Are meniscal tears and articular cartilage injury predictive of inferior patient outcome after surgical reconstruction for the dislocated knee?
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| 005 | 20210128100229.0 | ||
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| 008 | 210128e20151001xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00167-015-3671-z |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-015-3671-z | ||
| 245 | 0 | 0 | |a Are meniscal tears and articular cartilage injury predictive of inferior patient outcome after surgical reconstruction for the dislocated knee? |h [Elektronische Daten] |c [Alexander King, Aaron Krych, Matthew Prince, Paul Sousa, Michael Stuart, Bruce Levy] |
| 520 | 3 | |a Purpose: A paucity of data exists on the effects of articular cartilage and meniscal injury in the setting of knee dislocations. The purpose of this study is to determine whether concomitant intra-articular injuries at the time of multiligament reconstruction for knee dislocation are associated with inferior outcomes. Methods: The records of patients who underwent surgical treatment for multiligament knee injury between 1992 and 2012 were retrospectively reviewed. Patients included had a PCL-based multiligament knee injury or a minimum of three disrupted ligaments, both indicative of knee dislocation. A logistic regression model was used to determine whether articular cartilage injuries (grade 2 involving ≥50% of the condylar width or greater, or any grade III/IV lesions) and meniscus tears are predictors of IKDC outcome scores collected at a minimum of 2years postoperatively. Results: Of the 121 patients who met inclusion criteria, 2-year minimum follow-up was available on 95 patients (79%). The cohort was 77% male and had a median age of 32years (16-62) at the time of surgery and was followed for an average of 6years. Articular cartilage injury was present in 40% of knees: medial femoral condyle (20%); medial tibial plateau (9%); lateral femoral condyle (5%); lateral tibial plateau (4%); patella (18%); trochlear (5%). Meniscal injury was present in 56% of patients (isolated medial, 22%; isolated lateral, 22%; combined, 12%). IKDC scores were significantly lower for patients with any cartilage damage (p=0.03), combined medial and lateral meniscus tears (p=0.02), medial-sided articular cartilage damage (p=0.03), medial femoral condyle (p=0.04) and trochlear (p=0.03) lesions. Conclusion: Articular cartilage damage and meniscus tears are frequently associated with a knee dislocation. This study showed IKDC scores were significantly lower for patients with cartilage damage or combined medial and lateral meniscus tears at mid-term follow-up of 6years. Level of evidence: IV. | |
| 540 | |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 | ||
| 690 | 7 | |a Knee |2 nationallicence | |
| 690 | 7 | |a Dislocation |2 nationallicence | |
| 690 | 7 | |a Multiligament |2 nationallicence | |
| 690 | 7 | |a Reconstruction |2 nationallicence | |
| 690 | 7 | |a Outcomes |2 nationallicence | |
| 700 | 1 | |a King |D Alexander |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street 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 Street SW, 55905, Rochester, MN, USA |4 aut | |
| 700 | 1 | |a Prince |D Matthew |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA |4 aut | |
| 700 | 1 | |a Sousa |D Paul |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street 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 Street 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 Street 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), 3008-3011 |x 0942-2056 |q 23:10<3008 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-015-3671-z |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/s00167-015-3671-z |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a King |D Alexander |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street 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 Street SW, 55905, Rochester, MN, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Prince |D Matthew |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Sousa |D Paul |u Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street 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 Street 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 Street 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), 3008-3011 |x 0942-2056 |q 23:10<3008 |1 2015 |2 23 |o 167 | ||