Patient-reported evaluation on giving way is important for return to preinjury activity level after Anterior Cruciate Ligament reconstruction
Purpose The present study evaluated the rate of returning to the preinjury level of competitive sports after ACLR and influential factors. Methods After excluding composite ligament injury cases, 96 patients with a Tegner activity score of ≥ 6 who were managed between April 2015 and March 2016 and h...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2021-04, Vol.29 (4), p.1128-1136 |
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| creator | Ohsawa, Takashi Kimura, Masashi Chikuda, Hirotaka |
| description | Purpose
The present study evaluated the rate of returning to the preinjury level of competitive sports after ACLR and influential factors.
Methods
After excluding composite ligament injury cases, 96 patients with a Tegner activity score of ≥ 6 who were managed between April 2015 and March 2016 and had been followed for ≥ 2 years were included in the present study. The patients were evaluated for instability, and the following data were collected: second-look arthroscopy findings, muscle strength, and International Knee Documentation Committee (IKDC) subjective score (follow-up rate: 88.1%).
Results
The rate of returning to the preinjury level of competitive sports was 62/96 (64.6%). Only the total IKDC subjective score (odds ratio, 1.052; 95% confidence interval 1.004–1.102;
p
= 0.035) and the subjectively evaluated item about giving way (odds ratio, 1.762; 95% confidence interval 1.066–2.911;
p
= 0.027) were independently associated with the returning to the preinjury level of competitive sports after ACLR in the logistic regression analysis.
Conclusion
The rate of returning to the preinjury level of competitive sports after ACLR was 64.6%, even if a good knee stability and healing status of the sutured meniscus were acquired after ACLR. The IKDC subjective score, especially the item about giving way, was significantly associated with the returning to the preinjury level of competitive sports. The factors assessed by patient-reported evaluations concerning giving way that may be related to functional performance, including brain activity, are important to consider to improve the rate of returning to the preinjury level of competitive sports.
Level of evidence
III. |
| doi_str_mv | 10.1007/s00167-020-06111-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2418730019</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2502560079</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-c4254e2e7d33540b2224acde98f5124c2ba7c86cabf3226655ca17e4102c02d33</originalsourceid><addsrcrecordid>eNp9kd-OEyEUxonRuHX1BbwwJN54My4cYKZzuWn8lzRxL9xrQumZhmYGKjA1fQjf2dPtqokXJgTI4fd9B_gYey3FeylEd1OEkG3XCBCNaKWUjX7CFlIr1XRKd0_ZQvQaGhCmvWIvStkLQVvdP2dXCkxPnFiwn3euBoy1yXhIueKW49GNMxVT5DR24Rjijv9wJx4KD9MZcrHyIWWesc458pr4IWOI-zmfuPOVFPXERzziyN1QMfPbSHMgxSrPPriKfB12bqK25OFTLJXq544v2bPBjQVfPa7X7P7jh2-rz83666cvq9t147WWlWYwGgG7rVJGiw0AaOe32C8HI0F72LjOL1vvNoMCaFtjvJMdainACyDRNXt38T3k9H3GUu0UisdxdBHTXCxouewUfW9P6Nt_0H2iV9PtLBgBpqUkzhRcKJ9TKRkHe8hhcvlkpbDnsOwlLEth2YewrCbRm0freTPh9o_kdzoEqAtQ6CjuMP_t_R_bXwqroes</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2502560079</pqid></control><display><type>article</type><title>Patient-reported evaluation on giving way is important for return to preinjury activity level after Anterior Cruciate Ligament reconstruction</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><source>SpringerLink Journals - AutoHoldings</source><creator>Ohsawa, Takashi ; Kimura, Masashi ; Chikuda, Hirotaka</creator><creatorcontrib>Ohsawa, Takashi ; Kimura, Masashi ; Chikuda, Hirotaka</creatorcontrib><description>Purpose
The present study evaluated the rate of returning to the preinjury level of competitive sports after ACLR and influential factors.
Methods
After excluding composite ligament injury cases, 96 patients with a Tegner activity score of ≥ 6 who were managed between April 2015 and March 2016 and had been followed for ≥ 2 years were included in the present study. The patients were evaluated for instability, and the following data were collected: second-look arthroscopy findings, muscle strength, and International Knee Documentation Committee (IKDC) subjective score (follow-up rate: 88.1%).
Results
The rate of returning to the preinjury level of competitive sports was 62/96 (64.6%). Only the total IKDC subjective score (odds ratio, 1.052; 95% confidence interval 1.004–1.102;
p
= 0.035) and the subjectively evaluated item about giving way (odds ratio, 1.762; 95% confidence interval 1.066–2.911;
p
= 0.027) were independently associated with the returning to the preinjury level of competitive sports after ACLR in the logistic regression analysis.
Conclusion
The rate of returning to the preinjury level of competitive sports after ACLR was 64.6%, even if a good knee stability and healing status of the sutured meniscus were acquired after ACLR. The IKDC subjective score, especially the item about giving way, was significantly associated with the returning to the preinjury level of competitive sports. The factors assessed by patient-reported evaluations concerning giving way that may be related to functional performance, including brain activity, are important to consider to improve the rate of returning to the preinjury level of competitive sports.
Level of evidence
III.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-020-06111-4</identifier><identifier>PMID: 32594330</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Anterior cruciate ligament ; Anterior Cruciate Ligament Injuries - rehabilitation ; Anterior Cruciate Ligament Injuries - surgery ; Anterior Cruciate Ligament Reconstruction - methods ; Arthroscopy ; Arthroscopy - methods ; Child ; Confidence intervals ; Female ; Humans ; Knee ; Knee - surgery ; Knee Joint - surgery ; Ligaments ; Logistic Models ; Lysholm Knee Score ; Male ; Medicine ; Medicine & Public Health ; Meniscus ; Middle Aged ; Multivariate Analysis ; Muscle Strength ; Orthopedics ; Patient Reported Outcome Measures ; Physical Functional Performance ; Regression analysis ; Retrospective Studies ; Return to Sport ; Second-Look Surgery - methods ; Sports ; Stability analysis ; Statistical analysis ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-04, Vol.29 (4), p.1128-1136</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-c4254e2e7d33540b2224acde98f5124c2ba7c86cabf3226655ca17e4102c02d33</citedby><cites>FETCH-LOGICAL-c441t-c4254e2e7d33540b2224acde98f5124c2ba7c86cabf3226655ca17e4102c02d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-020-06111-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-020-06111-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32594330$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ohsawa, Takashi</creatorcontrib><creatorcontrib>Kimura, Masashi</creatorcontrib><creatorcontrib>Chikuda, Hirotaka</creatorcontrib><title>Patient-reported evaluation on giving way is important for return to preinjury activity level after Anterior Cruciate Ligament reconstruction</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 present study evaluated the rate of returning to the preinjury level of competitive sports after ACLR and influential factors.
Methods
After excluding composite ligament injury cases, 96 patients with a Tegner activity score of ≥ 6 who were managed between April 2015 and March 2016 and had been followed for ≥ 2 years were included in the present study. The patients were evaluated for instability, and the following data were collected: second-look arthroscopy findings, muscle strength, and International Knee Documentation Committee (IKDC) subjective score (follow-up rate: 88.1%).
Results
The rate of returning to the preinjury level of competitive sports was 62/96 (64.6%). Only the total IKDC subjective score (odds ratio, 1.052; 95% confidence interval 1.004–1.102;
p
= 0.035) and the subjectively evaluated item about giving way (odds ratio, 1.762; 95% confidence interval 1.066–2.911;
p
= 0.027) were independently associated with the returning to the preinjury level of competitive sports after ACLR in the logistic regression analysis.
Conclusion
The rate of returning to the preinjury level of competitive sports after ACLR was 64.6%, even if a good knee stability and healing status of the sutured meniscus were acquired after ACLR. The IKDC subjective score, especially the item about giving way, was significantly associated with the returning to the preinjury level of competitive sports. The factors assessed by patient-reported evaluations concerning giving way that may be related to functional performance, including brain activity, are important to consider to improve the rate of returning to the preinjury level of competitive sports.
Level of evidence
III.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament Injuries - rehabilitation</subject><subject>Anterior Cruciate Ligament Injuries - surgery</subject><subject>Anterior Cruciate Ligament Reconstruction - methods</subject><subject>Arthroscopy</subject><subject>Arthroscopy - methods</subject><subject>Child</subject><subject>Confidence intervals</subject><subject>Female</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee - surgery</subject><subject>Knee Joint - surgery</subject><subject>Ligaments</subject><subject>Logistic Models</subject><subject>Lysholm Knee Score</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meniscus</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Muscle Strength</subject><subject>Orthopedics</subject><subject>Patient Reported Outcome Measures</subject><subject>Physical Functional Performance</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Return to Sport</subject><subject>Second-Look Surgery - methods</subject><subject>Sports</subject><subject>Stability analysis</subject><subject>Statistical analysis</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kd-OEyEUxonRuHX1BbwwJN54My4cYKZzuWn8lzRxL9xrQumZhmYGKjA1fQjf2dPtqokXJgTI4fd9B_gYey3FeylEd1OEkG3XCBCNaKWUjX7CFlIr1XRKd0_ZQvQaGhCmvWIvStkLQVvdP2dXCkxPnFiwn3euBoy1yXhIueKW49GNMxVT5DR24Rjijv9wJx4KD9MZcrHyIWWesc458pr4IWOI-zmfuPOVFPXERzziyN1QMfPbSHMgxSrPPriKfB12bqK25OFTLJXq544v2bPBjQVfPa7X7P7jh2-rz83666cvq9t147WWlWYwGgG7rVJGiw0AaOe32C8HI0F72LjOL1vvNoMCaFtjvJMdainACyDRNXt38T3k9H3GUu0UisdxdBHTXCxouewUfW9P6Nt_0H2iV9PtLBgBpqUkzhRcKJ9TKRkHe8hhcvlkpbDnsOwlLEth2YewrCbRm0freTPh9o_kdzoEqAtQ6CjuMP_t_R_bXwqroes</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Ohsawa, Takashi</creator><creator>Kimura, Masashi</creator><creator>Chikuda, Hirotaka</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><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></search><sort><creationdate>20210401</creationdate><title>Patient-reported evaluation on giving way is important for return to preinjury activity level after Anterior Cruciate Ligament reconstruction</title><author>Ohsawa, Takashi ; Kimura, Masashi ; Chikuda, Hirotaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-c4254e2e7d33540b2224acde98f5124c2ba7c86cabf3226655ca17e4102c02d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament Injuries - rehabilitation</topic><topic>Anterior Cruciate Ligament Injuries - surgery</topic><topic>Anterior Cruciate Ligament Reconstruction - methods</topic><topic>Arthroscopy</topic><topic>Arthroscopy - methods</topic><topic>Child</topic><topic>Confidence intervals</topic><topic>Female</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee - surgery</topic><topic>Knee Joint - surgery</topic><topic>Ligaments</topic><topic>Logistic Models</topic><topic>Lysholm Knee Score</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meniscus</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Muscle Strength</topic><topic>Orthopedics</topic><topic>Patient Reported Outcome Measures</topic><topic>Physical Functional Performance</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Return to Sport</topic><topic>Second-Look Surgery - methods</topic><topic>Sports</topic><topic>Stability analysis</topic><topic>Statistical analysis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ohsawa, Takashi</creatorcontrib><creatorcontrib>Kimura, Masashi</creatorcontrib><creatorcontrib>Chikuda, Hirotaka</creatorcontrib><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>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 Edition)</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><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>Ohsawa, Takashi</au><au>Kimura, Masashi</au><au>Chikuda, Hirotaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient-reported evaluation on giving way is important for return to preinjury activity level after Anterior Cruciate Ligament reconstruction</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>2021-04-01</date><risdate>2021</risdate><volume>29</volume><issue>4</issue><spage>1128</spage><epage>1136</epage><pages>1128-1136</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
The present study evaluated the rate of returning to the preinjury level of competitive sports after ACLR and influential factors.
Methods
After excluding composite ligament injury cases, 96 patients with a Tegner activity score of ≥ 6 who were managed between April 2015 and March 2016 and had been followed for ≥ 2 years were included in the present study. The patients were evaluated for instability, and the following data were collected: second-look arthroscopy findings, muscle strength, and International Knee Documentation Committee (IKDC) subjective score (follow-up rate: 88.1%).
Results
The rate of returning to the preinjury level of competitive sports was 62/96 (64.6%). Only the total IKDC subjective score (odds ratio, 1.052; 95% confidence interval 1.004–1.102;
p
= 0.035) and the subjectively evaluated item about giving way (odds ratio, 1.762; 95% confidence interval 1.066–2.911;
p
= 0.027) were independently associated with the returning to the preinjury level of competitive sports after ACLR in the logistic regression analysis.
Conclusion
The rate of returning to the preinjury level of competitive sports after ACLR was 64.6%, even if a good knee stability and healing status of the sutured meniscus were acquired after ACLR. The IKDC subjective score, especially the item about giving way, was significantly associated with the returning to the preinjury level of competitive sports. The factors assessed by patient-reported evaluations concerning giving way that may be related to functional performance, including brain activity, are important to consider to improve the rate of returning to the preinjury level of competitive sports.
Level of evidence
III.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32594330</pmid><doi>10.1007/s00167-020-06111-4</doi><tpages>9</tpages></addata></record> |
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| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-04, Vol.29 (4), p.1128-1136 |
| issn | 0942-2056 1433-7347 |
| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Anterior cruciate ligament Anterior Cruciate Ligament Injuries - rehabilitation Anterior Cruciate Ligament Injuries - surgery Anterior Cruciate Ligament Reconstruction - methods Arthroscopy Arthroscopy - methods Child Confidence intervals Female Humans Knee Knee - surgery Knee Joint - surgery Ligaments Logistic Models Lysholm Knee Score Male Medicine Medicine & Public Health Meniscus Middle Aged Multivariate Analysis Muscle Strength Orthopedics Patient Reported Outcome Measures Physical Functional Performance Regression analysis Retrospective Studies Return to Sport Second-Look Surgery - methods Sports Stability analysis Statistical analysis Young Adult |
| title | Patient-reported evaluation on giving way is important for return to preinjury activity level after Anterior Cruciate Ligament reconstruction |
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