Associations between inadequate knee function detected by KOOS and prospective graft failure in an anterior cruciate ligament-reconstructed knee

Verfasser / Beitragende:
[Lars-Petter Granan, Valborg Baste, Lars Engebretsen, Maria Inacio]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/4(2015-04-01), 1135-1140
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-2925-5  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2925-5 
245 0 0 |a Associations between inadequate knee function detected by KOOS and prospective graft failure in an anterior cruciate ligament-reconstructed knee  |h [Elektronische Daten]  |c [Lars-Petter Granan, Valborg Baste, Lars Engebretsen, Maria Inacio] 
520 3 |a Purpose: First, to evaluate whether the 2year post-operative Knee injury and Osteoarthritis Outcome Score (KOOS) in primary anterior cruciate ligament reconstructions (ACLRs) was significantly different between patients that did not go on to have a subsequent revision after the 2year post-operative control and the ones that did. Second, to test whether the "clinically failure” value of KOOS quality of life (QoL)<44 was indicative of a clinically relevant difference in the risk of subsequent revision ACLR. Methods: ACLRs reported to the Norwegian Knee Ligament Registry between June 2004 and December 2009. 5,517 primary ACLRs with at least 2-year follow-up with KOOS QoL before revision surgery. Results: There were clinically significant differences, adjusted and unadjusted, in both the KOOS Sport and Recreation and QoL subscales in patients with a later revision surgery compared to those that did not have a revision surgery. In adjusted models, the risk of later ACLR revision was 3.7 (95% CI 2.2-6.0) higher in patients with a 2-year KOOS QoL<44 compared to patients with a KOOS QoL≥44. For every 10-point reduction in the KOOS QoL, a 33.6% (95% CI 21.2-47.5%) higher risk for later ACLR revision was observed. Conclusions: This study reveals an association between inadequate knee function, as measured by KOOS, and a prospective ACL-reconstructed graft failure. Level of evidence: Prognostic study (prospective cohort study), Level II. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Anterior cruciate ligament  |2 nationallicence 
690 7 |a Revision  |2 nationallicence 
690 7 |a Registry  |2 nationallicence 
690 7 |a Patient-reported outcome measures  |2 nationallicence 
700 1 |a Granan  |D Lars-Petter  |u Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway  |4 aut 
700 1 |a Baste  |D Valborg  |u Norwegian Arthroplasty Register, Bergen, Norway  |4 aut 
700 1 |a Engebretsen  |D Lars  |u Department of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway  |4 aut 
700 1 |a Inacio  |D Maria  |u Surgical Outcomes and Analysis Department, Kaiser Permanente, San Diego, CA, USA  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1135-1140  |x 0942-2056  |q 23:4<1135  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2925-5  |q text/html  |z Onlinezugriff via DOI 
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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/s00167-014-2925-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Granan  |D Lars-Petter  |u Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Baste  |D Valborg  |u Norwegian Arthroplasty Register, Bergen, Norway  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Engebretsen  |D Lars  |u Department of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Inacio  |D Maria  |u Surgical Outcomes and Analysis Department, Kaiser Permanente, San Diego, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1135-1140  |x 0942-2056  |q 23:4<1135  |1 2015  |2 23  |o 167