Partial Controlled Early Postoperative Weightbearing Versus Nonweightbearing After Reconstruction of the Fibular (Lateral) Collateral Ligament: A Randomized Controlled Trial and Equivalence Analysis

The American Journal of Sports Medicine
Robert F LaPradeLuke T O'Brien

Abstract

While early weightbearing protocols have been advocated after anterior cruciate ligament (ACL) reconstruction, early weightbearing after fibular (lateral) collateral ligament reconstruction has not been well defined. (1) To determine if early partial controlled weightbearing after fibular collateral ligament (FCL) reconstruction resulted in an objective difference in laxity on varus stress radiographs at postoperative 6 months as compared with nonweightbearing, and (2) to determine if there was a difference in pain, edema, range of motion, and subjective patient-reported outcomes between these groups at 3 time points. Randomized controlled trial; Level of evidence, 1. Patients were prospectively enrolled from January 2014 to April 2017. Patients who underwent isolated FCL reconstruction or combined ACL and FCL reconstructions were included in this study. Patients were randomly assigned to either a control group (nonweightbearing for 6 weeks) or a treatment group (partial controlled weightbearing at 40% body weight with crutches for 6 weeks). Patient-related data, including knee pain, edema, and range of motion, were collected for all patients at postoperative day 1, 6 weeks, and 6 months. Subjective outcomes were collected preo...Continue Reading

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Citations

Dec 31, 2019·Current Reviews in Musculoskeletal Medicine·Robert S Dean, Robert F LaPrade
Apr 3, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Pablo Eduardo GelberJorge Chahla
Jul 28, 2020·Journal of Experimental Orthopaedics·Manuel F MosqueraYessica Gonzalez
Nov 28, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jorge ChahlaPablo E Gelber
Nov 1, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Travis J DekkerRobert F LaPrade

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Software Mentioned

R Foundation for Statistical Computing
R

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