Outcomes of multiligament knee injury treated with versus without internal brace suture augmentation
Purpose To compare the postoperative outcomes between Internal Brace (IB) and non-IB patients who underwent surgical management of multiple-ligament knee injuries (MLKI). Methods Patients who underwent surgical management of MLKI at two institutions between 2010 and 2020 were identified and offered...
Gespeichert in:
| Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2024-01, Vol.34 (1), p.303-309 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 309 |
|---|---|
| container_issue | 1 |
| container_start_page | 303 |
| container_title | European journal of orthopaedic surgery & traumatology |
| container_volume | 34 |
| creator | Korber, Shane S. Fathi, Amir Bolia, Ioanna K. Panish, Brian J. Benvegnu, Neilen Juhan, Tristan W. Weber, Alexander E. Argintar, Evan H. Hatch, George F. |
| description | Purpose
To compare the postoperative outcomes between Internal Brace (IB) and non-IB patients who underwent surgical management of multiple-ligament knee injuries (MLKI).
Methods
Patients who underwent surgical management of MLKI at two institutions between 2010 and 2020 were identified and offered participation in the study via the collection of postoperative functional outcomes for MLKI; Lysholm Knee score, Multiligament Quality of Life (ML-QOL), Patient-Reported Outcomes Measurement Information System (PROMIS) computer adaptive testing (CAT), Pain Interference (PI), Physical Function (PF), and Mobility instruments (MI). The postoperative outcomes and reoperation rates were compared between the IB group and non-IB group.
Results
One hundred and twenty-six patients were analyzed; 89 were included in the IB group (31.5% female; age 35.6 ± 1.4 years), and 37 were included in the non-IB group (25.7% female; age 38.8 ± 2.4 years). Mean follow-up time of the entire cohort was 37.9 ± 4.7 months [IB: 21.8 + 1.63; non-IB: 76.4 ± 6.2,
p
|
| doi_str_mv | 10.1007/s00590-023-03575-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2841882849</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2911126539</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-7d00e8c36426c92c3bc2282585af847ee3e62e16af7684dc4e9b4ab08e38cdda3</originalsourceid><addsrcrecordid>eNp9kclOxDAMhiMEgmF5AQ4oEhcuBSdp0_SIRmzSSFzgHKWpO3ToMmQB8fZ0mGERBy62JX_-Lfsn5JjBOQPILzxAVkACXCQgsjxL2BaZsFTwhIFU27_qPbLv_QKAZQXLdsmeyNMCQOYTUt3HYIcOPR1q2sU2NG0zNx32gT73iLTpF9G90-DQBKzoWxOe6Cs6H_1nPcQwIgFdb1paOmOR-hiiQ2rifKViQjP0h2SnNq3Ho00-II_XVw_T22R2f3M3vZwlVnAZkrwCQGWFTLm0BbeitJwrnqnM1CrNEQVKjkyaOpcqrWyKRZmaEhQKZavKiANyttZduuElog-6a7zFtjU9DtFrrlKm1BiLET39gy6GuLpipArGGJeZWFF8TVk3eO-w1kvXdMa9awZ65YFee6BHD_SnB5qNQycb6Vh2WH2PfD19BMQa8GOrn6P72f2P7AeOM5Ny</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2911126539</pqid></control><display><type>article</type><title>Outcomes of multiligament knee injury treated with versus without internal brace suture augmentation</title><source>SpringerLink Journals - AutoHoldings</source><creator>Korber, Shane S. ; Fathi, Amir ; Bolia, Ioanna K. ; Panish, Brian J. ; Benvegnu, Neilen ; Juhan, Tristan W. ; Weber, Alexander E. ; Argintar, Evan H. ; Hatch, George F.</creator><creatorcontrib>Korber, Shane S. ; Fathi, Amir ; Bolia, Ioanna K. ; Panish, Brian J. ; Benvegnu, Neilen ; Juhan, Tristan W. ; Weber, Alexander E. ; Argintar, Evan H. ; Hatch, George F.</creatorcontrib><description>Purpose
To compare the postoperative outcomes between Internal Brace (IB) and non-IB patients who underwent surgical management of multiple-ligament knee injuries (MLKI).
Methods
Patients who underwent surgical management of MLKI at two institutions between 2010 and 2020 were identified and offered participation in the study via the collection of postoperative functional outcomes for MLKI; Lysholm Knee score, Multiligament Quality of Life (ML-QOL), Patient-Reported Outcomes Measurement Information System (PROMIS) computer adaptive testing (CAT), Pain Interference (PI), Physical Function (PF), and Mobility instruments (MI). The postoperative outcomes and reoperation rates were compared between the IB group and non-IB group.
Results
One hundred and twenty-six patients were analyzed; 89 were included in the IB group (31.5% female; age 35.6 ± 1.4 years), and 37 were included in the non-IB group (25.7% female; age 38.8 ± 2.4 years). Mean follow-up time of the entire cohort was 37.9 ± 4.7 months [IB: 21.8 + 1.63; non-IB: 76.4 ± 6.2,
p
< 0.001). The IB group achieved similar PROMIS CAT [PROMIS Pain (51.8 + 1.1 vs. 52.1 + 1.6,
p
= 0.8736), Physical Function (46.6 + 1.2 vs. 46.4 + 1.8,
p
= 0.9168), Mobility (46.0 + 1.0 vs. 43.7 + 1.6,
p
= 0.2185)], ML-QOL [ML-QOL Physical Impairment (36.6 + 2.5 vs. 43.5 ± 4.2,
p
= 0.1485), Emotional Impairment (42.5 + 2.9 vs. 48.6 ± 4.6,
p
= 0.2695), Activity Limitation (34.5 + 2.8 vs. 36.2 ± 4.3,
p
= 0.7384), Societal Involvement (39.1 + 3.0 vs. 41.7 + 4.2,
p
= 0.6434)] and Lysholm knee score (64.9 + 2.5 vs. 60.4 + 4.0,
p
= 0.3397) postoperatively compared the non-IB group, but the differences were not significant.
Conclusion
In this cohort of patients with MLKI treated with versus without IB, outcomes and reoperation rates trended toward favoring IB, but the study was not sufficiently powered to reach statistical significance. Internal bracing could be useful in the management of MLKI. In the future, matched patient cohorts with more patients are warranted to further evaluate the clinical impact of the internal brace in MLKI.</description><identifier>ISSN: 1432-1068</identifier><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-023-03575-1</identifier><identifier>PMID: 37490067</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Knee ; Medicine ; Medicine & Public Health ; Original Article ; Patients ; Postoperative period ; Surgical Orthopedics ; Traumatic Surgery</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2024-01, Vol.34 (1), p.303-309</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-7d00e8c36426c92c3bc2282585af847ee3e62e16af7684dc4e9b4ab08e38cdda3</cites><orcidid>0000-0002-4957-4334</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/s00590-023-03575-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-023-03575-1$$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/37490067$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Korber, Shane S.</creatorcontrib><creatorcontrib>Fathi, Amir</creatorcontrib><creatorcontrib>Bolia, Ioanna K.</creatorcontrib><creatorcontrib>Panish, Brian J.</creatorcontrib><creatorcontrib>Benvegnu, Neilen</creatorcontrib><creatorcontrib>Juhan, Tristan W.</creatorcontrib><creatorcontrib>Weber, Alexander E.</creatorcontrib><creatorcontrib>Argintar, Evan H.</creatorcontrib><creatorcontrib>Hatch, George F.</creatorcontrib><title>Outcomes of multiligament knee injury treated with versus without internal brace suture augmentation</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>Purpose
To compare the postoperative outcomes between Internal Brace (IB) and non-IB patients who underwent surgical management of multiple-ligament knee injuries (MLKI).
Methods
Patients who underwent surgical management of MLKI at two institutions between 2010 and 2020 were identified and offered participation in the study via the collection of postoperative functional outcomes for MLKI; Lysholm Knee score, Multiligament Quality of Life (ML-QOL), Patient-Reported Outcomes Measurement Information System (PROMIS) computer adaptive testing (CAT), Pain Interference (PI), Physical Function (PF), and Mobility instruments (MI). The postoperative outcomes and reoperation rates were compared between the IB group and non-IB group.
Results
One hundred and twenty-six patients were analyzed; 89 were included in the IB group (31.5% female; age 35.6 ± 1.4 years), and 37 were included in the non-IB group (25.7% female; age 38.8 ± 2.4 years). Mean follow-up time of the entire cohort was 37.9 ± 4.7 months [IB: 21.8 + 1.63; non-IB: 76.4 ± 6.2,
p
< 0.001). The IB group achieved similar PROMIS CAT [PROMIS Pain (51.8 + 1.1 vs. 52.1 + 1.6,
p
= 0.8736), Physical Function (46.6 + 1.2 vs. 46.4 + 1.8,
p
= 0.9168), Mobility (46.0 + 1.0 vs. 43.7 + 1.6,
p
= 0.2185)], ML-QOL [ML-QOL Physical Impairment (36.6 + 2.5 vs. 43.5 ± 4.2,
p
= 0.1485), Emotional Impairment (42.5 + 2.9 vs. 48.6 ± 4.6,
p
= 0.2695), Activity Limitation (34.5 + 2.8 vs. 36.2 ± 4.3,
p
= 0.7384), Societal Involvement (39.1 + 3.0 vs. 41.7 + 4.2,
p
= 0.6434)] and Lysholm knee score (64.9 + 2.5 vs. 60.4 + 4.0,
p
= 0.3397) postoperatively compared the non-IB group, but the differences were not significant.
Conclusion
In this cohort of patients with MLKI treated with versus without IB, outcomes and reoperation rates trended toward favoring IB, but the study was not sufficiently powered to reach statistical significance. Internal bracing could be useful in the management of MLKI. In the future, matched patient cohorts with more patients are warranted to further evaluate the clinical impact of the internal brace in MLKI.</description><subject>Knee</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Patients</subject><subject>Postoperative period</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><issn>1432-1068</issn><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kclOxDAMhiMEgmF5AQ4oEhcuBSdp0_SIRmzSSFzgHKWpO3ToMmQB8fZ0mGERBy62JX_-Lfsn5JjBOQPILzxAVkACXCQgsjxL2BaZsFTwhIFU27_qPbLv_QKAZQXLdsmeyNMCQOYTUt3HYIcOPR1q2sU2NG0zNx32gT73iLTpF9G90-DQBKzoWxOe6Cs6H_1nPcQwIgFdb1paOmOR-hiiQ2rifKViQjP0h2SnNq3Ho00-II_XVw_T22R2f3M3vZwlVnAZkrwCQGWFTLm0BbeitJwrnqnM1CrNEQVKjkyaOpcqrWyKRZmaEhQKZavKiANyttZduuElog-6a7zFtjU9DtFrrlKm1BiLET39gy6GuLpipArGGJeZWFF8TVk3eO-w1kvXdMa9awZ65YFee6BHD_SnB5qNQycb6Vh2WH2PfD19BMQa8GOrn6P72f2P7AeOM5Ny</recordid><startdate>20240101</startdate><enddate>20240101</enddate><creator>Korber, Shane S.</creator><creator>Fathi, Amir</creator><creator>Bolia, Ioanna K.</creator><creator>Panish, Brian J.</creator><creator>Benvegnu, Neilen</creator><creator>Juhan, Tristan W.</creator><creator>Weber, Alexander E.</creator><creator>Argintar, Evan H.</creator><creator>Hatch, George F.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4957-4334</orcidid></search><sort><creationdate>20240101</creationdate><title>Outcomes of multiligament knee injury treated with versus without internal brace suture augmentation</title><author>Korber, Shane S. ; Fathi, Amir ; Bolia, Ioanna K. ; Panish, Brian J. ; Benvegnu, Neilen ; Juhan, Tristan W. ; Weber, Alexander E. ; Argintar, Evan H. ; Hatch, George F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-7d00e8c36426c92c3bc2282585af847ee3e62e16af7684dc4e9b4ab08e38cdda3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Knee</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Patients</topic><topic>Postoperative period</topic><topic>Surgical Orthopedics</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Korber, Shane S.</creatorcontrib><creatorcontrib>Fathi, Amir</creatorcontrib><creatorcontrib>Bolia, Ioanna K.</creatorcontrib><creatorcontrib>Panish, Brian J.</creatorcontrib><creatorcontrib>Benvegnu, Neilen</creatorcontrib><creatorcontrib>Juhan, Tristan W.</creatorcontrib><creatorcontrib>Weber, Alexander E.</creatorcontrib><creatorcontrib>Argintar, Evan H.</creatorcontrib><creatorcontrib>Hatch, George F.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Korber, Shane S.</au><au>Fathi, Amir</au><au>Bolia, Ioanna K.</au><au>Panish, Brian J.</au><au>Benvegnu, Neilen</au><au>Juhan, Tristan W.</au><au>Weber, Alexander E.</au><au>Argintar, Evan H.</au><au>Hatch, George F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of multiligament knee injury treated with versus without internal brace suture augmentation</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2024-01-01</date><risdate>2024</risdate><volume>34</volume><issue>1</issue><spage>303</spage><epage>309</epage><pages>303-309</pages><issn>1432-1068</issn><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>Purpose
To compare the postoperative outcomes between Internal Brace (IB) and non-IB patients who underwent surgical management of multiple-ligament knee injuries (MLKI).
Methods
Patients who underwent surgical management of MLKI at two institutions between 2010 and 2020 were identified and offered participation in the study via the collection of postoperative functional outcomes for MLKI; Lysholm Knee score, Multiligament Quality of Life (ML-QOL), Patient-Reported Outcomes Measurement Information System (PROMIS) computer adaptive testing (CAT), Pain Interference (PI), Physical Function (PF), and Mobility instruments (MI). The postoperative outcomes and reoperation rates were compared between the IB group and non-IB group.
Results
One hundred and twenty-six patients were analyzed; 89 were included in the IB group (31.5% female; age 35.6 ± 1.4 years), and 37 were included in the non-IB group (25.7% female; age 38.8 ± 2.4 years). Mean follow-up time of the entire cohort was 37.9 ± 4.7 months [IB: 21.8 + 1.63; non-IB: 76.4 ± 6.2,
p
< 0.001). The IB group achieved similar PROMIS CAT [PROMIS Pain (51.8 + 1.1 vs. 52.1 + 1.6,
p
= 0.8736), Physical Function (46.6 + 1.2 vs. 46.4 + 1.8,
p
= 0.9168), Mobility (46.0 + 1.0 vs. 43.7 + 1.6,
p
= 0.2185)], ML-QOL [ML-QOL Physical Impairment (36.6 + 2.5 vs. 43.5 ± 4.2,
p
= 0.1485), Emotional Impairment (42.5 + 2.9 vs. 48.6 ± 4.6,
p
= 0.2695), Activity Limitation (34.5 + 2.8 vs. 36.2 ± 4.3,
p
= 0.7384), Societal Involvement (39.1 + 3.0 vs. 41.7 + 4.2,
p
= 0.6434)] and Lysholm knee score (64.9 + 2.5 vs. 60.4 + 4.0,
p
= 0.3397) postoperatively compared the non-IB group, but the differences were not significant.
Conclusion
In this cohort of patients with MLKI treated with versus without IB, outcomes and reoperation rates trended toward favoring IB, but the study was not sufficiently powered to reach statistical significance. Internal bracing could be useful in the management of MLKI. In the future, matched patient cohorts with more patients are warranted to further evaluate the clinical impact of the internal brace in MLKI.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>37490067</pmid><doi>10.1007/s00590-023-03575-1</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4957-4334</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-1068 |
| ispartof | European journal of orthopaedic surgery & traumatology, 2024-01, Vol.34 (1), p.303-309 |
| issn | 1432-1068 1633-8065 1432-1068 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2841882849 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Knee Medicine Medicine & Public Health Original Article Patients Postoperative period Surgical Orthopedics Traumatic Surgery |
| title | Outcomes of multiligament knee injury treated with versus without internal brace suture augmentation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-20T00%3A23%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Outcomes%20of%20multiligament%20knee%20injury%20treated%20with%20versus%20without%20internal%20brace%20suture%20augmentation&rft.jtitle=European%20journal%20of%20orthopaedic%20surgery%20&%20traumatology&rft.au=Korber,%20Shane%20S.&rft.date=2024-01-01&rft.volume=34&rft.issue=1&rft.spage=303&rft.epage=309&rft.pages=303-309&rft.issn=1432-1068&rft.eissn=1432-1068&rft_id=info:doi/10.1007/s00590-023-03575-1&rft_dat=%3Cproquest_cross%3E2911126539%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2911126539&rft_id=info:pmid/37490067&rfr_iscdi=true |