Behrend Henrik, Zdravkovic Vilijam, Giesinger Johannes M, Giesinger Karlmeinrad
Department of Orthopaedic Surgery and Traumatology, Kantonsspital St. Gallen, 9007, St. Gallen, Switzerland.
Department of Psychiatry and Psychotherapy, Innsbruck Medical University, 6020, Innsbruck, Austria.
Knee Surg Sports Traumatol Arthrosc. 2017 May;25(5):1454-1460. doi: 10.1007/s00167-016-4357-x. Epub 2016 Oct 19.
To measure joint awareness in patients who have undergone anterior cruciate ligament (ACL) reconstruction and to investigate medium- and long-term results of the procedure.
All patients who had undergone ACL reconstruction with the same arthroscopic surgical technique at our institution between 2011 and 2014 (medium-term follow-up group (Group I)) or between 2000 and 2005 (long-term follow-up group (Group II)) were considered for inclusion in the study. A group of healthy controls were recruited to obtain reference values for the FJS-12 (Forgotten Joint Score-12). Propensity score matching was applied to improve comparability of patients and healthy controls in terms of sex and age.
Fifty-eight patients of the Group I (mean follow-up 31.5 (SD13.4) months, range 12-54), 57 patients of the Group II (mean follow-up 139 (SD15.2) months, range 120-179), and the healthy control samples (100 individuals) were analysed. Significantly lower FJS-12 was found in both groups (Group I: 71.6 and Group II: 70.1), compared to the two matched control groups (88.1 and 90.0).
The concept of joint awareness was successfully applied to evaluate medium- and long-term results of ACL reconstruction. The clinical relevance of this study is that it extends the construct of joint awareness as a patient-reported outcome parameter to ACL reconstruction surgery.
Level III.
测量前交叉韧带（ACL）重建患者的关节感知度，并研究该手术的中长期效果。
纳入2011年至2014年期间在本机构采用相同关节镜手术技术进行ACL重建的所有患者（中期随访组（第一组））或2000年至2005年期间进行重建的患者（长期随访组（第二组））。招募一组健康对照者以获取FJS - 12（遗忘关节评分 - 12）的参考值。应用倾向得分匹配以提高患者与健康对照者在性别和年龄方面的可比性。
分析了第一组的58例患者（平均随访31.5（标准差13.4）个月，范围12 - 54个月）、第二组的57例患者（平均随访139（标准差15.2）个月，范围120 - 179个月）以及健康对照样本（100人）。与两个匹配的对照组（88.1和90.0）相比，两组患者的FJS - 12均显著降低（第一组：71.6，第二组：70.1）。
关节感知度的概念成功应用于评估ACL重建的中长期效果。本研究的临床意义在于，它将关节感知度这一患者报告的结局参数的概念扩展至ACL重建手术。
三级。
