دورية أكاديمية
Anterior cruciate ligament reconstruction in the elderly: 5-Year follow-up study.
| العنوان: | Anterior cruciate ligament reconstruction in the elderly: 5-Year follow-up study. |
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| المؤلفون: | Kurokawa T; Department of Traumatology, University of Szeged, Szeged, Hungary, Semmelweis utca 6., Szeged, 6725, Hungary., Csete K; Department of Traumatology, University of Szeged, Szeged, Hungary, Semmelweis utca 6., Szeged, 6725, Hungary., Jávor P; Department of Traumatology, University of Szeged, Szeged, Hungary, Semmelweis utca 6., Szeged, 6725, Hungary., Sándor L; Department of Traumatology, University of Szeged, Szeged, Hungary, Semmelweis utca 6., Szeged, 6725, Hungary., Baráth B; Department of Traumatology, University of Szeged, Szeged, Hungary, Semmelweis utca 6., Szeged, 6725, Hungary; Doctoral School of Multidisciplinary Medical Sciences, University of Szeged, Szeged, Hungary, Dóm tér 9, Szeged, 6720, Hungary., Holovic H; Department of Traumatology, University of Szeged, Szeged, Hungary, Semmelweis utca 6., Szeged, 6725, Hungary., Török L; Department of Traumatology, University of Szeged, Szeged, Hungary, Semmelweis utca 6., Szeged, 6725, Hungary; Department of Sports Medicine, University of Szeged, Szeged, Hungary, Semmelweis utca 6., Szeged, 6725, Hungary., Hartmann P; Department of Traumatology, University of Szeged, Szeged, Hungary, Semmelweis utca 6., Szeged, 6725, Hungary. Electronic address: hartmann.petra@med.u-szeged.hu. |
| المصدر: | Injury [Injury] 2024 Sep; Vol. 55 Suppl 3, pp. 111529. Date of Electronic Publication: 2024 Sep 17. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0226040 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0267 (Electronic) Linking ISSN: 00201383 NLM ISO Abbreviation: Injury Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2002->: Amsterdam : Elsevier Original Publication: Bristol, Wright. |
| مواضيع طبية MeSH: | Anterior Cruciate Ligament Reconstruction*/methods , Anterior Cruciate Ligament Injuries*/surgery , Anterior Cruciate Ligament Injuries*/physiopathology, Humans ; Female ; Male ; Middle Aged ; Follow-Up Studies ; Adult ; Treatment Outcome ; Range of Motion, Articular ; Retrospective Studies ; Age Factors ; Aged ; Recovery of Function ; Knee Joint/surgery ; Knee Joint/physiopathology |
| مستخلص: | Background: Older adults remain active for longer and continue sports and activities that require rotation on one leg later in life. The rate of anterior cruciate ligament (ACL) tears is therefore increasing in those over 40 years old, with an associated increase in the rate of surgical reconstruction (ACLR), but there is limited literature on its effectiveness. Our aim was to compare the outcomes of elderly patients who have undergone ACLR with those of a younger group of patients. Materials and Methods: Patients who underwent ACLR with bone-patella tendon-bone grafting (BPTB) at a level I trauma center between 2015 and 2017 were included in the study with a 5-year follow-up. Patients were divided into 4 groups: below 40 years, 40-49 years, 50-59 years and over 60 years. The graft function was evaluated by the International Knee Documentation Committee (IKDC) Objective Score, the anteroposterior (AP) displacement was measured by arthrometer (KT-1000; MEDMetric) and the Lysholm scale was used for subjective evaluation. Results: 195 patients were included in the final analysis. The IKDC score showed significantly poorer scores in the 50-59 years and over 60 years group than in the younger groups, however in 83 % and 66 % of cases reached normal or nearly normal grades, respectively. A significant difference was found in the knee AP displacement (measured in mm) between the below 40 years group and 50-59 years as well as over 60 years old groups; however, the number of graft failure (laxity >5 mm) and elongation (>3 mm) did not increased in these senior groups. The patient-reported Lysholm scores in the 40-49 years, 50-59 years and 60 years groups was lower than in the below 40 years group, but the average score was "good". Conclusions: The long-term results of ACL reconstruction in older athletes are comparable to those of younger patients, both in terms of knee function and patient satisfaction. Furthermore, there is no difference in outcomes for older patients over the age of 40 compared to those in their 50 s or even 60 s. There is still insufficient published evidence to define an upper age limit for ACL reconstruction in older athletes. Competing Interests: Declaration of competing interest None declared. (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Anterior cruciate ligament (acl); Anterior cruciate ligament reconstruction (aclr); International knee documentation committee (ikdc), Kt-1000 arthrometer, Lysholm scale; Senior athletes |
| تواريخ الأحداث: | Date Created: 20240920 Date Completed: 20240920 Latest Revision: 20240920 |
| رمز التحديث: | 20240921 |
| DOI: | 10.1016/j.injury.2024.111529 |
| PMID: | 39300625 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1879-0267 |
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| DOI: | 10.1016/j.injury.2024.111529 |