798-8381</orcidid></search><sort><creationdate>202403</creationdate><title>Knee extension deficit during gait and knee extensor weakness persisting after saucerization and repair of discoid lateral meniscus tears</title><author>Ogata, Yuta ; Tabuchi, Kosuke ; Kinouchi, Shotaro ; Sato, Koji ; Hashida, Ryuki ; Matsuse, Hiroo ; Murotani, Kenta ; Soejima, Takashi ; Maeda, Akira ; Hiraoka, Koji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-f6e44181e117f2d187c3c47c8f02f7a27cb40709cc6158c637b74d641e833c7d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Biomechanical Phenomena</topic><topic>DLM tear</topic><topic>Female</topic><topic>Gait - physiology</topic><topic>Gait analysis</topic><topic>Humans</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Meniscal repair</topic><topic>Menisci, Tibial - physiopathology</topic><topic>Menisci, Tibial - surgery</topic><topic>Middle Aged</topic><topic>Muscle strength</topic><topic>Muscle Weakness - etiology</topic><topic>Muscle Weakness - physiopathology</topic><topic>Range of Motion, Articular - physiology</topic><topic>Recovery of Function</topic><topic>Rehabilitation</topic><topic>Tibial Meniscus Injuries - physiopathology</topic><topic>Tibial Meniscus Injuries - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ogata, Yuta</creatorcontrib><creatorcontrib>Tabuchi, Kosuke</creatorcontrib><creatorcontrib>Kinouchi, Shotaro</creatorcontrib><creatorcontrib>Sato, Koji</creatorcontrib><creatorcontrib>Hashida, Ryuki</creatorcontrib><creatorcontrib>Matsuse, Hiroo</creatorcontrib><creatorcontrib>Murotani, Kenta</creatorcontrib><creatorcontrib>Soejima, Takashi</creatorcontrib><creatorcontrib>Maeda, Akira</creatorcontrib><creatorcontrib>Hiraoka, Koji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The knee</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ogata, Yuta</au><au>Tabuchi, Kosuke</au><au>Kinouchi, Shotaro</au><au>Sato, Koji</au><au>Hashida, Ryuki</au><au>Matsuse, Hiroo</au><au>Murotani, Kenta</au><au>Soejima, Takashi</au><au>Maeda, Akira</au><au>Hiraoka, Koji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Knee extension deficit during gait and knee extensor weakness persisting after saucerization and repair of discoid lateral meniscus tears</atitle><jtitle>The knee</jtitle><addtitle>Knee</addtitle><date>2024-03</date><risdate>2024</risdate><volume>47</volume><spage>171</spage><epage>178</epage><pages>171-178</pages><issn>0968-0160</issn><issn>1873-5800</issn><eissn>1873-5800</eissn><abstract>Physical function and knee kinematics recovery after discoid lateral meniscus (DLM) tear surgery are essential for a better prognosis. However, these alterations remain unclear. Therefore, this study aimed to investigate changes in physical function and knee kinematics following saucerization and DLM tear repair.
We enrolled 16 patients who underwent saucerization and DLM tear repair. Postoperative changes in knee kinematics during gait, and physical function, were evaluated at 3, 6, and 12 months.
The peak flexion angle of the operated limb during weight acceptance was significantly higher than that of the contralateral limb at 3 (operated limb: 34.6 ± 8.9°, contralateral limb: 23.7 ± 8.3°; P < 0.01) and 6 months (operated limb: 32.1 ± 9.7°, contralateral limb: 24.6 ± 8.2°; P = 0.03) postoperatively, but not at 12 months (operated limb: 27.1 ± 7.1°, contralateral limb: 23.1 ± 9.5°; P = 0.22) postoperatively. The knee extensor strength of the operated limb was significantly lower than that of the contralateral limb at 3 (operated limb: 1.00 ± 0.59 Nm/kg, contralateral limb: 1.37 ± 0.59 Nm/kg; P = 0.01), 6 (operated limb: 1.22 ± 0.55 Nm/kg, contralateral limb: 1.48 ± 0.60 Nm/kg; P < 0.01), and 12 months (operated limb: 1.39 ± 0.57 Nm/kg, contralateral limb: 1.55 ± 0.64 Nm/kg; P = 0.04) postoperatively.
Knee extension deficits and extensor weakness persisted at 6 months after saucerization and repair of DLM tears. Postoperative rehabilitation should be focused on knee extension function.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>38401341</pmid><doi>10.1016/j.knee.2023.12.008</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1599-5974</orcidid><orcidid>https://orcid.org/0009-0005-7798-8381</orcidid></addata></record> |
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| ispartof | The knee, 2024-03, Vol.47, p.171-178 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Biomechanical Phenomena DLM tear Female Gait - physiology Gait analysis Humans Knee Joint - physiopathology Knee Joint - surgery Male Meniscal repair Menisci, Tibial - physiopathology Menisci, Tibial - surgery Middle Aged Muscle strength Muscle Weakness - etiology Muscle Weakness - physiopathology Range of Motion, Articular - physiology Recovery of Function Rehabilitation Tibial Meniscus Injuries - physiopathology Tibial Meniscus Injuries - surgery Young Adult |
| title | Knee extension deficit during gait and knee extensor weakness persisting after saucerization and repair of discoid lateral meniscus tears |
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