Joint effusion at 6 months is a significant predictor of joint effusion 1 year after anterior cruciate ligament reconstruction
Purpose This study aimed to assess the risk factors for prolonged joint effusion in patients undergoing double-bundle anterior cruciate ligament reconstruction (ACLR). Methods In total, 160 patients who underwent primary ACLR using autograft hamstring between 2015 and 2018 were retrospectively revie...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2021-11, Vol.29 (11), p.3839-3845 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Ogura, Takahiro Asai, Shigehiro Akagi, Ryuichiro Fukuda, Hideaki Yamaura, Ichiro Sakai, Hiroki Ichino, Yoshinobu Takahashi, Tatsuya Omodani, Toru Saito, Chikara Ninomiya, Taishi Shiko, Yuki Kawasaki, Yohei Tsuchiya, Akihiro Takahashi, Kenji Sasho, Takahisa |
| description | Purpose
This study aimed to assess the risk factors for prolonged joint effusion in patients undergoing double-bundle anterior cruciate ligament reconstruction (ACLR).
Methods
In total, 160 patients who underwent primary ACLR using autograft hamstring between 2015 and 2018 were retrospectively reviewed. Joint effusion was defined as any grade ≥ 2 (range, 0–3) according to the MRI Osteoarthritis Knee Score (MOAKS). Univariate and multivariate logistic regression analyses were performed.
Results
The median age of the patients was 25 years (range 14–68 years) at the time of the surgery; there were 89 women and 71 men. At 1 year, 46 (28.8%) patients experienced knee joint effusion, as defined by the MOAKS. Univariate analysis revealed that age, preoperative Kellgren–Lawrence (K–L) grade, and joint effusion at 6 months were significantly associated with joint effusion at 1 year. In the multivariate analysis, joint effusion at 6 months was significantly associated with joint effusion at 1 year (odds ratio, 68.0; 95% confidence interval, 22.1–209.4). No significant difference in the Lysholm scores was observed between patients with and without joint effusion at 1 year (n.s.).
Conclusions
Joint effusion at 6 months was significantly associated with joint effusion 1 year after ACLR.
Level of evidence
III. |
| doi_str_mv | 10.1007/s00167-021-06433-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2479710390</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2479710390</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-a6500fca606b57b27e0bd34a677bb6e57093821515b31e184f50a3420ab1b143</originalsourceid><addsrcrecordid>eNp9kcFuVCEUhonR2Gn1BVwYEjdurh7gAnOXplGraeKmewLMYWQyF0bgJu3OR-mz9MmkTtXows3hhPP9_yH8hLxg8IYB6LcVgCk9AGcDqFGI4foRWbH7RotRPyYrmEY-cJDqhJzWugPo7Tg9JSeiz-Ua1Ip8_5xjahRDWGrMidpG1d3tnFP7Wmms1NIatymG6G3HDgU30bdcaA5097eS3d3eoC3Uhoa9pl5jB31ZfLQN6T5u7YxdUdDnVFu_b133jDwJdl_x-cN5Rq4-vL86vxguv3z8dP7ucvBCyzZYJQGCtwqUk9pxjeA2YrRKa-cUSg2TWHMmmXSCIVuPQYIVIwfrmOt_ckZeH20PJX9bsDYzx-pxv7cJ81INH_WkGYgJOvrqH3SXl5L64wyXa6aYEKA7xY-UL7nWgsEcSpxtuTEMzH085hiP6fGYn_GY6y56-WC9uBk3vyW_8uiAOAK1j9IWy5_d_7H9AdQkna0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2581613307</pqid></control><display><type>article</type><title>Joint effusion at 6 months is a significant predictor of joint effusion 1 year after anterior cruciate ligament reconstruction</title><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals - AutoHoldings</source><creator>Ogura, Takahiro ; Asai, Shigehiro ; Akagi, Ryuichiro ; Fukuda, Hideaki ; Yamaura, Ichiro ; Sakai, Hiroki ; Ichino, Yoshinobu ; Takahashi, Tatsuya ; Omodani, Toru ; Saito, Chikara ; Ninomiya, Taishi ; Shiko, Yuki ; Kawasaki, Yohei ; Tsuchiya, Akihiro ; Takahashi, Kenji ; Sasho, Takahisa</creator><creatorcontrib>Ogura, Takahiro ; Asai, Shigehiro ; Akagi, Ryuichiro ; Fukuda, Hideaki ; Yamaura, Ichiro ; Sakai, Hiroki ; Ichino, Yoshinobu ; Takahashi, Tatsuya ; Omodani, Toru ; Saito, Chikara ; Ninomiya, Taishi ; Shiko, Yuki ; Kawasaki, Yohei ; Tsuchiya, Akihiro ; Takahashi, Kenji ; Sasho, Takahisa</creatorcontrib><description>Purpose
This study aimed to assess the risk factors for prolonged joint effusion in patients undergoing double-bundle anterior cruciate ligament reconstruction (ACLR).
Methods
In total, 160 patients who underwent primary ACLR using autograft hamstring between 2015 and 2018 were retrospectively reviewed. Joint effusion was defined as any grade ≥ 2 (range, 0–3) according to the MRI Osteoarthritis Knee Score (MOAKS). Univariate and multivariate logistic regression analyses were performed.
Results
The median age of the patients was 25 years (range 14–68 years) at the time of the surgery; there were 89 women and 71 men. At 1 year, 46 (28.8%) patients experienced knee joint effusion, as defined by the MOAKS. Univariate analysis revealed that age, preoperative Kellgren–Lawrence (K–L) grade, and joint effusion at 6 months were significantly associated with joint effusion at 1 year. In the multivariate analysis, joint effusion at 6 months was significantly associated with joint effusion at 1 year (odds ratio, 68.0; 95% confidence interval, 22.1–209.4). No significant difference in the Lysholm scores was observed between patients with and without joint effusion at 1 year (n.s.).
Conclusions
Joint effusion at 6 months was significantly associated with joint effusion 1 year after ACLR.
Level of evidence
III.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-021-06433-x</identifier><identifier>PMID: 33475806</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anterior cruciate ligament ; Biomedical materials ; Confidence intervals ; Effusion ; Joints (anatomy) ; Knee ; Ligaments ; Magnetic resonance imaging ; Medicine ; Medicine & Public Health ; Multivariate analysis ; Orthopedics ; Osteoarthritis ; Patients ; Risk analysis ; Risk factors ; Sports Medicine ; Statistical analysis</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-11, Vol.29 (11), p.3839-3845</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2021</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-a6500fca606b57b27e0bd34a677bb6e57093821515b31e184f50a3420ab1b143</citedby><cites>FETCH-LOGICAL-c375t-a6500fca606b57b27e0bd34a677bb6e57093821515b31e184f50a3420ab1b143</cites><orcidid>0000-0002-7057-0936 ; 0000-0003-2806-8851 ; 0000-0002-8921-9636</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-021-06433-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-021-06433-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33475806$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ogura, Takahiro</creatorcontrib><creatorcontrib>Asai, Shigehiro</creatorcontrib><creatorcontrib>Akagi, Ryuichiro</creatorcontrib><creatorcontrib>Fukuda, Hideaki</creatorcontrib><creatorcontrib>Yamaura, Ichiro</creatorcontrib><creatorcontrib>Sakai, Hiroki</creatorcontrib><creatorcontrib>Ichino, Yoshinobu</creatorcontrib><creatorcontrib>Takahashi, Tatsuya</creatorcontrib><creatorcontrib>Omodani, Toru</creatorcontrib><creatorcontrib>Saito, Chikara</creatorcontrib><creatorcontrib>Ninomiya, Taishi</creatorcontrib><creatorcontrib>Shiko, Yuki</creatorcontrib><creatorcontrib>Kawasaki, Yohei</creatorcontrib><creatorcontrib>Tsuchiya, Akihiro</creatorcontrib><creatorcontrib>Takahashi, Kenji</creatorcontrib><creatorcontrib>Sasho, Takahisa</creatorcontrib><title>Joint effusion at 6 months is a significant predictor of joint effusion 1 year 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
This study aimed to assess the risk factors for prolonged joint effusion in patients undergoing double-bundle anterior cruciate ligament reconstruction (ACLR).
Methods
In total, 160 patients who underwent primary ACLR using autograft hamstring between 2015 and 2018 were retrospectively reviewed. Joint effusion was defined as any grade ≥ 2 (range, 0–3) according to the MRI Osteoarthritis Knee Score (MOAKS). Univariate and multivariate logistic regression analyses were performed.
Results
The median age of the patients was 25 years (range 14–68 years) at the time of the surgery; there were 89 women and 71 men. At 1 year, 46 (28.8%) patients experienced knee joint effusion, as defined by the MOAKS. Univariate analysis revealed that age, preoperative Kellgren–Lawrence (K–L) grade, and joint effusion at 6 months were significantly associated with joint effusion at 1 year. In the multivariate analysis, joint effusion at 6 months was significantly associated with joint effusion at 1 year (odds ratio, 68.0; 95% confidence interval, 22.1–209.4). No significant difference in the Lysholm scores was observed between patients with and without joint effusion at 1 year (n.s.).
Conclusions
Joint effusion at 6 months was significantly associated with joint effusion 1 year after ACLR.
Level of evidence
III.</description><subject>Anterior cruciate ligament</subject><subject>Biomedical materials</subject><subject>Confidence intervals</subject><subject>Effusion</subject><subject>Joints (anatomy)</subject><subject>Knee</subject><subject>Ligaments</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multivariate analysis</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Patients</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Sports Medicine</subject><subject>Statistical analysis</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kcFuVCEUhonR2Gn1BVwYEjdurh7gAnOXplGraeKmewLMYWQyF0bgJu3OR-mz9MmkTtXows3hhPP9_yH8hLxg8IYB6LcVgCk9AGcDqFGI4foRWbH7RotRPyYrmEY-cJDqhJzWugPo7Tg9JSeiz-Ua1Ip8_5xjahRDWGrMidpG1d3tnFP7Wmms1NIatymG6G3HDgU30bdcaA5097eS3d3eoC3Uhoa9pl5jB31ZfLQN6T5u7YxdUdDnVFu_b133jDwJdl_x-cN5Rq4-vL86vxguv3z8dP7ucvBCyzZYJQGCtwqUk9pxjeA2YrRKa-cUSg2TWHMmmXSCIVuPQYIVIwfrmOt_ckZeH20PJX9bsDYzx-pxv7cJ81INH_WkGYgJOvrqH3SXl5L64wyXa6aYEKA7xY-UL7nWgsEcSpxtuTEMzH085hiP6fGYn_GY6y56-WC9uBk3vyW_8uiAOAK1j9IWy5_d_7H9AdQkna0</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Ogura, Takahiro</creator><creator>Asai, Shigehiro</creator><creator>Akagi, Ryuichiro</creator><creator>Fukuda, Hideaki</creator><creator>Yamaura, Ichiro</creator><creator>Sakai, Hiroki</creator><creator>Ichino, Yoshinobu</creator><creator>Takahashi, Tatsuya</creator><creator>Omodani, Toru</creator><creator>Saito, Chikara</creator><creator>Ninomiya, Taishi</creator><creator>Shiko, Yuki</creator><creator>Kawasaki, Yohei</creator><creator>Tsuchiya, Akihiro</creator><creator>Takahashi, Kenji</creator><creator>Sasho, Takahisa</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><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><orcidid>https://orcid.org/0000-0002-7057-0936</orcidid><orcidid>https://orcid.org/0000-0003-2806-8851</orcidid><orcidid>https://orcid.org/0000-0002-8921-9636</orcidid></search><sort><creationdate>20211101</creationdate><title>Joint effusion at 6 months is a significant predictor of joint effusion 1 year after anterior cruciate ligament reconstruction</title><author>Ogura, Takahiro ; Asai, Shigehiro ; Akagi, Ryuichiro ; Fukuda, Hideaki ; Yamaura, Ichiro ; Sakai, Hiroki ; Ichino, Yoshinobu ; Takahashi, Tatsuya ; Omodani, Toru ; Saito, Chikara ; Ninomiya, Taishi ; Shiko, Yuki ; Kawasaki, Yohei ; Tsuchiya, Akihiro ; Takahashi, Kenji ; Sasho, Takahisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-a6500fca606b57b27e0bd34a677bb6e57093821515b31e184f50a3420ab1b143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anterior cruciate ligament</topic><topic>Biomedical materials</topic><topic>Confidence intervals</topic><topic>Effusion</topic><topic>Joints (anatomy)</topic><topic>Knee</topic><topic>Ligaments</topic><topic>Magnetic resonance imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multivariate analysis</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Patients</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Sports Medicine</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ogura, Takahiro</creatorcontrib><creatorcontrib>Asai, Shigehiro</creatorcontrib><creatorcontrib>Akagi, Ryuichiro</creatorcontrib><creatorcontrib>Fukuda, Hideaki</creatorcontrib><creatorcontrib>Yamaura, Ichiro</creatorcontrib><creatorcontrib>Sakai, Hiroki</creatorcontrib><creatorcontrib>Ichino, Yoshinobu</creatorcontrib><creatorcontrib>Takahashi, Tatsuya</creatorcontrib><creatorcontrib>Omodani, Toru</creatorcontrib><creatorcontrib>Saito, Chikara</creatorcontrib><creatorcontrib>Ninomiya, Taishi</creatorcontrib><creatorcontrib>Shiko, Yuki</creatorcontrib><creatorcontrib>Kawasaki, Yohei</creatorcontrib><creatorcontrib>Tsuchiya, Akihiro</creatorcontrib><creatorcontrib>Takahashi, Kenji</creatorcontrib><creatorcontrib>Sasho, Takahisa</creatorcontrib><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>Ogura, Takahiro</au><au>Asai, Shigehiro</au><au>Akagi, Ryuichiro</au><au>Fukuda, Hideaki</au><au>Yamaura, Ichiro</au><au>Sakai, Hiroki</au><au>Ichino, Yoshinobu</au><au>Takahashi, Tatsuya</au><au>Omodani, Toru</au><au>Saito, Chikara</au><au>Ninomiya, Taishi</au><au>Shiko, Yuki</au><au>Kawasaki, Yohei</au><au>Tsuchiya, Akihiro</au><au>Takahashi, Kenji</au><au>Sasho, Takahisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Joint effusion at 6 months is a significant predictor of joint effusion 1 year 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>2021-11-01</date><risdate>2021</risdate><volume>29</volume><issue>11</issue><spage>3839</spage><epage>3845</epage><pages>3839-3845</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
This study aimed to assess the risk factors for prolonged joint effusion in patients undergoing double-bundle anterior cruciate ligament reconstruction (ACLR).
Methods
In total, 160 patients who underwent primary ACLR using autograft hamstring between 2015 and 2018 were retrospectively reviewed. Joint effusion was defined as any grade ≥ 2 (range, 0–3) according to the MRI Osteoarthritis Knee Score (MOAKS). Univariate and multivariate logistic regression analyses were performed.
Results
The median age of the patients was 25 years (range 14–68 years) at the time of the surgery; there were 89 women and 71 men. At 1 year, 46 (28.8%) patients experienced knee joint effusion, as defined by the MOAKS. Univariate analysis revealed that age, preoperative Kellgren–Lawrence (K–L) grade, and joint effusion at 6 months were significantly associated with joint effusion at 1 year. In the multivariate analysis, joint effusion at 6 months was significantly associated with joint effusion at 1 year (odds ratio, 68.0; 95% confidence interval, 22.1–209.4). No significant difference in the Lysholm scores was observed between patients with and without joint effusion at 1 year (n.s.).
Conclusions
Joint effusion at 6 months was significantly associated with joint effusion 1 year after ACLR.
Level of evidence
III.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33475806</pmid><doi>10.1007/s00167-021-06433-x</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-7057-0936</orcidid><orcidid>https://orcid.org/0000-0003-2806-8851</orcidid><orcidid>https://orcid.org/0000-0002-8921-9636</orcidid></addata></record> |
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| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-11, Vol.29 (11), p.3839-3845 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2479710390 |
| source | Wiley Online Library Journals Frontfile Complete; SpringerLink Journals - AutoHoldings |
| subjects | Anterior cruciate ligament Biomedical materials Confidence intervals Effusion Joints (anatomy) Knee Ligaments Magnetic resonance imaging Medicine Medicine & Public Health Multivariate analysis Orthopedics Osteoarthritis Patients Risk analysis Risk factors Sports Medicine Statistical analysis |
| title | Joint effusion at 6 months is a significant predictor of joint effusion 1 year after anterior cruciate ligament reconstruction |
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