膝关节软骨修复手术后长期临床结果的早期决定因素。
Early determinants of long-term clinical outcome after cartilage repair surgery in the knee.
作者信息
Solheim Eirik, Hegna Janne, Inderhaug Eivind
机构信息
Department of Orthopedics, Deaconess University Hospital, Haraldsplass, Bergen, Norway.
Department of Orthopedics, Aleris Nesttun Hospital, Bergen, Norway.
出版信息
J Orthop. 2018 Jan 31;15(1):222-225. doi: 10.1016/j.jor.2018.01.021. eCollection 2018 Mar.
Abstract
PURPOSE
To identify early determinants of clinical outcome after knee cartilage repair.
METHODS
205 patients were evaluated before surgery and at median 14-years follow-up.
RESULTS
Baseline factors predicting a good outcome were: single lesion; normal appearing cartilage surrounding the lesion; high baseline Lysholm score; short duration of symptoms; non-involvement of the patella-femoral joint; young age; and small defect. Factors predicting a poor outcome were: multiple lesions; low baseline Lysholm score; degenerative cartilage surrounding the lesion; long symptom duration; meniscal lesion; and large defect.
CONCLUSIONS
The choice of surgical method seem to be less important than other patients-specific predictors.
LEVEL OF EVIDENCE
Case series, Level IV.
摘要
目的
确定膝关节软骨修复术后临床结果的早期决定因素。
方法
对205例患者在手术前及中位随访14年时进行评估。
结果
预测良好结果的基线因素包括：单一病变；病变周围软骨外观正常；基线Lysholm评分高；症状持续时间短；髌股关节未受累；年轻；缺损小。预测不良结果的因素包括：多发病变；基线Lysholm评分低；病变周围软骨退变；症状持续时间长；半月板病变；缺损大。
结论
手术方法的选择似乎不如其他患者特异性预测因素重要。
证据水平
病例系列，四级。
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