Older Age, Poor Preoperative Quadriceps Muscle Strength, and Residual Pain as Risk Factors for Poor Quadriceps Muscle Strength Recovery at 1 Year After ACL Reconstruction: A TMDU MAKS Study of 402 Patients
Background: Poor postoperative quadriceps muscle strength recovery after anterior cruciate ligament reconstruction (ACLR) leads to delayed return to sports and lower patient satisfaction. Purpose/Hypothesis: The purpose of this study was to examine factors that affect quadriceps muscle strength 1 ye...
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| Veröffentlicht in: | Orthopaedic journal of sports medicine 2023-09, Vol.11 (9), p.23259671231194593-23259671231194593 |
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| creator | Hasegawa, Shoichi Nakagawa, Yusuke Yoshihara, Aritoshi Nakamura, Tomomasa Katagiri, Hiroki Hayashi, Masaya Yoshimura, Hideya Nagase, Tsuyoshi Sekiya, Ichiro Koga, Hideyuki |
| description | Background:
Poor postoperative quadriceps muscle strength recovery after anterior cruciate ligament reconstruction (ACLR) leads to delayed return to sports and lower patient satisfaction.
Purpose/Hypothesis:
The purpose of this study was to examine factors that affect quadriceps muscle strength 1 year after ACLR. It was hypothesized that older age, poor preoperative quadriceps muscle strength, and residual pain would be risk factors for poor quadriceps muscle strength recovery.
Study Design:
Case-control study; Level of evidence, 3.
Methods:
Included were patients from multiple institutions who underwent primary ACLR using autologous hamstring tendon grafts between August 1, 2013, and March 31, 2018, and who had at least 1 year of follow-up data. Patients with past ligamentous injuries in the affected knee, previous injuries or operations in the contralateral knee, accompanying ligament injuries of grade 2 or 3, or inflammatory or other types of osteoarthritis were excluded. Patients were categorized as having muscle strength ≥80% (good strength recovery) or 40 versus ≤20 years, 4.2-fold higher for those with preoperative quadriceps muscle index |
| doi_str_mv | 10.1177/23259671231194593 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10492478</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_23259671231194593</sage_id><sourcerecordid>2863767982</sourcerecordid><originalsourceid>FETCH-LOGICAL-c396t-cea67c5d2053bc9bcc0da4805ce7ceb4d5fb21ad620bf4745bb6998bb49528c83</originalsourceid><addsrcrecordid>eNp1ks1u1DAUhSMEElXpA7C7EhsWnRI7cRyzQaOBAuqMOvRnwSryz83UJRMPtjPSPCTvhNOpaAHVG1v3nvPdY-lm2WuSnxDC-TtaUCYqTmhBiCiZKJ5lB2NtMhafP3q_zI5CuM3TqRkRBT_Ifp13Bj1MV3gMS-c8LD26DXoZ7Rbh2yCNtxo3ARZD0B3CZfTYr-LNMcjewAUGawbZwVLaHmSACxt-wKnU0fkA7YgbmU9jEkG7LfodyAgEvqNMWdo4JprN75p9iH7Q0br-PUzhavHxGhbTs8tEGMwOXAtlTtP4aLGP4VX2opVdwKP7-zC7Pv10NfsymZ9__jqbzie6EFWcaJQV18zQnBVKC6V1bmRZ50wj16hKw1pFiTQVzVVb8pIpVQlRK1UKRmtdF4fZhz13M6g1Gp1me9k1G2_X0u8aJ23zd6e3N83KbRuSl4KWfCS8vSd493PAEJu1DRq7TvbohtDQuip4xUVNk_TNP9JbN_g-_S-pOGG1oLRIKrJXae9C8Nj-SUPyZtyS5r8tSZ6TvSfIFT5Qnzb8BotZvj0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2871589223</pqid></control><display><type>article</type><title>Older Age, Poor Preoperative Quadriceps Muscle Strength, and Residual Pain as Risk Factors for Poor Quadriceps Muscle Strength Recovery at 1 Year After ACL Reconstruction: A TMDU MAKS Study of 402 Patients</title><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Hasegawa, Shoichi ; Nakagawa, Yusuke ; Yoshihara, Aritoshi ; Nakamura, Tomomasa ; Katagiri, Hiroki ; Hayashi, Masaya ; Yoshimura, Hideya ; Nagase, Tsuyoshi ; Sekiya, Ichiro ; Koga, Hideyuki</creator><creatorcontrib>Hasegawa, Shoichi ; Nakagawa, Yusuke ; Yoshihara, Aritoshi ; Nakamura, Tomomasa ; Katagiri, Hiroki ; Hayashi, Masaya ; Yoshimura, Hideya ; Nagase, Tsuyoshi ; Sekiya, Ichiro ; Koga, Hideyuki</creatorcontrib><description>Background:
Poor postoperative quadriceps muscle strength recovery after anterior cruciate ligament reconstruction (ACLR) leads to delayed return to sports and lower patient satisfaction.
Purpose/Hypothesis:
The purpose of this study was to examine factors that affect quadriceps muscle strength 1 year after ACLR. It was hypothesized that older age, poor preoperative quadriceps muscle strength, and residual pain would be risk factors for poor quadriceps muscle strength recovery.
Study Design:
Case-control study; Level of evidence, 3.
Methods:
Included were patients from multiple institutions who underwent primary ACLR using autologous hamstring tendon grafts between August 1, 2013, and March 31, 2018, and who had at least 1 year of follow-up data. Patients with past ligamentous injuries in the affected knee, previous injuries or operations in the contralateral knee, accompanying ligament injuries of grade 2 or 3, or inflammatory or other types of osteoarthritis were excluded. Patients were categorized as having muscle strength ≥80% (good strength recovery) or <80% (poor strength recovery) compared with the contralateral leg at 1 year postoperatively. Multivariate logistic regression analysis was performed to investigate the factors influencing postoperative quadriceps muscle strength. In addition, a categorical analysis was conducted based on factors extracted by the multivariate logistic regression analysis.
Results:
A total of 402 patients were included. Multivariate logistic regression analysis revealed that age at surgery (P = .020), preoperative quadriceps muscle strength (P = .006), and postoperative Knee injury and Osteoarthritis Outcome Score (KOOS)-Pain score (P = .002) were significantly associated with quadriceps muscle strength at 1 year postoperatively. The odds of poor muscle strength recovery according to categorical analysis were 5.0-fold higher for patients aged >40 versus ≤20 years, 4.2-fold higher for those with preoperative quadriceps muscle index <60% versus ≥80%, and 7.7-fold higher for those with a postoperative KOOS-Pain score of <85 versus 100.
Conclusion:
Older age, poor preoperative quadriceps muscle strength, and low postoperative KOOS-Pain score were risk factors for poor quadriceps muscle strength 1 year after primary ACLR. Surgical indications, including age, preoperative active rehabilitation, and pain control, should be considered for optimization of postoperative quadriceps muscle strength recovery.</description><identifier>ISSN: 2325-9671</identifier><identifier>EISSN: 2325-9671</identifier><identifier>DOI: 10.1177/23259671231194593</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Arthritis ; Injuries ; Knee ; Muscle strength ; Original Research ; Orthopedics ; Osteoarthritis ; Pain ; Patient satisfaction ; Regression analysis ; Risk factors ; Sports medicine</subject><ispartof>Orthopaedic journal of sports medicine, 2023-09, Vol.11 (9), p.23259671231194593-23259671231194593</ispartof><rights>The Author(s) 2023</rights><rights>The Author(s) 2023. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2023 2023 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c396t-cea67c5d2053bc9bcc0da4805ce7ceb4d5fb21ad620bf4745bb6998bb49528c83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10492478/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10492478/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,21945,27830,27901,27902,44921,45309,53766,53768</link.rule.ids></links><search><creatorcontrib>Hasegawa, Shoichi</creatorcontrib><creatorcontrib>Nakagawa, Yusuke</creatorcontrib><creatorcontrib>Yoshihara, Aritoshi</creatorcontrib><creatorcontrib>Nakamura, Tomomasa</creatorcontrib><creatorcontrib>Katagiri, Hiroki</creatorcontrib><creatorcontrib>Hayashi, Masaya</creatorcontrib><creatorcontrib>Yoshimura, Hideya</creatorcontrib><creatorcontrib>Nagase, Tsuyoshi</creatorcontrib><creatorcontrib>Sekiya, Ichiro</creatorcontrib><creatorcontrib>Koga, Hideyuki</creatorcontrib><title>Older Age, Poor Preoperative Quadriceps Muscle Strength, and Residual Pain as Risk Factors for Poor Quadriceps Muscle Strength Recovery at 1 Year After ACL Reconstruction: A TMDU MAKS Study of 402 Patients</title><title>Orthopaedic journal of sports medicine</title><description>Background:
Poor postoperative quadriceps muscle strength recovery after anterior cruciate ligament reconstruction (ACLR) leads to delayed return to sports and lower patient satisfaction.
Purpose/Hypothesis:
The purpose of this study was to examine factors that affect quadriceps muscle strength 1 year after ACLR. It was hypothesized that older age, poor preoperative quadriceps muscle strength, and residual pain would be risk factors for poor quadriceps muscle strength recovery.
Study Design:
Case-control study; Level of evidence, 3.
Methods:
Included were patients from multiple institutions who underwent primary ACLR using autologous hamstring tendon grafts between August 1, 2013, and March 31, 2018, and who had at least 1 year of follow-up data. Patients with past ligamentous injuries in the affected knee, previous injuries or operations in the contralateral knee, accompanying ligament injuries of grade 2 or 3, or inflammatory or other types of osteoarthritis were excluded. Patients were categorized as having muscle strength ≥80% (good strength recovery) or <80% (poor strength recovery) compared with the contralateral leg at 1 year postoperatively. Multivariate logistic regression analysis was performed to investigate the factors influencing postoperative quadriceps muscle strength. In addition, a categorical analysis was conducted based on factors extracted by the multivariate logistic regression analysis.
Results:
A total of 402 patients were included. Multivariate logistic regression analysis revealed that age at surgery (P = .020), preoperative quadriceps muscle strength (P = .006), and postoperative Knee injury and Osteoarthritis Outcome Score (KOOS)-Pain score (P = .002) were significantly associated with quadriceps muscle strength at 1 year postoperatively. The odds of poor muscle strength recovery according to categorical analysis were 5.0-fold higher for patients aged >40 versus ≤20 years, 4.2-fold higher for those with preoperative quadriceps muscle index <60% versus ≥80%, and 7.7-fold higher for those with a postoperative KOOS-Pain score of <85 versus 100.
Conclusion:
Older age, poor preoperative quadriceps muscle strength, and low postoperative KOOS-Pain score were risk factors for poor quadriceps muscle strength 1 year after primary ACLR. Surgical indications, including age, preoperative active rehabilitation, and pain control, should be considered for optimization of postoperative quadriceps muscle strength recovery.</description><subject>Arthritis</subject><subject>Injuries</subject><subject>Knee</subject><subject>Muscle strength</subject><subject>Original Research</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Pain</subject><subject>Patient satisfaction</subject><subject>Regression analysis</subject><subject>Risk factors</subject><subject>Sports medicine</subject><issn>2325-9671</issn><issn>2325-9671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>BENPR</sourceid><recordid>eNp1ks1u1DAUhSMEElXpA7C7EhsWnRI7cRyzQaOBAuqMOvRnwSryz83UJRMPtjPSPCTvhNOpaAHVG1v3nvPdY-lm2WuSnxDC-TtaUCYqTmhBiCiZKJ5lB2NtMhafP3q_zI5CuM3TqRkRBT_Ifp13Bj1MV3gMS-c8LD26DXoZ7Rbh2yCNtxo3ARZD0B3CZfTYr-LNMcjewAUGawbZwVLaHmSACxt-wKnU0fkA7YgbmU9jEkG7LfodyAgEvqNMWdo4JprN75p9iH7Q0br-PUzhavHxGhbTs8tEGMwOXAtlTtP4aLGP4VX2opVdwKP7-zC7Pv10NfsymZ9__jqbzie6EFWcaJQV18zQnBVKC6V1bmRZ50wj16hKw1pFiTQVzVVb8pIpVQlRK1UKRmtdF4fZhz13M6g1Gp1me9k1G2_X0u8aJ23zd6e3N83KbRuSl4KWfCS8vSd493PAEJu1DRq7TvbohtDQuip4xUVNk_TNP9JbN_g-_S-pOGG1oLRIKrJXae9C8Nj-SUPyZtyS5r8tSZ6TvSfIFT5Qnzb8BotZvj0</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Hasegawa, Shoichi</creator><creator>Nakagawa, Yusuke</creator><creator>Yoshihara, Aritoshi</creator><creator>Nakamura, Tomomasa</creator><creator>Katagiri, Hiroki</creator><creator>Hayashi, Masaya</creator><creator>Yoshimura, Hideya</creator><creator>Nagase, Tsuyoshi</creator><creator>Sekiya, Ichiro</creator><creator>Koga, Hideyuki</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230901</creationdate><title>Older Age, Poor Preoperative Quadriceps Muscle Strength, and Residual Pain as Risk Factors for Poor Quadriceps Muscle Strength Recovery at 1 Year After ACL Reconstruction: A TMDU MAKS Study of 402 Patients</title><author>Hasegawa, Shoichi ; Nakagawa, Yusuke ; Yoshihara, Aritoshi ; Nakamura, Tomomasa ; Katagiri, Hiroki ; Hayashi, Masaya ; Yoshimura, Hideya ; Nagase, Tsuyoshi ; Sekiya, Ichiro ; Koga, Hideyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-cea67c5d2053bc9bcc0da4805ce7ceb4d5fb21ad620bf4745bb6998bb49528c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Arthritis</topic><topic>Injuries</topic><topic>Knee</topic><topic>Muscle strength</topic><topic>Original Research</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Pain</topic><topic>Patient satisfaction</topic><topic>Regression analysis</topic><topic>Risk factors</topic><topic>Sports medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hasegawa, Shoichi</creatorcontrib><creatorcontrib>Nakagawa, Yusuke</creatorcontrib><creatorcontrib>Yoshihara, Aritoshi</creatorcontrib><creatorcontrib>Nakamura, Tomomasa</creatorcontrib><creatorcontrib>Katagiri, Hiroki</creatorcontrib><creatorcontrib>Hayashi, Masaya</creatorcontrib><creatorcontrib>Yoshimura, Hideya</creatorcontrib><creatorcontrib>Nagase, Tsuyoshi</creatorcontrib><creatorcontrib>Sekiya, Ichiro</creatorcontrib><creatorcontrib>Koga, Hideyuki</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</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 Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</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>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthopaedic journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hasegawa, Shoichi</au><au>Nakagawa, Yusuke</au><au>Yoshihara, Aritoshi</au><au>Nakamura, Tomomasa</au><au>Katagiri, Hiroki</au><au>Hayashi, Masaya</au><au>Yoshimura, Hideya</au><au>Nagase, Tsuyoshi</au><au>Sekiya, Ichiro</au><au>Koga, Hideyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Older Age, Poor Preoperative Quadriceps Muscle Strength, and Residual Pain as Risk Factors for Poor Quadriceps Muscle Strength Recovery at 1 Year After ACL Reconstruction: A TMDU MAKS Study of 402 Patients</atitle><jtitle>Orthopaedic journal of sports medicine</jtitle><date>2023-09-01</date><risdate>2023</risdate><volume>11</volume><issue>9</issue><spage>23259671231194593</spage><epage>23259671231194593</epage><pages>23259671231194593-23259671231194593</pages><issn>2325-9671</issn><eissn>2325-9671</eissn><abstract>Background:
Poor postoperative quadriceps muscle strength recovery after anterior cruciate ligament reconstruction (ACLR) leads to delayed return to sports and lower patient satisfaction.
Purpose/Hypothesis:
The purpose of this study was to examine factors that affect quadriceps muscle strength 1 year after ACLR. It was hypothesized that older age, poor preoperative quadriceps muscle strength, and residual pain would be risk factors for poor quadriceps muscle strength recovery.
Study Design:
Case-control study; Level of evidence, 3.
Methods:
Included were patients from multiple institutions who underwent primary ACLR using autologous hamstring tendon grafts between August 1, 2013, and March 31, 2018, and who had at least 1 year of follow-up data. Patients with past ligamentous injuries in the affected knee, previous injuries or operations in the contralateral knee, accompanying ligament injuries of grade 2 or 3, or inflammatory or other types of osteoarthritis were excluded. Patients were categorized as having muscle strength ≥80% (good strength recovery) or <80% (poor strength recovery) compared with the contralateral leg at 1 year postoperatively. Multivariate logistic regression analysis was performed to investigate the factors influencing postoperative quadriceps muscle strength. In addition, a categorical analysis was conducted based on factors extracted by the multivariate logistic regression analysis.
Results:
A total of 402 patients were included. Multivariate logistic regression analysis revealed that age at surgery (P = .020), preoperative quadriceps muscle strength (P = .006), and postoperative Knee injury and Osteoarthritis Outcome Score (KOOS)-Pain score (P = .002) were significantly associated with quadriceps muscle strength at 1 year postoperatively. The odds of poor muscle strength recovery according to categorical analysis were 5.0-fold higher for patients aged >40 versus ≤20 years, 4.2-fold higher for those with preoperative quadriceps muscle index <60% versus ≥80%, and 7.7-fold higher for those with a postoperative KOOS-Pain score of <85 versus 100.
Conclusion:
Older age, poor preoperative quadriceps muscle strength, and low postoperative KOOS-Pain score were risk factors for poor quadriceps muscle strength 1 year after primary ACLR. Surgical indications, including age, preoperative active rehabilitation, and pain control, should be considered for optimization of postoperative quadriceps muscle strength recovery.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/23259671231194593</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Orthopaedic journal of sports medicine, 2023-09, Vol.11 (9), p.23259671231194593-23259671231194593 |
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| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Arthritis Injuries Knee Muscle strength Original Research Orthopedics Osteoarthritis Pain Patient satisfaction Regression analysis Risk factors Sports medicine |
| title | Older Age, Poor Preoperative Quadriceps Muscle Strength, and Residual Pain as Risk Factors for Poor Quadriceps Muscle Strength Recovery at 1 Year After ACL Reconstruction: A TMDU MAKS Study of 402 Patients |
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