Wypych Mikołaj, Lundqvist Robert, Witoński Dariusz, Kęska Rafał, Szmigielska Anna, Paradowski Przemysław T
Department of Emergency Medicine, Stanisław Rybicki Regional Hospital, Skierniewice, Poland.
Research and Innovation Unit, Norrbotten County Council, Luleå, Sweden.
Open Med (Wars). 2021 May 29;16(1):833-842. doi: 10.1515/med-2021-0300. eCollection 2021.
The retrospective investigation was carried out to assess whether subjects who fulfilled our proposed recruitment criteria responded more favorably to anterior cruciate ligament reconstruction (ACLR) than those who did not.
We retrospectively analyzed 109 skeletally mature subjects (78 men and 31 women) according to the following proposed criteria of recruitment: (1) pre-injury Tegner activity score ≥7 and a wish to return to a professional sports activity, (2) residual knee instability following injury and/or (3) age <20 years at the operation. The primary outcome was an improvement between assessment A (before operation) and B (mean follow-up of 1.6 years) in the average score for four of the five Knee injury and Osteoarthritis Outcome Score (KOOS) subscales, covering pain, symptoms, difficulty in sports and recreational activities, and quality of life (KOOS).
The proposed recruitment criteria for ACLR were met by 58 subjects (53%). There were 49 subjects (45%) who improved between assessment A and B. Subjects who met proposed recruitment criteria were more likely to improve clinically after ACLR (OR 5.7, 95% CI 2.5-13.3).
Fulfillment of proposed recruitment criteria was a strong predictive factor for outcome improvement in short- to medium-term follow-up after ACLR.
Case-control study. Level of evidence 3.
进行回顾性调查，以评估符合我们提出的纳入标准的受试者与不符合该标准的受试者相比，在前交叉韧带重建术（ACLR）后是否有更良好的反应。
我们根据以下提出的纳入标准，对109例骨骼成熟的受试者（78例男性和31例女性）进行了回顾性分析：（1）伤前Tegner活动评分≥7分且希望恢复职业体育活动，（2）受伤后存在膝关节残余不稳定，和/或（3）手术时年龄<20岁。主要结局是在膝关节损伤和骨关节炎疗效评分（KOOS）的五个子量表中的四个（涵盖疼痛、症状、体育和娱乐活动困难以及生活质量），评估A（术前）和B（平均随访1.6年）之间的平均评分有所改善。
58例受试者（53%）符合ACLR的提出的纳入标准。49例受试者（45%）在评估A和B之间有所改善。符合提出的纳入标准的受试者在ACLR后临床改善的可能性更大（比值比5.7，95%置信区间2.5 - 13.3）。
符合提出的纳入标准是ACLR后短期至中期随访中结局改善的有力预测因素。
病例对照研究。证据水平3。
