1. QUALITY OF LIFE AFTER ACL RECONSTRUCTION USING THE IKDC QUESTIONNAIRE
Author: Vitalis Lorand
Coordinator: Lecturer Russu Octav, MD, Phd
Coauthor: Modi Viviana Alexandra; Miler Georgiana

2. Background
Arthroscopic procedures can be performed for: • ACL reconstruction • torn floating cartilage • torn surface cartilage • trimming damaged cartilage

3. Knee arthroscopy

4. Objective
• Quality of life • Anterior cruciate ligament reconstruction (ACL) • Hamstring autografts • IKDC knee score

5. Normal knee joint

6. ACL rupture causes:
Skiing
Football
Jumping
other sports with lots of stop-and-go movements

7. ACL reconstruction:
Flip cutter
Hamstering autograft
Up side anchored by clamp
Down side fixt by bioabsorbable plug

8. 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;

9. 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

10. Material and method

11. Results
The 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 years • 53 male and 13 female patients

12. What is the highest level of activity that you can perform without significant knee pain?
Group score:
< % Moderat
83-93 – 9,1% Very hard
77.3% Intens
13.6% Moderat
– 47.1% Very hard
52.9% Intens

13. 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 ,2% Minimally difficult
– 100 % Not difficult at all

14. 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 ,9% Minimally difficult
– 88,2% Not difficult at all
11,8% Minimally difficult

15. What is the highest level of activity you can perform without significant giving way in your knee?
Group score:
< % Intens
60% Moderat
83-93 – 34,1% Very hard
52.3% Intens
13.6% Moderat
– 100% Very hard

16. How does your knee affect your ability to go up stairs?
Group score:
<83 – 20% Not difficult at all
60% Minimally difficult
20% Moderat difficult
83-93 –65,9,% Not difficult at all ,3% Minimally difficult
6,8% Moderat difficult
– 100% Not difficult at all

17. In the past 4 week did your knee lock or catch?
Group score:
Yes – 32 patients
No – 34 patients

18. ACL Reconstruction score in percent
IKDC
ACL Reconstruction score in percent
Excellent ( 100 – 95)
15,2%
Good( )
77,23%
Fair ( )
7,57%
Poor ( ) -

19. Conclusion
IKDC 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.

20. Thank you for your attention