دورية أكاديمية
أعرض في EDS

The prognosis and predictors of sports function and activity at minimum 6 years after anterior cruciate ligament reconstruction: a population cohort study.

التفاصيل البيبلوغرافية
العنوان: The prognosis and predictors of sports function and activity at minimum 6 years after anterior cruciate ligament reconstruction: a population cohort study.
المؤلفون: Spindler KP; Vanderbilt Sports Medicine, 4200 Medical Center East, South Tower, 1215 21st Ave South, Nashville, TN 37232-8774, USA. kurt.spindler@vanderbilt.edu, Huston LJ, Wright RW, Kaeding CC, Marx RG, Amendola A, Parker RD, Andrish JT, Reinke EK, Harrell FE Jr, Dunn WR
مؤلفون مشاركون: MOON Group
المصدر: The American journal of sports medicine [Am J Sports Med] 2011 Feb; Vol. 39 (2), pp. 348-59. Date of Electronic Publication: 2010 Nov 17.
نوع المنشور: Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 7609541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-3365 (Electronic) Linking ISSN: 03635465 NLM ISO Abbreviation: Am J Sports Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2004- : Thousand Oaks, CA : Sage Publications
Original Publication: Baltimore, Williams & Wilkins.
مواضيع طبية MeSH: Athletes* , Recovery of Function*, Anterior Cruciate Ligament/*surgery, Cohort Studies ; Female ; Follow-Up Studies ; Humans ; Male ; Orthopedic Procedures/methods ; Prognosis ; Quality of Life ; Surveys and Questionnaires ; Young Adult
مستخلص: Background: The predictors of anterior cruciate ligament reconstruction (ACLR) outcome at 6 years as measured by validated patient-based outcome instruments are unknown.
Hypothesis: Certain variables evaluated at the time of ACLR will predict return to sports function (as measured by the International Knee Documentation Committee [IKDC] questionnaire and the Knee injury and Osteoarthritis Outcome Score [KOOS] Sports and Recreation subscale), knee-related quality of life (KOOS Knee Related Quality of Life subscale), and activity level (Marx Activity Scale). Potential predictor variables include demographic factors, surgical technique and graft choice for ACLR, and intra-articular injuries and treatment.
Study Design: Cohort study; Level of evidence, 2.
Methods: All patients with unilateral ACLRs from 2002 currently enrolled in the MOON (Multicenter Orthopaedic Outcomes Network) cohort were evaluated. Patients completed the validated outcome instruments preoperatively. Physicians documented intra-articular pathologic abnormalities, treatment, and surgical techniques used at the time of surgery. At 2 and 6 years postoperatively, patients completed the same validated outcome instruments.
Results: Follow-up was obtained at 2 years (88%) and at 6 years (84%). The cohort was 57% male with a median age of 23 years at enrollment. The ability to perform sports function was maintained at 6 years, but the Marx activity level continued to decline from baseline. Revision ACLR and use of allograft predicted worse outcomes on the IKDC and both KOOS subscales. Lateral meniscus treatment, smoking status, and body mass index at baseline were each predictors on 2 of 3 scales. The predictors of lower activity level were revision ACLR and female sex.
Conclusion: Six years after ACLR, patients could perform sports-related functions and maintain a high knee-related quality of life similar to their 2-year level, although their physical activity level (Marx) dropped over time. Choosing autograft rather than allograft, not smoking, and having normal body mass index are advised to improve long-term outcomes.
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معلومات مُعتمدة: R01 AR053684 United States AR NIAMS NIH HHS; K23 AR052392 United States AR NIAMS NIH HHS; 5 U18-HS016075 United States HS AHRQ HHS; U18 HS016075 United States HS AHRQ HHS; UL1 RR025755 United States RR NCRR NIH HHS; 5K23 AR052392-04 United States AR NIAMS NIH HHS
فهرسة مساهمة: Investigator: A Pedroza; AQ An; L Schmitz; EC McCarty; BR Wolf; MH Jones; MJ Matava; DC Flanigan; RH Brophy; AF Vidal
تواريخ الأحداث: Date Created: 20101119 Date Completed: 20110623 Latest Revision: 20220409
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC3692351
DOI: 10.1177/0363546510383481
PMID: 21084660
قاعدة البيانات: MEDLINE
الوصف
تدمد:1552-3365
DOI:10.1177/0363546510383481