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Outcome and risk fa...
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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
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Nummerbeteckningar
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LIBRIS-ID:oai:gup.ub.gu.se/44019
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https://gup.ub.gu.se/publication/44019URI
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https://doi.org/10.1016/j.arthro.2005.05.007DOI
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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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
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MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
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MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
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Adolescent
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Adult
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Anterior Cruciate Ligament/*surgery
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*Arthroscopy
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Bone Screws
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Cohort Studies
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Female
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Femoral Fractures/epidemiology/surgery
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Femur/surgery/*transplantation
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Follow-Up Studies
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Humans
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Knee Injuries/epidemiology
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Male
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Middle Aged
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Patellar Ligament/injuries/*transplantation
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Recurrence
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Retrospective Studies
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Risk Factors
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Rupture/epidemiology/surgery
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Severity of Illness Index
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Tendons/surgery/*transplantation
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Tibia/surgery/*transplantation
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Tibial Fractures/epidemiology/surgery
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Time Factors
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Transplantation
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Autologous
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Treatment Outcome
Biuppslag (personer, institutioner, konferenser, titlar ...)
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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)
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Ejerhed, L.
(författare)
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Sernert, Ninni,1954
(författare)
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Magnusson, Lennart,1959
(författare)
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Faxén, EvaGothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för ortopedi,Institute of Surgical Sciences, Department of Orthopaedics
(författare)
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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)
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Göteborgs universitetInstitutionen för de kirurgiska disciplinerna, Avdelningen för ortopedi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Arthroscopy: Elsevier BV21:8, s. 958-9641526-3231
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Ingår i:Arthroscopy: The Journal of Arthroscopic & Related Surgery: Elsevier BV21:8, s. 958-9640749-8063
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Laxdal, Gauti, 1 ...
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Kartus, Jüri, 19 ...
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Ejerhed, L.
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Sernert, Ninni, ...
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Magnusson, Lenna ...
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Faxén, Eva
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Karlsson, Jón, 1 ...
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