Preoperative Factors of Quelard et al Predicting a Prolonged Range of Motion Deficit Following Anterior Cruciate Ligament Reconstruction

 

Criteria for a prolonged range of motion deficit - one or both of the following:

(1) deficit in full extension >= 5° and/or deficit in flexion > 30° at 3 weeks

(2) any deficit in full extension and/or deficit in flexion > 15° at 3 months

 

Risk factors associated with a ROM deficit:

(1) limited preoperative range of motion

(2) typical bone contusion (bruise) of the lateral compartment (lateral femoral condyle and laterial tibial plateau) seen on MRI

 

Additional factors associated with a ROM deficit:

(1) female gender

(2) operative delay less than 45 days

(3) any bone contusion (irrespective of location)

 

The need for arthrolysis (surgery to break up adhesions in the joint) was associated with bone contusion and a prolonged range of motion deficit.