Nascimento Bruno Fajardo do, Lima Mariana Bandeira da Rocha, Dias Júnior Jair Moreira, Antunes Filho Jurandir, Campos Túlio Vinícius de Oliveira, Mendes Júnior Adriano Fernando
Serviço de Ortopedia e Traumatologia, Hospital Universitário da Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.
Hospital Monte Sinai e Hospital Albert Sabin, Juiz de Fora, MG, Brasil.
Rev Bras Ortop (Sao Paulo). 2022 Oct 13;58(1):79-84. doi: 10.1055/s-0042-1756330. eCollection 2023 Feb.
To calculate the minimal important clinical difference (MICD) value for the Lysholm and International Knee Documentation Committee (IKDC) scores in a sample of patients submitted to anterior cruciate ligament reconstruction. Primary, observational, retrospective, analytical study of participants submitted to anterior cruciate ligament reconstruction from March 2019 to December 2020 by the same surgeon, with a minimum follow-up of 6 months, analysis of knee function in the pre- and postoperative period by the Lysholm and IKDC scores, and answer to an anchor question at 6 months postoperatively for the calculation of the MICD of each score. A total of 59 patients participated in the study, with a mean age of 27.1 ± 5.7 years old. In the comparison between pre- and postoperative scores of all groups, there was an increase in values with statistical significance after intervention. The MICD was 5.5 for the Lysholm score, and the MICD value for the IKDC score could not be determined. For the Lysholm score, the calculation of the MICD value by the anchor question method in the sample evaluated was 5.5. It was not possible to determine the value of the MICD for the IKDC score.
计算接受前交叉韧带重建手术患者样本中Lysholm评分和国际膝关节文献委员会(IKDC)评分的最小重要临床差异(MICD)值。对2019年3月至2020年12月由同一位外科医生进行前交叉韧带重建手术的参与者进行的原发性、观察性、回顾性分析研究,随访至少6个月,通过Lysholm评分和IKDC评分分析术前和术后膝关节功能,并在术后6个月回答一个锚定问题以计算每个评分的MICD。共有59名患者参与该研究,平均年龄为27.1±5.7岁。在所有组术前和术后评分的比较中,干预后数值有统计学意义的增加。Lysholm评分的MICD为5.5,IKDC评分的MICD值无法确定。对于Lysholm评分,在所评估样本中通过锚定问题法计算的MICD值为5.5。无法确定IKDC评分的MICD值。