Outcomes of multiligament knee injury treated with versus without internal brace suture augmentation.
Purpose: To compare the postoperative outcomes between Internal Brace (IB) and non-IB patients who underwent surgical management of multiple-ligament knee injuries (MLKI). Methods: Patients who underwent surgical management of MLKI at two institutions between 2010 and 2020 were identified and offere...
| Publicado en: | European Journal of Orthopaedic Surgery & Traumatology Vol. 34; no. 1; pp. 303 - 310 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174645182&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174645182 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16338065 P4L jtl: European Journal of Orthopaedic Surgery & Traumatology issn: 16338065 maglogo: N pubinfo: dt: Jan2024 vid: 34 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 174645182 174645182 174645182 10.1007/s00590-023-03575-1 174645182 ppf: 303 ppct: 7 formats: tig: atl: Outcomes of multiligament knee injury treated with versus without internal brace suture augmentation. aug: au: Korber, Shane S. Fathi, Amir Bolia, Ioanna K. Panish, Brian J. Benvegnu, Neilen Juhan, Tristan W. Weber, Alexander E. Argintar, Evan H. Hatch, George F. affil: Department of Orthopaedic Surgery, Keck School of Medicine of USC, Epstein Family Center for Sports Medicine at Keck Medicine of USC, 1520 San Pablo St #2000, 90033, Los Angeles, CA, USA sug: subj: Knee Injuries Surgery Ligament Injuries Surgery Surgery, Reconstructive Methods Postoperative Care Orthoses Utilization Treatment Outcomes Human Male Female Adult Comparative Studies Computerized Adaptive Testing Scales Pain, Procedural Functional Status Ambulation Aids Reoperation Statistics and Numerical Data Postoperative Complications Descriptive Statistics Physical Activity Knee Dislocation Adult: 19-44 years Male Female ab: Purpose: To compare the postoperative outcomes between Internal Brace (IB) and non-IB patients who underwent surgical management of multiple-ligament knee injuries (MLKI). Methods: Patients who underwent surgical management of MLKI at two institutions between 2010 and 2020 were identified and offered participation in the study via the collection of postoperative functional outcomes for MLKI; Lysholm Knee score, Multiligament Quality of Life (ML-QOL), Patient-Reported Outcomes Measurement Information System (PROMIS) computer adaptive testing (CAT), Pain Interference (PI), Physical Function (PF), and Mobility instruments (MI). The postoperative outcomes and reoperation rates were compared between the IB group and non-IB group. Results: One hundred and twenty-six patients were analyzed; 89 were included in the IB group (31.5% female; age 35.6 ± 1.4 years), and 37 were included in the non-IB group (25.7% female; age 38.8 ± 2.4 years). Mean follow-up time of the entire cohort was 37.9 ± 4.7 months [IB: 21.8 + 1.63; non-IB: 76.4 ± 6.2, p < 0.001). The IB group achieved similar PROMIS CAT [PROMIS Pain (51.8 + 1.1 vs. 52.1 + 1.6, p = 0.8736), Physical Function (46.6 + 1.2 vs. 46.4 + 1.8, p = 0.9168), Mobility (46.0 + 1.0 vs. 43.7 + 1.6, p = 0.2185)], ML-QOL [ML-QOL Physical Impairment (36.6 + 2.5 vs. 43.5 ± 4.2, p = 0.1485), Emotional Impairment (42.5 + 2.9 vs. 48.6 ± 4.6, p = 0.2695), Activity Limitation (34.5 + 2.8 vs. 36.2 ± 4.3, p = 0.7384), Societal Involvement (39.1 + 3.0 vs. 41.7 + 4.2, p = 0.6434)] and Lysholm knee score (64.9 + 2.5 vs. 60.4 + 4.0, p = 0.3397) postoperatively compared the non-IB group, but the differences were not significant. Conclusion: In this cohort of patients with MLKI treated with versus without IB, outcomes and reoperation rates trended toward favoring IB, but the study was not sufficiently powered to reach statistical significance. Internal bracing could be useful in the management of MLKI. In the future, matched patient cohorts with more patients are warranted to further evaluate the clinical impact of the internal brace in MLKI. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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