Preoperative KOOS and SF-36 Scores Are Associated With the Development of Symptomatic Knee Osteoarthritis at 7 Years After Anterior Cruciate Ligament Reconstruction.
Preoperative KOOS and SF-36 Scores Are Associated With the Development of Symptomatic Knee Osteoarthritis at 7 Years After Anterior Cruciate Ligament Reconstruction.
复制标题
DOI：
10.1177/0363546517751661
复制
发表时间：
2018-03
期刊：
影响因子：
--
通讯作者：
Fleming BC
中科院分区：
文献类型：
--
作者：
Ware JK;Owens BD;Akelman MR;Karamchedu NP;Fadale PD;Hulstyn MJ;Shalvoy RM;Badger GJ;Fleming BC
尽管进行了 ACL 重建手术，但许多患者的前交叉韧带 (ACL) 撕裂仍与膝骨关节炎的发生有关。然而，几乎没有证据可以确定哪些患者会出现有症状的膝骨关节炎。旨在确定术前结果测量是否与 ACL 重建后 7 年后有症状的膝关节的未来发展相关。第二个目标是检查膝骨关节炎的影像学证据与膝关节疼痛的发展之间的关系。病例对照研究前瞻性收集了 72 名受试者单侧 ACL 重建后 7 年随访的数据。根据先前定义的膝骨关节炎结果评分（KOOS）疼痛评分≤72，将受试者分为有症状组和无症状组。比较各组之间的人口统计学变量以及术前 KOOS 和 SF36 评分。放射照相和磁共振成像数据用于评估组间关节间隙宽度、OARSI 放射照相评分和全器官磁共振成像 (WORM) 评分的差异。进行单变量和多变量分析以确定 7 年随访时疼痛的潜在预测因素。 Wilcoxon Sum Rank 和 T 检验用于比较 7 年有症状和无症状受试者之间的影像学结果。根据最终 KOOS 疼痛评分，在 7 年随访中，72 名受试者中有 7 名属于有症状组。在人口统计学变量或术中发现方面，各组之间没有发现差异。在多变量分析中，发现较低的术前 KOOS 运动与娱乐 (p=0.005) 和较低的术前 SF36 心理健康 (p=0.025) 评分与 7 岁时膝盖疼痛相关，每减少 10 个单位，发生率分别增加 82% 和 68%。 7 年时的 WORM 评分显示，与无症状组相比，有症状组存在骨关节炎变化的证据 (p=.047)。然而，各组之间的 OARSI 放射学评分 (p=.051) 或关节间隙宽度 (p=.488) 没有显着差异。较低的术前 KOOS 和 SF36 评分与 ACL 重建后 7 年出现有症状的膝骨关节炎的患者相关。
Anterior cruciate ligament (ACL) tears are associated with the development of knee osteoarthritis in many patients despite ACL reconstruction surgery. However, little evidence is available to determine which patients will develop symptomatic knee osteoarthritis. To determine if preoperative outcome measures were associated with the future development of a symptomatic knee 7 years following ACL reconstruction. A secondary goal was to examine the relationship between imaging evidence of knee osteoarthritis and development of knee pain. Case control study Prospectively collected data from 72 subjects with 7 year follow-up after unilateral ACL reconstruction were reviewed. Subjects were divided into symptomatic and asymptomatic groups based on the previously defined Knee Osteoarthritis Outcome Score (KOOS) Pain score of ≤72. Demographic variables and preoperative KOOS and SF36 scores were compared between groups. Radiographic and magnetic resonance imaging data were used to evaluate differences in joint space width, OARSI radiographic score, and the Whole-Organ Magnetic Resonance Imaging (WORM) Score between groups. Univariate and multivariate analyses were performed to identify potential predictors of pain at 7 year follow-up. Wilcoxon Sum Rank and T-tests were used to compare imaging findings between the symptomatic and asymptomatic subjects at 7 years. Based on final KOOS Pain score, 7 of the 72 subjects available at 7 year follow-up formed the symptomatic group. No differences were found between groups in regards to demographic variables or intraoperative findings. In multivariate analysis, lower pre-operative KOOS Sports & Recreation (p=0.005) and lower pre-operative SF36 Mental Health (p=0.025) scores were found to be associated with a painful knee at 7 years, with increased odds of 82% and 68% per 10 unit decrease respectively. The WORM score at 7 years showed evidence of osteoarthritic changes in the symptomatic group compared to the asymptomatic group (p=.047). However, there were no significant differences in the OARSI radiographic score (p=.051) or joint space width (p=.488) between groups. Lower preoperative KOOS and SF36 scores were associated with those patients who developed symptomatic knee osteoarthritis 7 years following ACL reconstruction.
登录
查看更多内容
影响因子：
4.8
作者：
Risberg, May Arna;Oiestad, Britt Elin;Holm, Inger
通讯作者：
Holm, Inger
DOI：
10.1177/0363546514525910
发表时间：
2014-05
期刊：
The American journal of sports medicine
影响因子：
--
作者：
Cox CL;Huston LJ;Dunn WR;Reinke EK;Nwosu SK;Parker RD;Wright RW;Kaeding CC;Marx RG;Amendola A;McCarty EC;Spindler KP
通讯作者：
Spindler KP
影响因子：
3.8
作者：
Everhart, Joshua S.;Best, Thomas M.;Flanigan, David C.
通讯作者：
Flanigan, David C.
DOI：
10.1016/j.arthro.2016.12.012
发表时间：
2017-06-01
影响因子：
4.7
作者：
Dwyer, Tim;Martin, Ryan;Theodoropoulos, John
通讯作者：
Theodoropoulos, John
DOI：
10.1016/j.arthro.2013.08.025
发表时间：
2013-12
影响因子：
4.7
作者：
Mariscalco, Michael W.;Flanigan, David C.;Mitchell, Joshua;Pedroza, Angela D.;Jones, Morgan H.;Andrish, Jack T.;Parker, Richard D.;Kaeding, Christopher C.;Magnussen, Robert A.
通讯作者：
Magnussen, Robert A.