Comparison of Clinical and Radiographic Outcomes According to the Presence or Absence of a Posterior Draw Force during Graft Fixation in Anterior Cruciate Ligament Reconstruction
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Surgical Procedures
2.3. Clinical and Radiographic Evaluation
2.4. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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No. of patients ultimately enrolled | 110 |
Male:Female | 92:18 |
Age, year | 31.3 ± 11.9 |
Height, cm | 171.9 ± 7.1 |
Weight, kg | 75.8 ± 12.6 |
Body mass index, kg/m2 | 25.5 ± 3.3 |
Graft | Autograft, hamstring tendon: 66 Allograft, tibialis anterior tendon: 35 Mixed: 9 |
Time from injury to surgery, weeks | 8.5 ± 14.2 |
Preoperative | Postoperative | p Value | |
---|---|---|---|
Lachman test (Grade 0/1/2/3) | 1/8/33/68 | 89/21/0/0 | <0.001 |
Pivot-shift test (Grade 0/1/2/3) | 3/20/50/37 | 99/11/0/0 | <0.001 |
WOMAC index | 36.8 ± 23.9 | 10.6 ± 13.2 | <0.001 |
Lysholm score | 54.8 ± 23.9 | 84.2 ± 13.2 | <0.001 |
IKDC subjective score | 49.1 ± 15.2 | 73.7 ± 13.0 | <0.001 |
STSD, mm | 6.0 ± 3.4 | 2.3 ± 2.2 | <0.001 |
Non-Draw Group | Draw Group | p Value | |
---|---|---|---|
Demographic data | |||
Number of patients | 76 | 34 | |
Age, year | 30.8 ± 12.1 | 32.6 ± 11.6 | 0.472 |
Sex, male:female | 64:12 | 28:6 | 0.787 |
BMI, kg/m2 | 25.2 ± 3.2 | 26.2 ± 3.6 | 0.167 |
Time from injury to surgery, weeks | 9.2 ± 14.2 | 7.2 ± 14.1 | 0.5 |
Follow-up period, months | 18.6 ± 8.6 | 16.7 ± 5.4 | 0.228 |
Graft (autograft/allograft/mixed) | 43/25/8 | 23/10/1 | 0.407 |
Combined medial meniscal tear | |||
Medial | 22 (28.9%) | 10 (29.4%) | 0.96 |
Lateral | 27 (35.5%) | 9 (26.5%) | 0.387 |
Preoperative data | |||
Lachman test (Grade 0/1/2/3) | 0/7/20/49 | 1/1/13/19 | 0.499 |
Pivot-shift test (Grade 0/1/2/3) | 3/17/31/25 | 0/3/19/12 | 0.217 |
WOMAC index | 35.2 ± 25.9 | 39.4 ± 18.5 | 0.396 |
Lysholm score | 55.9 ± 24.5 | 52.4 ± 21.8 | 0.472 |
IKDC subjective score | 50.6 ± 15.3 | 46.1 ± 14.6 | 0.154 |
STSD, mm | 5.9 ± 3.0 | 6.3 ± 4.3 | 0.68 |
Postoperative data | |||
Lachman test (Grade 0/1/2/3) | 60/16/0/0 | 29/5/0/0 | 0.601 |
Pivot-shift test (Grade 0/1/2/3) | 68/8/0/0 | 31/3/0/0 | 0.542 |
WOMAC index | 10.3 ± 15.0 | 10.7 ± 8.1 | 0.892 |
Lysholm score | 83.5 ± 15.3 | 86.1 ± 6.5 | 0.345 |
IKDC subjective score | 74.3 ± 12.4 | 72.9 ± 14.3 | 0.603 |
STSD, mm | 2.4 ± 2.2 | 2.0 ± 2.2 | 0.319 |
Change in STSD (pre to post), mm | 3.5 ± 3.5 | 4.3 ± 4.4 | 0.295 |
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Cho, J.-H.; Lee, H.I.; Heo, J.W.; Lee, S.-S. Comparison of Clinical and Radiographic Outcomes According to the Presence or Absence of a Posterior Draw Force during Graft Fixation in Anterior Cruciate Ligament Reconstruction. Medicina 2022, 58, 1787. https://doi.org/10.3390/medicina58121787
Cho J-H, Lee HI, Heo JW, Lee S-S. Comparison of Clinical and Radiographic Outcomes According to the Presence or Absence of a Posterior Draw Force during Graft Fixation in Anterior Cruciate Ligament Reconstruction. Medicina. 2022; 58(12):1787. https://doi.org/10.3390/medicina58121787
Chicago/Turabian StyleCho, Jin-Ho, Hyun Il Lee, Jae Won Heo, and Sung-Sahn Lee. 2022. "Comparison of Clinical and Radiographic Outcomes According to the Presence or Absence of a Posterior Draw Force during Graft Fixation in Anterior Cruciate Ligament Reconstruction" Medicina 58, no. 12: 1787. https://doi.org/10.3390/medicina58121787