Division of Sports Medicine, Department of Orthopedic Surgery, NYU Grossman School of Medicine, New York, NY, USA.
Department of Orthopedic Surgery, NYU Grossman School of Medicine, New York, NY, USA.
Cartilage. 2024 Jun;15(2):130-138. doi: 10.1177/19476035231183256. Epub 2023 Oct 10.
To evaluate the effect of fear of reinjury on return to sport (RTS), return to work (RTW), and clinical outcomes following autologous chondrocyte implantation (ACI).
A retrospective review of patients who underwent ACI with a minimum of 2 years in clinical follow-up was conducted. Patient-reported outcomes collected included the Visual Analog Scale (VAS) and Knee Injury and Osteoarthritis Outcome Score (KOOS). Kinesiophobia and pain catastrophizing was assessed using the Tampa Scale of Kinesiophobia-11 (TSK-11) and Pain Catastrophizing Scale (PCS), respectively. Patients were surveyed on their RTS and RTW status.
Fifty-seven patients (50.9% female) were included in our analysis. Twenty-two (38.6%) patients did not RTS. Of the 35 patients (61.4%) who returned, nearly half (48.6%) returned at a lower level of play. TSK-11 ( = 0.003), PCS ( = 0.001), and VAS pain scores ( < 0.001) were significantly greater in patients that did not RTS than in those who returned. All KOOS subscores analyzed were significantly lower ( < 0.001) in patients that did not RTS than in those who returned at the same level or higher. Of the 44 (77.2%) patients previously employed, 97.7% returned to work. Increasing TSK-11 scores were associated with lower odds of returning to sport ( = 0.003).
Fear of reinjury decreases the likelihood that patients will return to sport after ACI. Patients that do not return to sport report significantly greater levels of fear of reinjury and pain catastrophizing and lower clinical knee outcomes. Nearly all patients were able to return to work after surgery.
IV case series.
评估伤后恐惧对自体软骨细胞移植（ACI）后重返运动（RTS）、重返工作（RTW）和临床结果的影响。
对接受 ACI 治疗且临床随访至少 2 年的患者进行回顾性研究。收集的患者报告结果包括视觉模拟量表（VAS）和膝关节损伤和骨关节炎结果评分（KOOS）。使用 Tampa 运动恐惧量表-11（TSK-11）和疼痛灾难化量表（PCS）分别评估运动恐惧和疼痛灾难化。调查患者的 RTS 和 RTW 状况。
共纳入 57 例患者（50.9%为女性）进行分析。22 例（38.6%）患者未 RTS。在 35 例（61.4%）返回的患者中，近一半（48.6%）的患者以较低的运动水平返回。未 RTS 的患者 TSK-11（ = 0.003）、PCS（ = 0.001）和 VAS 疼痛评分（ < 0.001）显著高于 RTS 的患者。所有分析的 KOOS 亚量表评分在未 RTS 的患者中均显著低于（ < 0.001）以相同或更高水平 RTS 的患者。在 44 例（77.2%）既往就业的患者中，97.7%重返工作岗位。TSK-11 评分升高与较低的 RTS 可能性相关（ = 0.003）。
伤后恐惧降低了 ACI 后患者重返运动的可能性。未重返运动的患者报告的伤后恐惧和疼痛灾难化程度显著更高，临床膝关节结局更低。手术后几乎所有患者都能够重返工作岗位。
IV 级病例系列。
