The influence of hamstring autograft size on patient-reported outcomes and risk of revision after anterior cruciate ligament reconstruction: a Multicenter Orthopaedic Outcomes Network (MOON) Cohort Study.
The influence of hamstring autograft size on patient-reported outcomes and risk of revision after anterior cruciate ligament reconstruction: a Multicenter Orthopaedic Outcomes Network (MOON) Cohort Study.
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DOI：
10.1016/j.arthro.2013.08.025
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发表时间：
2013-12
影响因子：
4.7
通讯作者：
Magnussen, Robert A.
中科院分区：
文献类型：
--
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.
本研究的目的是评估移植物大小对ACL重建后患者报告的结果和翻修风险的影响。一项前瞻性队列数据的回顾性图表回顾，对320例连续患者中的263例（82.2%）进行了腘绳肌腱自体移植物重建。记录植骨大小、股骨隧道钻孔技术、患者年龄、性别、ACL重建时的BMI、术前和术后2年的oos和IKDC评分，以及每位患者在2年随访期间是否进行了改良ACL重建。翻修被用作移植失败的标志。通过多元线性回归确定移植物大小与患者报告结果之间的关系。移植物大小与翻修风险之间的关系通过对8mm移植物大小进行二分类并按年龄分层来确定。在控制了年龄、性别、手术部位、外科医生、BMI、移植物选择和股骨隧道钻孔技术后，移植物尺寸每增加1毫米，KOOS疼痛亚量表增加3.3分（p = 0.003）， KOOS日常生活活动亚量表增加2.0分（p = 0.034）， KOOS运动/娱乐功能亚量表增加5.2分（p = 0.004），主观IKDC评分增加3.4分（p = 0.026）。64例移植物直径大于8mm的患者中有0例（0.0%）需要翻修，199例移植物直径小于8mm的患者中有14例（7.0%）需要翻修（p = 0.037）。在18岁及以下的患者中，14例移植物直径大于8mm的患者中有0例（0.0%）需要翻修，71例移植物直径大于8mm的患者中有13例（18.3%）需要翻修。自体腘绳肌腱大小较小是原发性ACL重建后2年KOOS运动和娱乐功能较差的预测因素。需要更大的样本量来确认移植物大小与翻修ACL重建风险之间的关系。3级
The purpose of this study is to evaluate the effect of graft size on patient-reported outcomes and revision risk following ACL reconstruction. A retrospective chart review of prospectively collected cohort data, 263 of 320 consecutive patients (82.2%) undergoing primary ACL reconstruction with hamstring autograft were evaluated. Graft size, femoral tunnel drilling technique, patient age, sex, and BMI at the time of ACL reconstruction, pre-operative and 2-year post-operative KOOS and IKDC scores, and whether each patient underwent revision ACL reconstruction during the 2 year follow-up period were recorded. Revision was used as a marker for graft failure. The relationship between graft size and patient-reported outcomes was determined by multiple linear regression. The relationship between graft size and risk of revision was determined by dichotomizing graft size at 8mm and stratifying by age. After controlling for age, sex, operative side, surgeon, BMI, graft choice, and femoral tunnel drilling technique, a 1 mm increased in graft size was noted to correlate with 3.3-point increase in the KOOS-pain subscale (p = 0.003), a 2.0-point increased in the KOOS activities of daily living subscale (p = 0.034), a 5.2-point increase in the KOOS-sport/recreation function subscale (p = 0.004), and a 3.4-point increase in the subjective IKDC score (p = 0.026). Revision was required in 0 of 64 patients (0.0%) with grafts greater than 8mm in diameter and 14 of 199 patients (7.0%) with 8 mm or smaller grafts (p = 0.037). Among patients age 18 and under, revision was required in 0 of 14 patients (0.0%) with grafts greater than 8mm in diameter and 13 of 71 patients (18.3 %) with 8 mm or smaller grafts. Smaller hamstring autograft size is a predictor of poorer KOOS Sport and Recreation function 2 years following primary ACL reconstruction. Larger sample size is required to confirm the relationship between graft size and risk of revision ACL reconstruction. Level 3
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DOI：
10.1016/j.arthro.2011.11.024
发表时间：
2012-04-01
影响因子：
4.7
作者：
Magnussen, Robert A.;Lawrence, J. Todd R.;Garrett, William E.
通讯作者：
Garrett, William E.
影响因子：
4.8
作者：
Barrett, Austin M.;Craft, Jason A.;Barrett, Gene R.
通讯作者：
Barrett, Gene R.
活动量和移植物类型是前十字韧带移植物失败的风险因素 一项病例对照研究
影响因子：
4.8
作者：
Borchers, James R.;Pedroza, Angela;Kaeding, Christopher
通讯作者：
Kaeding, Christopher
影响因子：
3.3
作者：
Kaeding CC;Aros B;Pedroza A;Pifel E;Amendola A;Andrish JT;Dunn WR;Marx RG;McCarty EC;Parker RD;Wright RW;Spindler KP
通讯作者：
Spindler KP
影响因子：
4.8
作者：
Ahlden, Mattias;Samuelsson, Kristian;Kartus, Juri
通讯作者：
Kartus, Juri