Yazarlar (6) |
Dr. Öğr. Üyesi Beyza TAYFUR
Kırşehir Ahi Evran Üniversitesi, Türkiye |
Kenneth Pihl
|
Claus Varnum
|
Stefan Lohmander
|
Martin Englund
|
Jonas Bloch Thorlund
|
Özet |
Objective: To assess the variation in changes in patient-reported outcomes 4 to 6 years after arthroscopic partial meniscectomy (APM). Design: Prospective cohort study. Setting: Orthopedic departments at public hospitals. Patients: Patients (n = 447) from the Knee Arthroscopy Cohort Southern Denmark undergoing APM. Interventions: All patients underwent APM. Main Outcome Measures: Change in KOOS4 scores from baseline before surgery to similar to 5 years (range 4-6 years) after surgery. KOOS4 is the average aggregated score of 4 of 5 of the Knee injury and Osteoarthritis Outcome Score (KOOS) excluding the activities of daily living subscale (minimal clinical important improvement similar to 10 points). A mixed linear model adjusted for sex and body mass index was used to assess change from baseline to similar to 5-year follow-up. Change in KOOS4 was divided into 5 categories based on change from baseline to similar to 5-year follow-up: <0 points, 0 to 9 points, 10 to 19 points, 20 to 29 points, and >= 30 points. Results: On average, patient-reported outcomes continued to improve from baseline to similar to 5-year follow-up (mean KOOS4 change: 26, 95% CI, 24-28). Proportions in the different response groups were <0 points (12%), 0 to 9 points (13%), 10 to 19 points (16%), 20 to 29 points (19%), and >= 30 points (40%), with no difference between younger (<= 40 years, n = 75) and older (>40 years, n = 337) patients (P = 0.898). Conclusions: Patient-reported outcomes on average improved up to similar to 5 years after APM; however, large variability was observed. The similar variability in younger and older patients questions the assumption that younger patients with traumatic injuries experience larger benefits from APM. |
Anahtar Kelimeler |
meniscus | arthroscopic surgery | degenerative lesion | traumatic tear | meniscectomy |
Makale Türü | Özgün Makale |
Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
Dergi Adı | Clinical Journal of Sport Medicine |
Dergi ISSN | 1050-642X |
Dergi Tarandığı Indeksler | SCI-Expanded |
Dergi Grubu | Q4 |
Makale Dili | İngilizce |
Basım Tarihi | 09-2022 |
Cilt No | 32 |
Sayı | 5 |
Sayfalar | 523 / 530 |
Doi Numarası | 10.1097/JSM.0000000000001011 |
Makale Linki | https://doi.org/10.1097/jsm.0000000000001011 |