Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage : Short- to middle-term outcome
(2016) In Videosurgery and Other Miniinvasive Techniques / Wideochirurgia I Inne Techniki Maloinwazyjne 11(2). p.76-82- Abstract
Introduction: Several studies have suggested that anterior cruciate ligament reconstruction (ACLR) without wound drainage has no impact on long-term follow-up. Aim: To investigate a prospective patient series as measured by the patient-administered disease-specifc questionnaire Knee injury and Osteoarthritis Outcome Score (KOOS). Material and methods: The study included 101 consecutive patients (71 men and 30 women) with a mean age of 30 years (SD 10, range: 15-62 years), who had undergone primary single incision arthroscopic bone-patellar tendon-bone autograft (BPTB) ACLR without wound drainage. All patients completed KOOS questionnaires, preoperatively and at a mean follow-up of 1.4 years (range: 0.4-3.4). Satisfactory clinical... (More)
Introduction: Several studies have suggested that anterior cruciate ligament reconstruction (ACLR) without wound drainage has no impact on long-term follow-up. Aim: To investigate a prospective patient series as measured by the patient-administered disease-specifc questionnaire Knee injury and Osteoarthritis Outcome Score (KOOS). Material and methods: The study included 101 consecutive patients (71 men and 30 women) with a mean age of 30 years (SD 10, range: 15-62 years), who had undergone primary single incision arthroscopic bone-patellar tendon-bone autograft (BPTB) ACLR without wound drainage. All patients completed KOOS questionnaires, preoperatively and at a mean follow-up of 1.4 years (range: 0.4-3.4). Satisfactory clinical outcome (function recovery - FR) was defned as the lower threshold for the 95% CI of 18-34-year old males and corresponded to a KOOS score > 90 for Pain, 84 for Symptoms, 91 for Activities of Daily Living (ADL), 80 for Sports/Recreation, and 81 for Quality of Life (QOL). A non-satisfactory result was defned as treatment failure (TF) and corresponded to a QOL score < 44. Results: All patients achieved 90° of knee flexion on the frst postoperative day and full extension 2 weeks postoperatively. A full range of motion was achieved in less than 6 weeks postoperatively. No postoperative complications were reported. Score improvement at follow-up was observed in the KOOS subscales Pain, Symptoms and ADL. Criteria for FR were fulflled by 52% of patients for Pain, 47% for Symptoms, 62% for ADL, 34% for Sports/Recreation and 15% for QOL, whereas criteria for TF were fulflled by 29% of patients. Conclusions: The study demonstrated that the primary ACLRs without wound drainage did not have any negative impact for patient-reported recovery.
(Less)
- author
- Witonski, Dariusz ; Keska, Rafal ; Cyranowski, Rafal and Paradowski, Przemyslaw T
- publishing date
- 2016
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Anterior cruciate ligament, Arthroscopic anterior cruciate ligament reconstruction, Drainage, Knee, Knee injury and Osteoarthritis Outcome Score
- in
- Videosurgery and Other Miniinvasive Techniques / Wideochirurgia I Inne Techniki Maloinwazyjne
- volume
- 11
- issue
- 2
- pages
- 7 pages
- publisher
- Termedia Publishing House Ltd.
- external identifiers
-
- scopus:85008953595
- pmid:27458486
- ISSN
- 1895-4588
- DOI
- 10.5114/wiitm.2016.60044
- language
- English
- LU publication?
- no
- id
- bceca581-d062-414c-afc0-f01bdfb4f2f5
- date added to LUP
- 2017-02-10 14:54:17
- date last changed
- 2024-05-12 07:17:47
@article{bceca581-d062-414c-afc0-f01bdfb4f2f5,
abstract = {{<p>Introduction: Several studies have suggested that anterior cruciate ligament reconstruction (ACLR) without wound drainage has no impact on long-term follow-up. Aim: To investigate a prospective patient series as measured by the patient-administered disease-specifc questionnaire Knee injury and Osteoarthritis Outcome Score (KOOS). Material and methods: The study included 101 consecutive patients (71 men and 30 women) with a mean age of 30 years (SD 10, range: 15-62 years), who had undergone primary single incision arthroscopic bone-patellar tendon-bone autograft (BPTB) ACLR without wound drainage. All patients completed KOOS questionnaires, preoperatively and at a mean follow-up of 1.4 years (range: 0.4-3.4). Satisfactory clinical outcome (function recovery - FR) was defned as the lower threshold for the 95% CI of 18-34-year old males and corresponded to a KOOS score > 90 for Pain, 84 for Symptoms, 91 for Activities of Daily Living (ADL), 80 for Sports/Recreation, and 81 for Quality of Life (QOL). A non-satisfactory result was defned as treatment failure (TF) and corresponded to a QOL score < 44. Results: All patients achieved 90° of knee flexion on the frst postoperative day and full extension 2 weeks postoperatively. A full range of motion was achieved in less than 6 weeks postoperatively. No postoperative complications were reported. Score improvement at follow-up was observed in the KOOS subscales Pain, Symptoms and ADL. Criteria for FR were fulflled by 52% of patients for Pain, 47% for Symptoms, 62% for ADL, 34% for Sports/Recreation and 15% for QOL, whereas criteria for TF were fulflled by 29% of patients. Conclusions: The study demonstrated that the primary ACLRs without wound drainage did not have any negative impact for patient-reported recovery.</p>}},
author = {{Witonski, Dariusz and Keska, Rafal and Cyranowski, Rafal and Paradowski, Przemyslaw T}},
issn = {{1895-4588}},
keywords = {{Anterior cruciate ligament; Arthroscopic anterior cruciate ligament reconstruction; Drainage; Knee; Knee injury and Osteoarthritis Outcome Score}},
language = {{eng}},
number = {{2}},
pages = {{76--82}},
publisher = {{Termedia Publishing House Ltd.}},
series = {{Videosurgery and Other Miniinvasive Techniques / Wideochirurgia I Inne Techniki Maloinwazyjne}},
title = {{Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage : Short- to middle-term outcome}},
url = {{http://dx.doi.org/10.5114/wiitm.2016.60044}},
doi = {{10.5114/wiitm.2016.60044}},
volume = {{11}},
year = {{2016}},
}