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使用遗忘关节评分(FJS)-12评估单纯前交叉韧带重建联合或不联合半月板修复或部分半月板切除术术后的膝关节感知情况。

Use of the forgotten joint score (FJS)-12 to evaluate knee awareness after isolated anterior cruciate ligament reconstruction with and without meniscus repair or partial meniscectomy.

作者信息

Kacmaz Ismail Eralp, Gezer Mehmet Can, Basa Can Doruk, Zhamilov Vadym, Ekizoglu Oguzhan

机构信息

Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, 35180, İzmir, Turkey.

Department of Forensic Medicine, Tepecik Training and Research Hospital, İzmir, Turkey.

出版信息

Eur J Orthop Surg Traumatol. 2022 Apr;32(3):413-418. doi: 10.1007/s00590-021-02991-5. Epub 2021 May 3.

DOI:10.1007/s00590-021-02991-5
PMID:33939002
Abstract

PURPOSE

The aim of this study was to compare knee awareness, based on the FJS-12 score, among three patient groups: Anterior cruciate ligament reconstruction (ACLR), ACLR + meniscus repair and ACLR + partial meniscectomy. The relationship between FJS-12 scores and scores on other instruments (Lysholm Knee Scoring Scale, Tegner Activity Level Scale, KOOS and WOMAC) was also evaluated.

METHODS

Forty-three patients were divided into group A (isolated ACLR) group B (ACLR + meniscectomy) and group C (ACLR + meniscus repair). Graft thickness, femoral tunnel width, tibial tunnel width, tibial screw thickness and follow-up time were evaluated in all three groups. The subjective knee scores (KOOS, WOMAC, Lysholm Knee Scoring Scale, Tegner Activity Level Scale and FJS-12) of the groups were then compared.

RESULTS

FJS-12 scores of 43 patients were evaluated. The mean age was 26.1 ± 6.5 years (range: 18-40 years). Group A: 23; group B: 9 and group C include 11 patients. The mean FJS-12 score of group B (median: 100 [range: 98-100]) was higher than that the others. Spearman's rho test showed that the FJS-12 is highly compatible with the other scores.

CONCLUSION

According to this study, FJS-12 and the other scoring systems showed that ACLR with partial meniscectomy is the most effective surgical method to restore normal sensation in the knee.

摘要

目的

本研究旨在比较三组患者基于FJS - 12评分的膝关节感知情况,这三组患者分别为:前交叉韧带重建术(ACLR)、ACLR联合半月板修复术以及ACLR联合部分半月板切除术。同时还评估了FJS - 12评分与其他评估工具(Lysholm膝关节评分量表、Tegner活动水平量表、KOOS和WOMAC)评分之间的关系。

方法

43例患者被分为A组(单纯ACLR)、B组(ACLR联合半月板切除术)和C组(ACLR联合半月板修复术)。对所有三组患者的移植物厚度、股骨隧道宽度、胫骨隧道宽度、胫骨螺钉厚度以及随访时间进行评估。然后比较三组患者的主观膝关节评分(KOOS、WOMAC、Lysholm膝关节评分量表、Tegner活动水平量表和FJS - 12)。

结果

对43例患者的FJS - 12评分进行了评估。平均年龄为26.1±6.5岁(范围:18 - 40岁)。A组:23例;B组:9例;C组:11例。B组的平均FJS - 12评分(中位数:100 [范围:98 - 100])高于其他组。Spearman秩相关检验表明FJS - 12与其他评分高度相关。

结论

根据本研究,FJS - 12和其他评分系统表明,ACLR联合部分半月板切除术是恢复膝关节正常感觉最有效的手术方法。

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Meniscal repair results in inferior short-term outcomes compared with meniscal resection: a cohort study of 6398 patients with primary anterior cruciate ligament reconstruction.半月板修复的短期结果不如半月板切除术:一项 6398 例初次前交叉韧带重建患者的队列研究。
Knee Surg Sports Traumatol Arthrosc. 2018 Aug;26(8):2251-2258. doi: 10.1007/s00167-017-4793-2. Epub 2017 Nov 13.
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Arch Orthop Trauma Surg. 2023 May;143(5):2693-2699. doi: 10.1007/s00402-022-04562-7. Epub 2022 Jul 30.
Validating the forgotten joint score-12 in patients after ACL reconstruction.
验证前交叉韧带重建术后患者的遗忘关节评分-12。
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