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Longitudinal Evaluation Using the Forgotten Joint Score-12 for Double-Bundle Primary Anterior Cruciate Ligament Reconstruction: A Retrospective Observational Study.

作者信息

Sakamoto Takuya, Watanabe Shotaro, Horii Manato, Ito Ryu, Kimura Seiji, Yamaguchi Satoshi, Ohtori Seiji, Sasho Takahisa

机构信息

Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Chiba, JPN.

Center for Preventive Medical Sciences, Chiba University, Chiba, JPN.

出版信息

Cureus. 2024 Sep 30;16(9):e70547. doi: 10.7759/cureus.70547. eCollection 2024 Sep.


DOI:10.7759/cureus.70547
PMID:39479077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11524513/
Abstract

Introduction There are several postoperative evaluation methods for anterior cruciate ligament reconstruction (ACLR), and patient-reported outcome measurement (PROM) is one of the most important for evaluating postoperative clinical results. However, conventional PROMs have a high risk of a ceiling effect at one and two years postoperatively and do not accurately reflect functional improvement over time. Therefore, a longitudinal evaluation using PROM with a low risk of ceiling effect is necessary. The forgotten joint score-12 (FJS) was developed for clinical evaluation after arthroplasty. It is considered an evaluation method after arthroplasty with a low risk of demonstrating a ceiling effect. However, few studies have used the FJS as an evaluation method after ACLR, particularly those tracking changes over time. This study aimed to longitudinally evaluate FJS at one and two years after ACLR. Methods This is a retrospective observational study of postoperative patients using existing data and a questionnaire-based survey. This study included patients who underwent primary double-bundle ACLR between August 2017 and August 2021. We compared the FJS, knee injury and osteoarthritis outcome score (KOOS), and Lysholm knee scale (LKS) scores at one and two years post-surgery using the Wilcoxon signed-rank test. The ceiling effect for each PROM was calculated at one and two years post-surgery. A ceiling was defined as obtaining a perfect score in PROMs, and the risk of demonstrating a ceiling effect was the percentage of perfect scores among all cases. The risk of demonstrating a ceiling effect for each PROM was compared using the McNemar test. To identify factors influencing FJS one-year post-ACLR across all cases, multivariate linear regression analysis was conducted for the FJS.  Results Finally, 87 patients were included in this study. Fifty-six participants were women, and 31 were men, with an average age of 28.5 ± 11.8 years at the time of surgery and a BMI of 23.2 ± 3.7 kg/m. Fifty-eight patients with meniscus injuries requiring treatment were observed. A total of 54 patients were used to compare the results at one and two years, while 87 patients were included in the multivariate analysis for FJS at one year. The median of FJS at one and two years post-surgery were 90.6 and 95.8, respectively. The FJS showed a statistically significant improvement from one to two years (p = 0.033). Question #12 in FJS showed a significant improvement from the first to the second year postoperatively (1.74 ± 1.46 vs 1.15 ± 1.25 at one year vs two years, respectively; p = 0.0016). FJS had a lower risk of demonstrating a ceiling effect than KOOS ADL at one and two years (FJS vs KOOS ADL; at first year: 20.4% and 48.1%, p < 0.001; at second year: 33.3% and 63.0%, p = 0.0013). There was no difference compared to the other PROMs. According to the multivariate linear regression analysis, predictive factors for higher FJS scores at one year post-surgery were younger age and limb symmetry index of single-leg hop test(SLH-LSI) on the affected side that was close to that of the healthy side (SLH-LSI > 0.9). Conclusions The FJS continued to improve over two years after ACLR. The FJS post-ACLR was higher in younger individuals and those with SLH-LSI of 0.9 or higher.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b83/11524513/a2cd70099c24/cureus-0016-00000070547-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b83/11524513/dd0e9aad168f/cureus-0016-00000070547-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b83/11524513/a2cd70099c24/cureus-0016-00000070547-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b83/11524513/dd0e9aad168f/cureus-0016-00000070547-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b83/11524513/a2cd70099c24/cureus-0016-00000070547-i02.jpg

相似文献

[1]
Longitudinal Evaluation Using the Forgotten Joint Score-12 for Double-Bundle Primary Anterior Cruciate Ligament Reconstruction: A Retrospective Observational Study.

Cureus. 2024-9-30

[2]
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Eur J Orthop Surg Traumatol. 2023-5

[3]
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.

Eur J Orthop Surg Traumatol. 2022-4

[4]
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Am J Sports Med. 2023-7

[5]
Lysholm and KOOS QoL Demonstrate High Responsiveness in Patients Undergoing Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Randomized Clinical Trials.

Am J Sports Med. 2024-10

[6]
Item-reduced Forgotten Joint Score provides adequate psychometric properties in ACLR patients.

J Exp Orthop. 2024-6-11

[7]
The Forgotten Joint Score-12 in Anterior Cruciate Ligament injuries.

J Orthop. 2020-3-25

[8]
Age, gender, quadriceps strength and hop test performance are the most important factors affecting the achievement of a patient-acceptable symptom state after ACL reconstruction.

Knee Surg Sports Traumatol Arthrosc. 2019-6-22

[9]
Young athletes after ACL reconstruction with quadriceps strength asymmetry at the time of return-to-sport demonstrate decreased knee function 1 year later.

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[10]
Choice of Patient-Reported Outcome Measures for Midterm Assessment After Anterior Cruciate Ligament Reconstruction Surgery.

Am J Sports Med. 2022-7

本文引用的文献

[1]
Comparison of joint awareness after medial unicompartmental knee arthroplasty and high tibial osteotomy: a retrospective multicenter study.

Arch Orthop Trauma Surg. 2022-6

[2]
Reliable Internal Consistency and Adequate Validity of the Forgotten Joint Score-12 after Primary Anterior Cruciate Ligament Repair.

Arthrosc Sports Med Rehabil. 2021-5-5

[3]
Randomized comparative study of suspension femoral fixation device in graft position maintenance in anterior cruciate ligament reconstruction: EndoButton CL vs TightRope RT.

Asia Pac J Sports Med Arthrosc Rehabil Technol. 2021-6-1

[4]
Who Passes Return-to-Sport Tests, and Which Tests Are Most Strongly Associated With Return to Play After Anterior Cruciate Ligament Reconstruction?

Orthop J Sports Med. 2020-12-18

[5]
The Forgotten Joint Score-12 in Anterior Cruciate Ligament injuries.

J Orthop. 2020-3-25

[6]
Lateral Extra-articular Tenodesis Reduces Failure of Hamstring Tendon Autograft Anterior Cruciate Ligament Reconstruction: 2-Year Outcomes From the STABILITY Study Randomized Clinical Trial.

Am J Sports Med. 2020-1-15

[7]
Comparable clinical and functional outcomes after anterior cruciate ligament reconstruction over and under 40 years of age.

Knee Surg Sports Traumatol Arthrosc. 2019-8-28

[8]
The effect of cyclic knee motion on the elongation of four-strand hamstring autograft in anterior cruciate ligament reconstruction: an in-situ pilot study.

BMC Musculoskelet Disord. 2019-7-9

[9]
Hop tests can result in higher limb symmetry index values than isokinetic strength and leg press tests in patients following ACL reconstruction.

Knee Surg Sports Traumatol Arthrosc. 2019-4-25

[10]
Evaluating different closed loop graft preparation technique for tibial suspensory fixation in ACL reconstruction using TightRope™.

Asia Pac J Sports Med Arthrosc Rehabil Technol. 2018-3-7

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