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Silva ACG. Muscular function evaluation of individuals with indication of combined reconstruction of the anterior cruciate ligament and anterolateral knee ligament [dissertation]. São Paulo: “Faculdade de Medicina, Universidade de São Paulo”; 2018. Introduction: The main function of the anterolateral ligament (ALL) is the secondary restriction of tibial medial rotation, resulting in a change on the Pivot shift test. Studies show a worse rotational stability when there is an ALL lesion associated with an anterior cruciate ligament (ACL) lesion, which is improved after the combined reconstruction of these ligaments. Regarding the alterations on muscle function, there is no understanding in the literature on how these individuals behave. Purpose: To analyze if there is a difference in the muscle function (knee flexor and extensor and hip abductor) between the groups with indication for combined ACL and ALL reconstruction (ACL+ALL group) and isolated ACL reconstruction (ACL group). Secondarily, to do a clinical and functional evaluation. Methods: Isokinetic dynamometry for the primary objective using 60o/s angular velocities for the hip and 60 and 120o/s for the knee. Secondarily, the use of the Lysholm scale and functional tests, such as Single Hop Test and Cross Over Hop Test and clinical evaluation of pain by visual analogue scale; anterior translation of the tibia, with the arthrometer (KT-1000) and perimetry of the knee and thigh (tape measure). Results: No differences were found regarding hip and knee muscle function in the affected limb when the ACL+ALL and ACL groups were compared. However, there was a lower total extensor work at 60o/s in the limb contralateral to the lesion observed in the ACL+ALL group in relation to the ACL group. Evaluating the difference between the members there was a greater difference between them in the ACL group (peak torque, total work and agonist/antagonist ratio) at 60o/s, which also occurred at 120o/s for total extensor work and knee agonist / antagonist relation for this group. Regarding the secondary variables, 68.9% of the ACL+ALL group reported knee pain and 61.9% in the ACL group, and there was a significant increase in anterior tibial translation in the ACL+ALL group in relation to the ACL group. Conclusion: There is no difference between ACL+ALL and ACL groups regarding hip and knee muscle function and functionality. The ACL+ALL group presented a greater anterior translation of the tibia in relation to the ACL group. Descriptors: knee Injuries; anterolateral ligament; anterior cruciate ligament; muscle strength; muscle strength dynamometer.

Avaliação da função muscular de indivíduos com indicação de reconstrução combinada do ligamento cruzado anterior e ligamento anterolateral do joelho