دورية أكاديمية
Suture Anchor-Based Quadriceps Tendon Repair May Result in Improved Patient-Reported Outcomes but Similar Failure Rates Compared to the Transosseous Tunnel Technique.
| العنوان: | Suture Anchor-Based Quadriceps Tendon Repair May Result in Improved Patient-Reported Outcomes but Similar Failure Rates Compared to the Transosseous Tunnel Technique. |
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| المؤلفون: | Yanke AB; Rush University Medical Center, Chicago, Illinois, U.S.A.. Electronic address: adam_yanke@rush.edu., Dandu N; Rush University Medical Center, Chicago, Illinois, U.S.A., Trasolini NA; Rush University Medical Center, Chicago, Illinois, U.S.A., Darbandi AD; Rush University Medical Center, Chicago, Illinois, U.S.A., Walsh JM; Rush University Medical Center, Chicago, Illinois, U.S.A., Rice R; Rush University Medical Center, Chicago, Illinois, U.S.A., Huddleston HP; Rush University Medical Center, Chicago, Illinois, U.S.A., Forsythe B; Rush University Medical Center, Chicago, Illinois, U.S.A., Verma NN; Rush University Medical Center, Chicago, Illinois, U.S.A., Cole BJ; Rush University Medical Center, Chicago, Illinois, U.S.A. |
| المصدر: | Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2023 Jun; Vol. 39 (6), pp. 1483-1489.e1. Date of Electronic Publication: 2022 Dec 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: W.B. Saunders Co Country of Publication: United States NLM ID: 8506498 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1526-3231 (Electronic) Linking ISSN: 07498063 NLM ISO Abbreviation: Arthroscopy Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia, PA : W.B. Saunders Co. Original Publication: [New York, N.Y.] : Raven Press, [c1985- |
| مواضيع طبية MeSH: | Suture Anchors* , Tendon Injuries*/surgery, Humans ; Retrospective Studies ; Quality of Life ; Suture Techniques ; Patient Reported Outcome Measures ; Tendons/surgery |
| مستخلص: | Purpose: The purpose of this study was to compare failure rates and patient-reported outcomes between transosseus (TO) suture and suture anchor (SA) quadriceps tendon repairs. Methods: Following institutional review board approval, patients who underwent primary repair for quadriceps tendon rupture with TO or SA techniques between January 2009 and August 2018 were identified from an institutional database and retrospectively reviewed. Patients were contacted for satisfaction (1-10 scale), current function (0-100 scale), failure (retear), and revision surgeries; International Knee Documentation Committee (IKDC) score and Knee Injury and Osteoarthritis Outcomes Score (KOOS) were also collected to achieve a minimum of 2-year follow-up. Results: Sixty-four patients (34 SA, 30 TO) were available by phone or e-mail at a mean of 4.81 ± 2.60 years postoperatively. There were 10 failures, for an overall failure rate of 15.6%. Failure incidence did not significantly differ between treatment groups (P = .83). Twenty-seven patients (47% of nonfailed patients) had completed patient-reported outcomes. The SA group reported higher subjective function (SA: 90 [85-100] vs TO: 85 [60-93], 95% CI of difference: -19.9 to -2.1 × 10 -5 , P = .042), final IKDC (79.6 [50.0-93.6] vs 62.1 [44.3-65.5], 95% CI of difference: -33.0 to -0.48, P = .048), KOOS Pain (97.2 [84.7-97.2] vs 73.6 [50.7-88.2], 95% CI of difference: -36.1 to -3.6 × 10 -5 , P = .037), Quality of Life (81.3 [56.3-93.8] vs 50.0 [23.4-56.3], 95% CI of difference: -50.0 to -6.2, P = .026), and Sport (75.0 [52.5-90.0] vs 47.5 [31.3-67.5], 95% CI of the difference: -45.0 to -4.1 × 10 -5 , P = .048). Conclusions: There is no significant difference in failure rate between transosseus and suture anchor repairs for quadriceps tendon ruptures (P = .83). Most failures occur secondary to a traumatic reinjury within the first year postoperatively. Despite the lack of difference in failure rates, at final follow-up, patients who undergo suture anchor repair may report significantly greater subjective function and final IKDC, KOOS Pain, Quality of Life, and Sport scores. Level of Evidence: III, retrospective cohort study. (Copyright © 2022 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.) |
| التعليقات: | Comment in: Arthroscopy. 2023 Jun;39(6):1490-1492. (PMID: 37147076) |
| تواريخ الأحداث: | Date Created: 20221225 Date Completed: 20230508 Latest Revision: 20230511 |
| رمز التحديث: | 20230512 |
| DOI: | 10.1016/j.arthro.2022.11.031 |
| PMID: | 36567182 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1526-3231 |
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| DOI: | 10.1016/j.arthro.2022.11.031 |