Obesity and recovery of muscle strength after anterior cruciate ligament reconstruction in pediatric patients

Rushyuan Lee, Adam Margalit, Afam Nduaguba, Melissa A. Gunderson, Lawrence Wells

Research output: Contribution to journalArticle

Abstract

Purpose: To explore factors influencing muscle strength after anterior cruciate ligament (ACL) reconstruction (ACLR) in pediatric patients. We hypothesized that obesity/overweight, autograft hamstring tendon, and concomitant injuries would be associated with slower muscle recovery. Methods: We retrospectively reviewed the records of pediatric ACLR patients during a 3-year period. Muscle recovery was defined as ≥85% of peak torque compared with the contralateral side. We categorized patients as either obese/overweight or normal weight. Statistical analysis was performed using Mann–Whitney U, analysis of variance, and χ2 tests (α level < 0.05). Results: The study group consisted of 330 patients, of whom 198 (60%) and 231 (70%) met quadriceps and hamstring recovery criteria, respectively, at final testing (mean: 7.0 ± 3.2 months). Patients recovered hamstring and quadriceps strength at a mean of 5.3 ± 2.2 months and 6.1 ± 2.3 months, respectively. Hamstring muscle recovery took significantly longer in obese/overweight patients (mean: 5.7 ± 2.2 months) versus normal-weight patients (mean: 5.1 ± 2.1 months; p = 0.025), but quadriceps recovery did not (obese/overweight mean: 6.5 ± 2.6 months; normal-weight mean: 5.9 ± 2.1 months; p = 0.173). Conclusion: Concomitant injuries and graft type were not associated with length of time to recovery of muscle strength. Obesity/overweight was associated with delay in recovery of hamstring but not quadriceps strength.

Original languageEnglish (US)
JournalJournal of Orthopaedic Surgery
Volume26
Issue number3
DOIs
StatePublished - Sep 1 2018

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Anterior Cruciate Ligament Reconstruction
Muscle Strength
Obesity
Pediatrics
Weights and Measures
Tendon Injuries
Muscles
Autografts
Torque
Analysis of Variance
Transplants
Wounds and Injuries

Keywords

  • anterior cruciate ligament reconstruction
  • biodex system
  • muscle recovery
  • obesity

ASJC Scopus subject areas

  • Surgery

Cite this

Obesity and recovery of muscle strength after anterior cruciate ligament reconstruction in pediatric patients. / Lee, Rushyuan; Margalit, Adam; Nduaguba, Afam; Gunderson, Melissa A.; Wells, Lawrence.

In: Journal of Orthopaedic Surgery, Vol. 26, No. 3, 01.09.2018.

Research output: Contribution to journalArticle

Lee, Rushyuan ; Margalit, Adam ; Nduaguba, Afam ; Gunderson, Melissa A. ; Wells, Lawrence. / Obesity and recovery of muscle strength after anterior cruciate ligament reconstruction in pediatric patients. In: Journal of Orthopaedic Surgery. 2018 ; Vol. 26, No. 3.
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