Loading…
No differences in subjective knee function between surgical techniques of anterior cruciate ligament reconstruction at 2-year follow-up: a cohort study from the Swedish National Knee Ligament Register
Purpose The purpose of this study was to investigate how different techniques of single-bundle anterior cruciate ligament (ACL) reconstruction affect subjective knee function via the Knee injury and Osteoarthritis Outcome Score (KOOS) evaluation 2 years after surgery. It was hypothesized that the su...
Saved in:
| Published in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2017-12, Vol.25 (12), p.3945-3954 |
|---|---|
| Main Authors: | , , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c596t-e2e5798e262bc26ef29d1816cc127f83068322956a05a074cbb916794567a70a3 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c596t-e2e5798e262bc26ef29d1816cc127f83068322956a05a074cbb916794567a70a3 |
| container_end_page | 3954 |
| container_issue | 12 |
| container_start_page | 3945 |
| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
| container_volume | 25 |
| creator | Hamrin Senorski, Eric Sundemo, David Murawski, Christopher D. Alentorn-Geli, Eduard Musahl, Volker Fu, Freddie Desai, Neel Stålman, Anders Samuelsson, Kristian |
| description | Purpose
The purpose of this study was to investigate how different techniques of single-bundle anterior cruciate ligament (ACL) reconstruction affect subjective knee function via the Knee injury and Osteoarthritis Outcome Score (KOOS) evaluation 2 years after surgery. It was hypothesized that the surgical techniques of single-bundle ACL reconstruction would result in equivalent results with respect to subjective knee function 2 years after surgery.
Methods
This cohort study was based on data from the Swedish National Knee Ligament Register during the 10-year period of 1 January 2005 through 31 December 2014. Patients who underwent primary single-bundle ACL reconstruction with hamstrings tendon autograft were included. Details on surgical technique were collected using a web-based questionnaire comprised of essential AARSC items, including utilization of accessory medial portal drilling, anatomic tunnel placement, and visualization of insertion sites and landmarks. A repeated measures ANOVA and an additional linear mixed model analysis were used to investigate the effect of surgical technique on the KOOS
4
from the pre-operative period to 2-year follow-up.
Results
A total of 13,636 patients who had undergone single-bundle ACL reconstruction comprised the study group for this analysis. A repeated measures ANOVA determined that mean subjective knee function differed between the pre-operative time period and at 2-year follow-up (
p
|
| doi_str_mv | 10.1007/s00167-017-4521-y |
| format | article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_498323</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1966808035</sourcerecordid><originalsourceid>FETCH-LOGICAL-c596t-e2e5798e262bc26ef29d1816cc127f83068322956a05a074cbb916794567a70a3</originalsourceid><addsrcrecordid>eNp9kttu1DAQhiMEoqXwANwgS9xwE7CdxAcukFDFSayKxOHacpxJ1tusvdhOV_uGPBYOu1tapHJle_z9_4zHUxRPCX5JMOavIsaE8RITXtYNJeXuXnFK6qoqeVXz-8UpljUtKW7YSfEoxhXGeVvLh8UJFRWphWCnxa8Ljzrb9xDAGYjIOhSndgUm2StAlw4A9ZPLJ-9QC2kLMANhsEaPKIFZOvtzyjrfI-0SBOsDMmEyVidAox30GlxCAYx3MeX4HyOdEC13oAPq_Tj6bTltXiONjF_6kFBMU7dDffBrlJaAvm2hs3GJLvSszVk_z0UtjtZfYbAxJ35cPOj1GOHJYT0rfrx_9_38Y7n48uHT-dtFaRrJUgkUGi4FUEZbQxn0VHZEEGYMobwXFWaiolQ2TONGY16btpW5x7JuGNcc6-qsKPe-cQubqVWbYNc67JTXVh1Cl3kHqpbZqcq8vJPfBN_9FR2FpOKEMkGb_-Yapo3KoWGaJZTlGmf-zZ7P8Bo6k_sT9Hg75a0bZ5dq8FeqYbnYRmaDFweD4OdvTWpto4Fx1A78FBURXAhaCcoy-vwfdOWnkP8nU5IxgQWu5orInjLBxxigvy6GYDXPsNrPsMozrOYZVruseXbzFdeK49BmgB7akq_cAOFG6jtdfwORXAQD</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1966808035</pqid></control><display><type>article</type><title>No differences in subjective knee function between surgical techniques of anterior cruciate ligament reconstruction at 2-year follow-up: a cohort study from the Swedish National Knee Ligament Register</title><source>EBSCOhost SPORTDiscus with Full Text</source><source>Springer Nature</source><source>Wiley-Blackwell Read & Publish Collection</source><creator>Hamrin Senorski, Eric ; Sundemo, David ; Murawski, Christopher D. ; Alentorn-Geli, Eduard ; Musahl, Volker ; Fu, Freddie ; Desai, Neel ; Stålman, Anders ; Samuelsson, Kristian</creator><creatorcontrib>Hamrin Senorski, Eric ; Sundemo, David ; Murawski, Christopher D. ; Alentorn-Geli, Eduard ; Musahl, Volker ; Fu, Freddie ; Desai, Neel ; Stålman, Anders ; Samuelsson, Kristian</creatorcontrib><description>Purpose
The purpose of this study was to investigate how different techniques of single-bundle anterior cruciate ligament (ACL) reconstruction affect subjective knee function via the Knee injury and Osteoarthritis Outcome Score (KOOS) evaluation 2 years after surgery. It was hypothesized that the surgical techniques of single-bundle ACL reconstruction would result in equivalent results with respect to subjective knee function 2 years after surgery.
Methods
This cohort study was based on data from the Swedish National Knee Ligament Register during the 10-year period of 1 January 2005 through 31 December 2014. Patients who underwent primary single-bundle ACL reconstruction with hamstrings tendon autograft were included. Details on surgical technique were collected using a web-based questionnaire comprised of essential AARSC items, including utilization of accessory medial portal drilling, anatomic tunnel placement, and visualization of insertion sites and landmarks. A repeated measures ANOVA and an additional linear mixed model analysis were used to investigate the effect of surgical technique on the KOOS
4
from the pre-operative period to 2-year follow-up.
Results
A total of 13,636 patients who had undergone single-bundle ACL reconstruction comprised the study group for this analysis. A repeated measures ANOVA determined that mean subjective knee function differed between the pre-operative time period and at 2-year follow-up (
p
< 0.001). No differences were found with respect to the interaction between KOOS
4
and surgical technique or gender. Additionally, the linear mixed model adjusted for age at reconstruction, gender, and concomitant injuries showed no difference between surgical techniques in KOOS
4
improvement from baseline to 2-year follow-up. However, KOOS
4
improved significantly in patients for all surgical techniques of single-bundle ACL reconstruction (
p
< 0.001); the largest improvement was seen between the pre-operative time period and at 1-year follow-up.
Conclusion
Surgical techniques of primary single-bundle ACL reconstruction did not demonstrate differences in the improvement in baseline subjective knee function as measured with the KOOS
4
during the first 2 years after surgery. However, subjective knee function improved from pre-operative baseline to 2-year follow-up independently of surgical technique.</description><identifier>ISSN: 0942-2056</identifier><identifier>ISSN: 1433-7347</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-017-4521-y</identifier><identifier>PMID: 28314886</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>ACL ; Adolescent ; Adult ; Anatomic ; Anterior cruciate ligament ; Anterior Cruciate Ligament Injuries - epidemiology ; Anterior Cruciate Ligament Injuries - rehabilitation ; Anterior Cruciate Ligament Injuries - surgery ; Anterior Cruciate Ligament Reconstruction - methods ; Biocompatibility ; Biomedical materials ; Bundling ; Checklist ; Cohort analysis ; Cohort Studies ; Drilling ; Female ; femoral tunnel ; Follow-Up Studies ; Humans ; Knee ; KOOS ; Ligaments ; Male ; Medicin och hälsovetenskap ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Ortopedi ; oslo acl cohort ; Osteoarthritis ; Osteoarthritis, Knee - etiology ; outcomes ; Patient-reported outcome ; Patients ; position ; Postoperative Complications - etiology ; predictors ; quality-of-life ; Recovery of Function ; Register ; Registries ; return ; risk ; Skin & tissue grafts ; Sport Sciences ; Surgery ; Surgical techniques ; Surveys and Questionnaires ; Sweden - epidemiology ; Transplantation, Autologous ; Variance analysis ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017-12, Vol.25 (12), p.3945-3954</ispartof><rights>The Author(s) 2017</rights><rights>Knee Surgery, Sports Traumatology, Arthroscopy is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c596t-e2e5798e262bc26ef29d1816cc127f83068322956a05a074cbb916794567a70a3</citedby><cites>FETCH-LOGICAL-c596t-e2e5798e262bc26ef29d1816cc127f83068322956a05a074cbb916794567a70a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28314886$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://gup.ub.gu.se/publication/261675$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:137126825$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Hamrin Senorski, Eric</creatorcontrib><creatorcontrib>Sundemo, David</creatorcontrib><creatorcontrib>Murawski, Christopher D.</creatorcontrib><creatorcontrib>Alentorn-Geli, Eduard</creatorcontrib><creatorcontrib>Musahl, Volker</creatorcontrib><creatorcontrib>Fu, Freddie</creatorcontrib><creatorcontrib>Desai, Neel</creatorcontrib><creatorcontrib>Stålman, Anders</creatorcontrib><creatorcontrib>Samuelsson, Kristian</creatorcontrib><title>No differences in subjective knee function between surgical techniques of anterior cruciate ligament reconstruction at 2-year follow-up: a cohort study from the Swedish National Knee Ligament Register</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The purpose of this study was to investigate how different techniques of single-bundle anterior cruciate ligament (ACL) reconstruction affect subjective knee function via the Knee injury and Osteoarthritis Outcome Score (KOOS) evaluation 2 years after surgery. It was hypothesized that the surgical techniques of single-bundle ACL reconstruction would result in equivalent results with respect to subjective knee function 2 years after surgery.
Methods
This cohort study was based on data from the Swedish National Knee Ligament Register during the 10-year period of 1 January 2005 through 31 December 2014. Patients who underwent primary single-bundle ACL reconstruction with hamstrings tendon autograft were included. Details on surgical technique were collected using a web-based questionnaire comprised of essential AARSC items, including utilization of accessory medial portal drilling, anatomic tunnel placement, and visualization of insertion sites and landmarks. A repeated measures ANOVA and an additional linear mixed model analysis were used to investigate the effect of surgical technique on the KOOS
4
from the pre-operative period to 2-year follow-up.
Results
A total of 13,636 patients who had undergone single-bundle ACL reconstruction comprised the study group for this analysis. A repeated measures ANOVA determined that mean subjective knee function differed between the pre-operative time period and at 2-year follow-up (
p
< 0.001). No differences were found with respect to the interaction between KOOS
4
and surgical technique or gender. Additionally, the linear mixed model adjusted for age at reconstruction, gender, and concomitant injuries showed no difference between surgical techniques in KOOS
4
improvement from baseline to 2-year follow-up. However, KOOS
4
improved significantly in patients for all surgical techniques of single-bundle ACL reconstruction (
p
< 0.001); the largest improvement was seen between the pre-operative time period and at 1-year follow-up.
Conclusion
Surgical techniques of primary single-bundle ACL reconstruction did not demonstrate differences in the improvement in baseline subjective knee function as measured with the KOOS
4
during the first 2 years after surgery. However, subjective knee function improved from pre-operative baseline to 2-year follow-up independently of surgical technique.</description><subject>ACL</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anatomic</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament Injuries - epidemiology</subject><subject>Anterior Cruciate Ligament Injuries - rehabilitation</subject><subject>Anterior Cruciate Ligament Injuries - surgery</subject><subject>Anterior Cruciate Ligament Reconstruction - methods</subject><subject>Biocompatibility</subject><subject>Biomedical materials</subject><subject>Bundling</subject><subject>Checklist</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Drilling</subject><subject>Female</subject><subject>femoral tunnel</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Knee</subject><subject>KOOS</subject><subject>Ligaments</subject><subject>Male</subject><subject>Medicin och hälsovetenskap</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Ortopedi</subject><subject>oslo acl cohort</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee - etiology</subject><subject>outcomes</subject><subject>Patient-reported outcome</subject><subject>Patients</subject><subject>position</subject><subject>Postoperative Complications - etiology</subject><subject>predictors</subject><subject>quality-of-life</subject><subject>Recovery of Function</subject><subject>Register</subject><subject>Registries</subject><subject>return</subject><subject>risk</subject><subject>Skin & tissue grafts</subject><subject>Sport Sciences</subject><subject>Surgery</subject><subject>Surgical techniques</subject><subject>Surveys and Questionnaires</subject><subject>Sweden - epidemiology</subject><subject>Transplantation, Autologous</subject><subject>Variance analysis</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kttu1DAQhiMEoqXwANwgS9xwE7CdxAcukFDFSayKxOHacpxJ1tusvdhOV_uGPBYOu1tapHJle_z9_4zHUxRPCX5JMOavIsaE8RITXtYNJeXuXnFK6qoqeVXz-8UpljUtKW7YSfEoxhXGeVvLh8UJFRWphWCnxa8Ljzrb9xDAGYjIOhSndgUm2StAlw4A9ZPLJ-9QC2kLMANhsEaPKIFZOvtzyjrfI-0SBOsDMmEyVidAox30GlxCAYx3MeX4HyOdEC13oAPq_Tj6bTltXiONjF_6kFBMU7dDffBrlJaAvm2hs3GJLvSszVk_z0UtjtZfYbAxJ35cPOj1GOHJYT0rfrx_9_38Y7n48uHT-dtFaRrJUgkUGi4FUEZbQxn0VHZEEGYMobwXFWaiolQ2TONGY16btpW5x7JuGNcc6-qsKPe-cQubqVWbYNc67JTXVh1Cl3kHqpbZqcq8vJPfBN_9FR2FpOKEMkGb_-Yapo3KoWGaJZTlGmf-zZ7P8Bo6k_sT9Hg75a0bZ5dq8FeqYbnYRmaDFweD4OdvTWpto4Fx1A78FBURXAhaCcoy-vwfdOWnkP8nU5IxgQWu5orInjLBxxigvy6GYDXPsNrPsMozrOYZVruseXbzFdeK49BmgB7akq_cAOFG6jtdfwORXAQD</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Hamrin Senorski, Eric</creator><creator>Sundemo, David</creator><creator>Murawski, Christopher D.</creator><creator>Alentorn-Geli, Eduard</creator><creator>Musahl, Volker</creator><creator>Fu, Freddie</creator><creator>Desai, Neel</creator><creator>Stålman, Anders</creator><creator>Samuelsson, Kristian</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>F1U</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20171201</creationdate><title>No differences in subjective knee function between surgical techniques of anterior cruciate ligament reconstruction at 2-year follow-up: a cohort study from the Swedish National Knee Ligament Register</title><author>Hamrin Senorski, Eric ; Sundemo, David ; Murawski, Christopher D. ; Alentorn-Geli, Eduard ; Musahl, Volker ; Fu, Freddie ; Desai, Neel ; Stålman, Anders ; Samuelsson, Kristian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c596t-e2e5798e262bc26ef29d1816cc127f83068322956a05a074cbb916794567a70a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>ACL</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Anatomic</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament Injuries - epidemiology</topic><topic>Anterior Cruciate Ligament Injuries - rehabilitation</topic><topic>Anterior Cruciate Ligament Injuries - surgery</topic><topic>Anterior Cruciate Ligament Reconstruction - methods</topic><topic>Biocompatibility</topic><topic>Biomedical materials</topic><topic>Bundling</topic><topic>Checklist</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Drilling</topic><topic>Female</topic><topic>femoral tunnel</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Knee</topic><topic>KOOS</topic><topic>Ligaments</topic><topic>Male</topic><topic>Medicin och hälsovetenskap</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Ortopedi</topic><topic>oslo acl cohort</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Knee - etiology</topic><topic>outcomes</topic><topic>Patient-reported outcome</topic><topic>Patients</topic><topic>position</topic><topic>Postoperative Complications - etiology</topic><topic>predictors</topic><topic>quality-of-life</topic><topic>Recovery of Function</topic><topic>Register</topic><topic>Registries</topic><topic>return</topic><topic>risk</topic><topic>Skin & tissue grafts</topic><topic>Sport Sciences</topic><topic>Surgery</topic><topic>Surgical techniques</topic><topic>Surveys and Questionnaires</topic><topic>Sweden - epidemiology</topic><topic>Transplantation, Autologous</topic><topic>Variance analysis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hamrin Senorski, Eric</creatorcontrib><creatorcontrib>Sundemo, David</creatorcontrib><creatorcontrib>Murawski, Christopher D.</creatorcontrib><creatorcontrib>Alentorn-Geli, Eduard</creatorcontrib><creatorcontrib>Musahl, Volker</creatorcontrib><creatorcontrib>Fu, Freddie</creatorcontrib><creatorcontrib>Desai, Neel</creatorcontrib><creatorcontrib>Stålman, Anders</creatorcontrib><creatorcontrib>Samuelsson, Kristian</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Göteborgs universitet</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamrin Senorski, Eric</au><au>Sundemo, David</au><au>Murawski, Christopher D.</au><au>Alentorn-Geli, Eduard</au><au>Musahl, Volker</au><au>Fu, Freddie</au><au>Desai, Neel</au><au>Stålman, Anders</au><au>Samuelsson, Kristian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>No differences in subjective knee function between surgical techniques of anterior cruciate ligament reconstruction at 2-year follow-up: a cohort study from the Swedish National Knee Ligament Register</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>25</volume><issue>12</issue><spage>3945</spage><epage>3954</epage><pages>3945-3954</pages><issn>0942-2056</issn><issn>1433-7347</issn><eissn>1433-7347</eissn><abstract>Purpose
The purpose of this study was to investigate how different techniques of single-bundle anterior cruciate ligament (ACL) reconstruction affect subjective knee function via the Knee injury and Osteoarthritis Outcome Score (KOOS) evaluation 2 years after surgery. It was hypothesized that the surgical techniques of single-bundle ACL reconstruction would result in equivalent results with respect to subjective knee function 2 years after surgery.
Methods
This cohort study was based on data from the Swedish National Knee Ligament Register during the 10-year period of 1 January 2005 through 31 December 2014. Patients who underwent primary single-bundle ACL reconstruction with hamstrings tendon autograft were included. Details on surgical technique were collected using a web-based questionnaire comprised of essential AARSC items, including utilization of accessory medial portal drilling, anatomic tunnel placement, and visualization of insertion sites and landmarks. A repeated measures ANOVA and an additional linear mixed model analysis were used to investigate the effect of surgical technique on the KOOS
4
from the pre-operative period to 2-year follow-up.
Results
A total of 13,636 patients who had undergone single-bundle ACL reconstruction comprised the study group for this analysis. A repeated measures ANOVA determined that mean subjective knee function differed between the pre-operative time period and at 2-year follow-up (
p
< 0.001). No differences were found with respect to the interaction between KOOS
4
and surgical technique or gender. Additionally, the linear mixed model adjusted for age at reconstruction, gender, and concomitant injuries showed no difference between surgical techniques in KOOS
4
improvement from baseline to 2-year follow-up. However, KOOS
4
improved significantly in patients for all surgical techniques of single-bundle ACL reconstruction (
p
< 0.001); the largest improvement was seen between the pre-operative time period and at 1-year follow-up.
Conclusion
Surgical techniques of primary single-bundle ACL reconstruction did not demonstrate differences in the improvement in baseline subjective knee function as measured with the KOOS
4
during the first 2 years after surgery. However, subjective knee function improved from pre-operative baseline to 2-year follow-up independently of surgical technique.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28314886</pmid><doi>10.1007/s00167-017-4521-y</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017-12, Vol.25 (12), p.3945-3954 |
| issn | 0942-2056 1433-7347 1433-7347 |
| language | eng |
| recordid | cdi_swepub_primary_oai_swepub_ki_se_498323 |
| source | EBSCOhost SPORTDiscus with Full Text; Springer Nature; Wiley-Blackwell Read & Publish Collection |
| subjects | ACL Adolescent Adult Anatomic Anterior cruciate ligament Anterior Cruciate Ligament Injuries - epidemiology Anterior Cruciate Ligament Injuries - rehabilitation Anterior Cruciate Ligament Injuries - surgery Anterior Cruciate Ligament Reconstruction - methods Biocompatibility Biomedical materials Bundling Checklist Cohort analysis Cohort Studies Drilling Female femoral tunnel Follow-Up Studies Humans Knee KOOS Ligaments Male Medicin och hälsovetenskap Medicine Medicine & Public Health Middle Aged Orthopedics Ortopedi oslo acl cohort Osteoarthritis Osteoarthritis, Knee - etiology outcomes Patient-reported outcome Patients position Postoperative Complications - etiology predictors quality-of-life Recovery of Function Register Registries return risk Skin & tissue grafts Sport Sciences Surgery Surgical techniques Surveys and Questionnaires Sweden - epidemiology Transplantation, Autologous Variance analysis Young Adult |
| title | No differences in subjective knee function between surgical techniques of anterior cruciate ligament reconstruction at 2-year follow-up: a cohort study from the Swedish National Knee Ligament Register |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T08%3A20%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_swepu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=No%20differences%20in%20subjective%20knee%20function%20between%20surgical%20techniques%20of%20anterior%20cruciate%20ligament%20reconstruction%20at%202-year%20follow-up:%20a%20cohort%20study%20from%20the%20Swedish%20National%20Knee%20Ligament%20Register&rft.jtitle=Knee%20surgery,%20sports%20traumatology,%20arthroscopy%20:%20official%20journal%20of%20the%20ESSKA&rft.au=Hamrin%20Senorski,%20Eric&rft.date=2017-12-01&rft.volume=25&rft.issue=12&rft.spage=3945&rft.epage=3954&rft.pages=3945-3954&rft.issn=0942-2056&rft.eissn=1433-7347&rft_id=info:doi/10.1007/s00167-017-4521-y&rft_dat=%3Cproquest_swepu%3E1966808035%3C/proquest_swepu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c596t-e2e5798e262bc26ef29d1816cc127f83068322956a05a074cbb916794567a70a3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1966808035&rft_id=info:pmid/28314886&rfr_iscdi=true |