Sayegh Eli T, Dib Aseel G, Lowenstein Natalie A, Collins Jamie E, Breslow Rebecca G, Matzkin Elizabeth
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, U.S.A.
University of Alabama Birmingham School of Medicine, Birmingham, Alabama, U.S.A.
Arthrosc Sports Med Rehabil. 2022 Jul 13;4(4):e1505-e1511. doi: 10.1016/j.asmr.2022.06.002. eCollection 2022 Aug.
To determine whether, and at which frequency, runners return to running after undergoing arthroscopic partial meniscectomy (APM).
We identified patients who underwent surgery between August 2012 and December 2019 who were classified as runners (defined as running 2+ times per week according to Marx Activity Rating Scale Q1) and completed the 1-year follow-up to assess outcomes. Patients were followed using the Marx Activity Rating Scale, Knee Injury and Osteoarthritis Outcome Score (KOOS), Veterans RAND 12-item Health Survey mental and physical components, and visual analog pain scale scores preoperatively and 1 and 2 years postoperatively. The association between baseline characteristics and return to running was assessed using the unpaired test or Wilcoxon rank sum test for continuous predictors and a χ test for categorical predictors, using the 1-year postoperative follow-up data.
A total of 185 patients were included in this study. One year after APM, 41% of runners returned to running at the same frequency or more frequently than before. Further, 50% of runners returned to running at least twice weekly. Return to running according to those definitions was similar at 2 years (38% and 47%, respectively). At both 1 and 2 years, runners exhibited significant improvements in KOOS (Pain), KOOS (Function in Sport and Recreation), visual analog pain scale, and Veterans RAND 12-item Health Survey physical component scores. Lower body mass index ( = .0248) and greater baseline running frequency ( = .0300) predicted return to running at least twice weekly at 1 year postoperatively. Medial versus lateral compartment partial meniscectomy and Outerbridge grade were not significant predictors of return to running.
Roughly 1 in 2 runners return to their preoperative running frequency after undergoing APM. Obesity and lower baseline running frequency were significantly associated with inability to return to running.
III, retrospective cohort study.
确定接受关节镜下半月板部分切除术（APM）的跑步者是否以及以何种频率恢复跑步。
我们确定了2012年8月至2019年12月期间接受手术的患者，这些患者被归类为跑步者（根据马克思活动评分量表Q1定义为每周跑步2次及以上），并完成了1年的随访以评估结果。使用马克思活动评分量表、膝关节损伤和骨关节炎结局评分（KOOS）、退伍军人兰德12项健康调查问卷的心理和身体成分以及术前、术后1年和2年的视觉模拟疼痛量表评分对患者进行随访。使用未配对t检验或Wilcoxon秩和检验评估连续预测因素，使用χ检验评估分类预测因素与术后1年随访数据中恢复跑步之间的关联。
本研究共纳入185例患者。APM术后1年，41%的跑步者恢复到与术前相同或更高的跑步频率。此外，50%的跑步者恢复到每周至少跑步两次。根据这些定义，2年时恢复跑步的情况相似（分别为38%和47%）。在术后1年和2年，跑步者在KOOS（疼痛）、KOOS（运动和娱乐功能）、视觉模拟疼痛量表以及退伍军人兰德12项健康调查问卷身体成分评分方面均有显著改善。较低的体重指数（P = 0.0248）和较高的基线跑步频率（P = 0.0300）预测术后1年每周至少跑步两次可恢复跑步。内侧与外侧半月板部分切除术以及Outerbridge分级不是恢复跑步的显著预测因素。
大约二分之一的跑步者在接受APM后恢复到术前的跑步频率。肥胖和较低的基线跑步频率与无法恢复跑步显著相关。
III级，回顾性队列研究。
