Does age predict outcome after multiligament knee reconstruction for the dislocated knee? 2- to 22-year follow-up

Verfasser / Beitragende:
[Nate Levy, Aaron Krych, Mario Hevesi, Patrick Reardon, Ayoosh Pareek, Michael Stuart, Bruce Levy]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/10(2015-10-01), 3003-3007
Format:
Artikel (online)
ID: 605458421
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024 7 0 |a 10.1007/s00167-015-3750-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-015-3750-1 
245 0 0 |a Does age predict outcome after multiligament knee reconstruction for the dislocated knee? 2- to 22-year follow-up  |h [Elektronische Daten]  |c [Nate Levy, Aaron Krych, Mario Hevesi, Patrick Reardon, Ayoosh Pareek, Michael Stuart, Bruce Levy] 
520 3 |a Purpose: The purpose of this study is to determine whether age is a predictor of clinical and functional outcomes in patients who sustained a knee dislocation (KD) and underwent multiligament knee reconstruction. It was hypothesized that increasing age will negatively affect patient outcome. Methods: In total, 125 multiligament knee injuries (MLKI) associated with KD were surgically reconstructed between 1992 and 2013 and evaluated with IKDC and Lysholm scores at a median follow-up of 5 (range 2-22) years. Patient demographics including age were then analysed with respect to IKDC and Lysholm scores using rank sums and pair-wise rank sums analysis for continuous variables and Chi-square analysis for categorical variables. Results: In total, 125 patients (96 males and 29 females) with a median age of 31 (range 11-62) years at the time of surgery were included. At final follow-up, patients ≤30years old compared to >30years old obtained higher IKDC (73.3 vs. 61.9; p=0.01) and Lysholm scores (76.9 vs. 68.5; p=0.04). No confounding variables including gender, injury mechanism, injury pattern, injuries to the peroneal nerve, popliteal artery, meniscus, or cartilage accounted for differences in outcome scores between the two groups. Conclusion: Based on current available literature, this study represents the largest cohort with the longest follow-up reported on MLKI to date. At intermediate- to long-term follow-up, patients >30years of age that undergo multiligament knee reconstruction for KD have inferior IKDC and Lysholm scores compared to those ≤30years of age. However, successful multiligament knee reconstruction can still be obtained in this age group. Level of evidence: IV. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 
690 7 |a Multiligament knee injury  |2 nationallicence 
690 7 |a Knee dislocation  |2 nationallicence 
690 7 |a Age  |2 nationallicence 
690 7 |a Knee reconstruction  |2 nationallicence 
700 1 |a Levy  |D Nate  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Krych  |D Aaron  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Hevesi  |D Mario  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Reardon  |D Patrick  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Pareek  |D Ayoosh  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Stuart  |D Michael  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Levy  |D Bruce  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 3003-3007  |x 0942-2056  |q 23:10<3003  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-015-3750-1  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-015-3750-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Levy  |D Nate  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Krych  |D Aaron  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hevesi  |D Mario  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Reardon  |D Patrick  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pareek  |D Ayoosh  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Stuart  |D Michael  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Levy  |D Bruce  |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 3003-3007  |x 0942-2056  |q 23:10<3003  |1 2015  |2 23  |o 167