Factors associated with excellent 6-month functional and isokinetic test results following ACL reconstruction

Verfasser / Beitragende:
[Aaron Krych, Jessica Woodcock, Joseph Morgan, Bruce Levy, Michael Stuart, Diane Dahm]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/4(2015-04-01), 1053-1059
Format:
Artikel (online)
ID: 605458847
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024 7 0 |a 10.1007/s00167-014-2869-9  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2869-9 
245 0 0 |a Factors associated with excellent 6-month functional and isokinetic test results following ACL reconstruction  |h [Elektronische Daten]  |c [Aaron Krych, Jessica Woodcock, Joseph Morgan, Bruce Levy, Michael Stuart, Diane Dahm] 
520 3 |a Purpose: To identify patient concomitant injury and surgical characteristics associated with 6-month excellent functional and isokinetic testing results following anterior cruciate ligament (ACL) reconstruction. Methods: Patients that underwent ACL reconstruction by a single surgeon had isokinetic and functional testing performed with excellent 6-month outcome defined as greater than 85% in isokinetic strength and 90% in functional tests (excellent 6-month group vs. delayed 6-month group). Patient concomitant injury and surgical factors were then analysed in univariate and multivariate statistical models to assess which characteristics predicted the excellent 6-month group. Results: The 224 patients included 93 males and 131 females, with median age of 22 (range 12-59) years, body mass index (BMI) of 25.4 (range 17-44), and median Tegner activity score of 6 (range 2-10). Fifty-two patients (23%) were included in the excellent 6-month group, while 172 patients (77%) were in the delayed 6-month group. In univariate analysis, favourable factors with the excellent 6-month outcome group were younger age (24 vs. 27; p=0.01), lower BMI (24.5 vs. 26.2; p=0.03), and minimal articular cartilage damage (71 vs. 56%; p=0.048). In multivariate analysis, a negative effect was observed for patients older than 30years that had ACL reconstruction with autograft (p=0.0004). Conclusion: Factors significantly associated with excellent 6-month functional and isokinetic test results following ACL reconstruction included younger age, lower BMI, and minimal cartilage degeneration. The use of allograft was associated with improved functional and strength testing after ACL reconstruction in patients over 30years of age. Level of evidence: Prognostic/therapeutic study, Level III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a ACL reconstruction  |2 nationallicence 
690 7 |a Isokinetic strength  |2 nationallicence 
690 7 |a Functional testing  |2 nationallicence 
690 7 |a Predictive factors  |2 nationallicence 
700 1 |a Krych  |D Aaron  |u Department of Orthopedic Surgery, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Woodcock  |D Jessica  |u Department of Orthopedic Surgery, Lenoir Memorial Hospital, 100 Airport Road, 28501, Kinston, NC, USA  |4 aut 
700 1 |a Morgan  |D Joseph  |u Department of Orthopedic Surgery, University of Missouri, 1100 Virginia Ave., 65212, Columbia, MO, USA  |4 aut 
700 1 |a Levy  |D Bruce  |u Department of Orthopedic Surgery, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Stuart  |D Michael  |u Department of Orthopedic Surgery, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
700 1 |a Dahm  |D Diane  |u Department of Orthopedic Surgery, 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 23/4(2015-04-01), 1053-1059  |x 0942-2056  |q 23:4<1053  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2869-9  |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/s00167-014-2869-9  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Krych  |D Aaron  |u Department of Orthopedic Surgery, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Woodcock  |D Jessica  |u Department of Orthopedic Surgery, Lenoir Memorial Hospital, 100 Airport Road, 28501, Kinston, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Morgan  |D Joseph  |u Department of Orthopedic Surgery, University of Missouri, 1100 Virginia Ave., 65212, Columbia, MO, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Levy  |D Bruce  |u Department of Orthopedic Surgery, 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, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dahm  |D Diane  |u Department of Orthopedic Surgery, 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 23/4(2015-04-01), 1053-1059  |x 0942-2056  |q 23:4<1053  |1 2015  |2 23  |o 167