smjournalСпортивная медицина: наука и практикаSports medicine: research and practice2223-25242587-9014NEICON10.47529/2223-2524.2023.4.3smjournal-373Research ArticleСПОРТИВНАЯ ТРАВМАТОЛОГИЯSPORTS TRAUMATOLOGYСравнительные результаты субъективной оценки профессиональными спортсменами функционального состояния коленного сустава после пластики передней крестообразной связки аутотрансплантатами из сухожилий полусухожильной и нежной мышц бедра и сухожилия длинной малоберцовой мышцы голениComparative results of subjective assessment by professional athletes of the functional state of the knee joint after anterior cruciate ligament repair with semitendinosus and gracillis tendons or peroneus longus tendon graftsВеличкоМ. Н.VelichkoM. N.

Величко Максим Николаевич, заведующий отделением спортивной травматологии, спортивной медицины и артроскопической хирургии ЦКП

123098, Москва, ул. Маршала Новикова, 23

Maxim N. Velichko, Head of the Department of Sports Traumatology, Sports Medicine and Arthroscopic Surgery, Clinical Lesions Center

23 Marshal Novikov str., Moscow, 123098

maxveldoc@yandex.ruТерсковА. Ю.TerskovA. U.

Терсков Александр Юрьевич, к.м.н., заведующий отделением травматологии и ортопедии ЦКП

123098, Москва, ул. Маршала Новикова, 23

Alexander U. Terskov, Cand. Sci. (Med.), Head of the Department of Traumatology and Orthopedics, Clinical Lesions Center

23 Marshal Novikov str., Moscow, 123098

terskov72@mail.ruБеляковаА. М.BelyakovaA. M.

Белякова Анна Михайловна, к.м.н., ассистент кафедры спортивной медицины и медицинской реабилитации 

119992, Москва, Трубецкая, 8, строение 2

Anna M. Belyakova, Cand. Sci. (Med.), Assistant at the Department of Sports Medicine and Medical Rehabilitation 

Moscow, 119992, Trubetskaya, 8, building 2

md.belyakova@gmail.comХраброваЕ. О.HrabrovaE. O.

Храброва Екатерина Олеговна, врач ЛФК 

125130, Москва, ул. Большая Академическая, 15, 1 

Ekaterina O. Hrabrova, doctor of exercise therapy 

125130, Moscow, st. Bolshaya Akademicheskaya, 15, building 1

karlo-med@mail.comБодровА. В.BodrovA. V.

Бодров Антон Владимирович, аспирант

123098, Москва, ул. Маршала Новикова, 23 

Anton V. Bodrov, graduate student

123098, Moscow, Marshal Novikov str., 23

bodroff.antoha@yandex.ruШтурминА. В.ShturminA. V.

Штурмин Антон Валерьевич, врач по лечебной физкультуре отделения спортивной травматологии, спортивной медицины и артроскопической хирургии ЦКП

123098, Москва, ул. Маршала Новикова, 23 

Anton V. Shturmin, physical therapy doctor Department of Sports Traumatology, Sports Medicine and Arthroscopic Surgery, Clinical Lesions Center

123098, Moscow, Marshal Novikov str., 23

shurmav@yandex.ruУмниковА. С.UmnikovA. S.

Умников Алексей Сергеевич, к.м.н., руководитель центра комбинированных поражений

123098, Москва, ул. Маршала Новикова, 23

Alexei S. Umnikov, Cand. Sci. (Med.), Head of the Center for Combined Lesions

123098, Moscow, Marshal Novikov str., 23

dr.umnikov@gmail.comШурыгинаА. А.ShuryginaA. A.

Шурыгина Анастасия Алексеевна, врач-ординатор кафедры травматологии и ортопедии Медико-биологического университета инноваций и непрерывного образования

123098, Москва, ул. Маршала Новикова, 23 

Anastasia A. Shurygina, Resident Doctor, Department of Traumatology and Orthopedics, Medical and Biological University of Innovation and Continuing Education

123098, Moscow, Marshal Novikov str., 23

den4099@yandex.ruФГБУ «Государственный научный центр Российской Федерации — Федеральный медицинский биофизический центр имени А.И. Бурназяна» Федерального медико-биологического агентстваРоссияRussian State Research Center — Burnasyan Federal Medical Biophysical Center of Federal Medical Biological AgencyRussian FederationФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияSechenov First Moscow State Medical UnivesityRussian FederationООО «АЛЬФА МЕДИКС»РоссияLLC “ALFA MEDICS”Russian Federation2023220120241343646Copyright © Величко М.Н., Терсков А.Ю., Белякова А.М., Храброва Е.О., Бодров А.В., Штурмин А.В., Умников А.С., Шурыгина А.А., 20242024Величко М.Н., Терсков А.Ю., Белякова А.М., Храброва Е.О., Бодров А.В., Штурмин А.В., Умников А.С., Шурыгина А.А.Velichko M.N., Terskov A.U., Belyakova A.M., Hrabrova E.O., Bodrov A.V., Shturmin A.V., Umnikov A.S., Shurygina A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.smjournal.ru/jour/article/view/373Цель

Цель: оценить функциональное состояние коленного сустава у профессиональных спортсменов после артроскопической пластики передней крестообразной связки в зависимости от вида аутотрансплантата.

Материалы и методы

Материалы и методы: в исследование были включены 37 профессиональных спортсменов, разделенных на 2 группы. Спортсменам первой группы была проведена артроскопическая пластика передней крестообразной связки с использованием аутотрансплантата из сухожилий полусухожильной и нежной мышц (группа ST/GR). Спортсменам второй — операция с использованием аутотрансплантата из сухожилия длинной малоберцовой мышцы (группа PL). Для субъективной оценки состояния коленного сустава использовались опросники IKDC, Lysholm и Cincinnati.

Результаты

Результаты: полученные данные свидетельствуют о высоких оценках в обеих группах при оценке функционального состояния коленных суставов с использованием всех используемых опросников. Имеется тенденция к более высокой оценке в группе PL, однако различия статистически не значимы при p < 0,05. Согласно опроснику Cincinnati медиана оценки спортсменами из группы ST/GR составила 96,0 балла, из группы PL — 100,0 балла (Me [Q1; Q3]: 96,0 [91,0; 100,0] и 100,0 [92,3; 100,0] соответственно). Согласно критериям оценочной шкалы Lysholm медиана оценки в баллах в группе ST/GR составила 95,0, а в группе PL — 97,5 балла (Me [Q1; Q3]: 95,0 [90,0; 100,0] и 97,5 [92,0; 100,0] соответственно). Согласно шкале IKDC медианный балл в группе ST/GR составил 90,8, а в группе PL — 95,4 (Me [Q1; Q3]: 90,8 [81; 94,3] и 95,4 [89,1; 98,5] соответственно).

Заключение

Заключение: сухожилие длинной малоберцовой мышцы голени в качестве источника аутотрансплантата при пластике передней крестообразной связки не уступает трансплантату из сухожилий полусухожильной и нежной мышц бедра и может быть безопасно использовано у профессиональных спортсменов.

Aim

Aim: to evaluate the subjective functional state of the knee joint in professional athletes after arthroscopic reconstruction of the anterior cruciate ligament depending on the type of the autograft.

Materials and methods

Materials and methods: the study included 37 professional athletes, divided into 2 groups. Athletes of the first group underwent arthroscopic ACL reconstruction using hamstring tendon autograft, i. e. semitendinosus and gracillis tendons (ST/GR group). Athletes of the second group underwent reconstruction using peroneus longus autograft (PL group). For subjective evaluation IKDC, Lysholm and Cincinnati questionnaires were used. The significance of differences was assessed using the Mann — Whitney test. Differences were considered significant at p < 0.05.

Results

Results: according to the Cincinnati questionnaire, the median scores of athletes from the ST/GR group was 96.0 points, from the PL group — 100.0 points (Me [Q1; Q3]: 96.0 [91.0; 100.0] and 100.0 [92.3; 100.0], respectively). According to the criteria of the rating scale, the median Lysholm score in points in the ST/GR group was 95.0, and in the PL group — 97.5 points (Me [Q1; Q3]: 95.0 [90.0;100.0] and 97.5 [92.0;100.0], respectively). According to IKDC measurements, the median score in the ST/GR group was 90.8, and in the PL group — 95.4 (Me [Q1; Q3]: 90.8 [81.0; 94.3] and 95.4 [89.1; 98.5], respectively.

Conclusion

Conclusion: peroneus longus tendon autograft can be used for ACL reconstruction in professional athletes.

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The authors declare that there are no conflicts of interest present.