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Sökning: onr:"swepub:oai:gup.ub.gu.se/44019" > Outcome and risk fa...

  • Laxdal, Gauti,1966Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för ortopedi,Institute of Surgical Sciences, Department of Orthopaedics (författare)

Outcome and risk factors after anterior cruciate ligament reconstruction: a follow-up study of 948 patients

  • Artikel/kapitelEngelska2005

Förlag, utgivningsår, omfång ...

  • Elsevier BV,2005

Nummerbeteckningar

  • LIBRIS-ID:oai:gup.ub.gu.se/44019
  • https://gup.ub.gu.se/publication/44019URI
  • https://doi.org/10.1016/j.arthro.2005.05.007DOI

Kompletterande språkuppgifter

  • Språk:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • PURPOSE: The aim of the study was to assess the outcome and risk factors after anterior cruciate ligament (ACL) reconstruction in a large group of patients. TYPE OF STUDY: Case series. METHODS: Included in this retrospective study were 948 patients (323 female, 625 male) with a symptomatic unilateral ACL rupture, who underwent arthroscopic reconstruction using patellar tendon autograft and interference screw fixation at 3 Swedish hospitals. The median age of the patients at the time of the index operation was 26 years (range, 14 to 53 years). The patients underwent surgery at a median of 12 months (range, 0.5 to 360 months) after their injury. Independent physiotherapists performed the follow-up examinations at a median of 32 months (range, 21 to 117 months) postoperatively. RESULTS: Of the 948 patients, 550 (58%) underwent meniscal surgery before, during, or after the ACL reconstruction. The median Tegner activity level was 8 (range, 2-10) before injury, 3 (range, 0-9) preoperatively, and 6 (range, 1-10) at follow-up (P < .0001 preoperative v follow-up). At follow-up, the median Lysholm score was 90 points (range, 14-100), the median KT-1000 anterior side-to-side laxity difference was 1.5 mm (range, -6 to 13 mm), and the median 1-leg hop test quotient was 95% (0% to 167%) compared with the contralateral normal side. At follow-up, 69.3% of the patients were classified as normal or nearly normal according to the International Knee Documentation Committee evaluation system. However, 36% of the patients were unable to or had severe problems performing the knee-walking test. Inferior results correlated with increased time period between the index injury and reconstruction and concomitant joint damage found at the index operation. CONCLUSIONS: Overall, the results were good after ACL reconstruction using patellar tendon autograft and interference screw fixation. Concomitant joint damage and a long time period between the injury and reconstruction are major risk factors for inferior outcome after ACL reconstruction. LEVEL OF EVIDENCE: Level IV, case series.

Ämnesord och genrebeteckningar

  • MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
  • MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
  • Adolescent
  • Adult
  • Anterior Cruciate Ligament/*surgery
  • *Arthroscopy
  • Bone Screws
  • Cohort Studies
  • Female
  • Femoral Fractures/epidemiology/surgery
  • Femur/surgery/*transplantation
  • Follow-Up Studies
  • Humans
  • Knee Injuries/epidemiology
  • Male
  • Middle Aged
  • Patellar Ligament/injuries/*transplantation
  • Recurrence
  • Retrospective Studies
  • Risk Factors
  • Rupture/epidemiology/surgery
  • Severity of Illness Index
  • Tendons/surgery/*transplantation
  • Tibia/surgery/*transplantation
  • Tibial Fractures/epidemiology/surgery
  • Time Factors
  • Transplantation
  • Autologous
  • Treatment Outcome

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Kartus, Jüri,1955Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för ortopedi,Institute of Surgical Sciences, Department of Orthopaedics(Swepub:gu)xkarju (författare)
  • Ejerhed, L. (författare)
  • Sernert, Ninni,1954 (författare)
  • Magnusson, Lennart,1959 (författare)
  • Faxén, EvaGothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för ortopedi,Institute of Surgical Sciences, Department of Orthopaedics (författare)
  • Karlsson, Jón,1953Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för ortopedi,Institute of Surgical Sciences, Department of Orthopaedics(Swepub:gu)xkajon (författare)
  • Göteborgs universitetInstitutionen för de kirurgiska disciplinerna, Avdelningen för ortopedi (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Arthroscopy: Elsevier BV21:8, s. 958-9641526-3231
  • Ingår i:Arthroscopy: The Journal of Arthroscopic & Related Surgery: Elsevier BV21:8, s. 958-9640749-8063

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