caa a22 4500 605455961 CHVBK 20210128100215.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00167-013-2478-z doi (NATIONALLICENCE)springer-10.1007/s00167-013-2478-z Cartilage degeneration and not age influences the health-related quality of life outcome after partial meniscectomy [Elektronische Daten] [Michael Liebensteiner, Michael Nogler, Johannes Giesinger, Ricarda Lechner, Florian Lenze, Martin Thaler] Purpose: The purpose of this study is to investigate whether inconsistently reported factors influence the health-related quality of life (HRQOL) outcome of partial meniscectomy. Method: Short Form 36 (SF-36) data on 216 patients were retrospectively analysed for the influence of the factors age, gender and degree of cartilage degeneration. Mixed linear models were applied for univariate and multivariate analyses. Results: All SF-36 scales, including the psychosocial scales, showed a significant improvement from pre- to post-operative (p<0.001). The factor ‘degree of cartilage degeneration' was found to significantly influence post-surgical improvement of the SF-36 ‘physical component summary' score. Patients with mild cartilage degeneration benefited significantly more from surgery than did patients with advanced cartilage degeneration (p=0.011). Older patients had significantly lower scores on each subscale, but showed no significant age-time interaction, that is, no association was seen between age and the degree of improvement. No effect was determined for the variable gender. Conclusions: The findings of the current study can be interpreted to show that arthroscopic partial meniscectomy significantly improves HRQOL, even in mental or psychosocial dimensions of HRQOL. Not age but the degree of cartilage degeneration influences the HRQOL gain that can be expected. The factor gender has no effect on HRQOL. The findings of our study influence our daily routine, in that we take the degree of cartilage degeneration and not age as predictive value for the success to be anticipated from the procedure. Concerning the preoperative consenting, it is important to mention that advanced cartilage degeneration is a predictor of a less favourable outcome. Level of evidence: IV. Springer-Verlag Berlin Heidelberg, 2013 Partial meniscectomy nationallicence Health-related quality of life nationallicence Cartilage nationallicence Quality of life nationallicence Cartilage degeneration nationallicence Arthroscopy nationallicence Liebensteiner Michael Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria aut Nogler Michael Institute of Experimental Orthopedics, Innsbruck Medical University, Innsbruck, Austria aut Giesinger Johannes Center of Psychiatry and Psychotherapy, Innsbruck Medical University, Innsbruck, Austria aut Lechner Ricarda Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria aut Lenze Florian Innsbruck Medical University, Innsbruck, Austria aut Thaler Martin Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 26-31 0942-2056 23:1<26 2015 23 167 https://doi.org/10.1007/s00167-013-2478-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2478-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Liebensteiner Michael Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria aut NATIONALLICENCE 700 1- Nogler Michael Institute of Experimental Orthopedics, Innsbruck Medical University, Innsbruck, Austria aut NATIONALLICENCE 700 1- Giesinger Johannes Center of Psychiatry and Psychotherapy, Innsbruck Medical University, Innsbruck, Austria aut NATIONALLICENCE 700 1- Lechner Ricarda Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria aut NATIONALLICENCE 700 1- Lenze Florian Innsbruck Medical University, Innsbruck, Austria aut NATIONALLICENCE 700 1- Thaler Martin Department of Orthopaedic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 26-31 0942-2056 23:1<26 2015 23 167