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Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage : Short- to middle-term outcome

Witonski, Dariusz; Keska, Rafal; Cyranowski, Rafal and Paradowski, Przemyslaw T (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.

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author
publishing date
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
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
2017-04-11 12:51:33
@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 &gt; 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 &lt; 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},
  keyword      = {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},
  volume       = {11},
  year         = {2016},
}