caa a22 4500 605458421 CHVBK 20210128100228.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00167-015-3750-1 doi (NATIONALLICENCE)springer-10.1007/s00167-015-3750-1 Does age predict outcome after multiligament knee reconstruction for the dislocated knee? 2- to 22-year follow-up [Elektronische Daten] [Nate Levy, Aaron Krych, Mario Hevesi, Patrick Reardon, Ayoosh Pareek, Michael Stuart, Bruce Levy] 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. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 Multiligament knee injury nationallicence Knee dislocation nationallicence Age nationallicence Knee reconstruction nationallicence Levy Nate Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut Krych Aaron Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut Hevesi Mario Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut Reardon Patrick Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut Pareek Ayoosh Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut Stuart Michael Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut Levy Bruce Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 3003-3007 0942-2056 23:10<3003 2015 23 167 https://doi.org/10.1007/s00167-015-3750-1 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/s00167-015-3750-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Levy Nate Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Krych Aaron Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Hevesi Mario Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Reardon Patrick Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Pareek Ayoosh Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Stuart Michael Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Levy Bruce Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 3003-3007 0942-2056 23:10<3003 2015 23 167