Marot Vincent, Vilette Hugo, Dalmas Yoann, Justo Arthur, Reina Nicolas, Cavaignac Etienne, Berard Emilie, Accadbled Franck
Musculoskeletal Institute, Hôpital Pierre Paul Riquet, CHU Toulouse, Toulouse, France.
Orthopaedics Unit, Hospital Nostra Senyora de Meritxell, Escaldes-Engordany, Andorra.
J Child Orthop. 2021 Feb 1;15(1):76-80. doi: 10.1302/1863-2548.15.200237.
The pediatric Simple Knee Value (pedi-SKV) is an outcome score in which paediatric patients are asked 'How would you rate your knee today as a percentage of normal (0% to 100% scale with 100% being normal)?'. The primary aim of this study was to validate the pedi-SKV by measuring its correlation with validated knee function scores used most often in paediatric orthopaedics.
This prospective study was conducted at a teaching hospital to evaluate the pedi-SKV's validity. A total of 44 paediatric patients (ten to 15 years old), were enrolled prior to anterior cruciate ligament reconstruction as well as 17 healthy controls. A survey form consisting of the Lysholm, International Knee Documentation Committee Pediatric Form (Pedi-IKDC) and pedi-SKV was given to subjects twice (enrolment and six months postoperatively). The criterion validity of the pedi-SKV was determined by correlating it to existing knee functional scores. Responsiveness to change was evaluated by comparing the pedi-SKV scores before and after surgery (enrolment visit and six-month postoperative visit). Discriminative ability was evaluated by comparing the pedi-SKV distribution in patients controls.
There was a strong and significant correlation between the pedi-SKV and the Lysholm and Pedi-IKDC (p < 0.0001). The pedi-SKV had a good responsiveness to change (p < 0.0001 for the pedi-SKV before six months postoperatively). Like the other knee-specific functional sores (p < 0.0001), the pedi-SKV was able to distinguish between patients and controls (p < 0.0001).
The pedi-SKV is a valid outcome measure that is strongly correlated with the Lysholm and Pedi-IKDC. This is a novel simple score that can be used by physicians in their daily practice.
II.
儿童简易膝关节评分（pedi-SKV）是一种结果评分，即询问儿科患者“你如何将你今天的膝关节状况评定为正常的百分比（0%至100%，100%为正常）？”。本研究的主要目的是通过测量pedi-SKV与儿科骨科中最常用的经过验证的膝关节功能评分之间的相关性来验证该评分。
本前瞻性研究在一家教学医院进行，以评估pedi-SKV的有效性。共有44名儿科患者（10至15岁）在进行前交叉韧带重建术前入组，以及17名健康对照。一份包含Lysholm评分、国际膝关节文献委员会儿科表格（Pedi-IKDC）和pedi-SKV的调查问卷分两次发给受试者（入组时和术后六个月）。通过将pedi-SKV与现有的膝关节功能评分进行相关性分析来确定其标准效度。通过比较手术前后（入组访视和术后六个月访视）的pedi-SKV评分来评估对变化的反应性。通过比较患者与对照组的pedi-SKV分布来评估区分能力。
pedi-SKV与Lysholm评分和Pedi-IKDC之间存在强且显著的相关性（p < 0.0001）。pedi-SKV对变化有良好的反应性（术前与术后六个月的pedi-SKV比较，p < 0.0001）。与其他膝关节特异性功能评分一样（p < 0.0001），pedi-SKV能够区分患者与对照组（p < 0.0001）。
pedi-SKV是一种有效的结果测量方法，与Lysholm评分和Pedi-IKDC密切相关。这是一种新颖的简易评分，可供医生在日常实践中使用。
II级。
