Graft Choice and the Incidence of Osteoarthritis After Anterior Cruciate Ligament Reconstruction: A Causal Analysis From a Cohort of 541 Patients
| Autor: | Khaled Bouacida, T. Cucurulo, Jérémy Besse, Nicolas Ruiz, Christophe Hulet, Nicolas Graveleau, Giovany Padiolleau, Vincent Morin, Flore-Anne Lecoq, Jean-Jacques Parienti, Société Française de Chirurgie Orthopédique et de Traumatologie, James Murison |
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| Přispěvatelé: | Mobilités : Vieillissement, Pathologie, Santé (COMETE), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU), Unité de Biostatistique et de Recherche Clinique (UBRC), Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)-CHU Caen, Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN)-Tumorothèque de Caen Basse-Normandie (TCBN), Groupe de Recherche sur l'Adaptation Microbienne (GRAM 2.0), Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Normandie Université (NU)-Université de Caen Normandie (UNICAEN), Normandie Université (NU), Hôpital d'instruction des Armées Percy, Service de Santé des Armées, Centre Hospitalier du Nord Mayenne (CHNM), Centre Hospitalier Antibes - Juan-les-Pins, CHU Strasbourg, Centre Hospitalier Universitaire [Grenoble] (CHU), Centre hospitalier universitaire de Nantes (CHU Nantes), Clinique du sport de Bordeaux-Mérignac |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Anterior cruciate ligament reconstruction Anterior cruciate ligament medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Osteoarthritis 03 medical and health sciences Young Adult 0302 clinical medicine Patellar Ligament medicine Humans Orthopedics and Sports Medicine ComputingMilieux_MISCELLANEOUS 030222 orthopedics Anterior Cruciate Ligament Reconstruction business.industry Incidence (epidemiology) Incidence Hamstring Tendons 030229 sport sciences Middle Aged Osteoarthritis Knee medicine.disease [SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology Patellar tendon 3. Good health Surgery medicine.anatomical_structure [SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology Cohort Propensity score matching [SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology Female business Causal analysis Follow-Up Studies |
| Zdroj: | American Journal of Sports Medicine American Journal of Sports Medicine, SAGE Publications (UK and US), 2018, 46 (12), pp.2842-2850. ⟨10.1177/0363546518795137⟩ |
| ISSN: | 0363-5465 |
| Popis: | Background: Anterior cruciate ligament (ACL) reconstruction is important to prevent knee osteoarthritis. Neither of the 2 most common graft techniques—the patellar tendon (PT) or hamstring tendon (HS) graft—has demonstrated superiority in terms of the long-term osteoarthritis rate. Hypothesis: Based on the International Knee Documentation Committee (IKDC) radiographic grading system, PT grafts decrease the incidence of osteoarthritis by providing better knee stability as compared with HS grafts over 12 years of follow-up. Study Design: Cohort study; Level of evidence, 3. Methods: All adults with a first ACL rupture who underwent surgery with a PT or HS graft technique between January 2002 and December 2003 were included in the 2014 French Society of Orthopedic Surgery and Traumatology Symposium database. Baseline characteristics were collected. The primary endpoint was the occurrence of moderate to severe osteoarthritis in each group. The secondary endpoints included clinical subjective evaluations by the IKDC score and Knee injury and Osteoarthritis Outcome Score. To control the differences in baseline characteristics, the data were analyzed with propensity score matching. Results: In the cohort, 541 patients from 18 centers were included: 311 PT and 230 HS ACL reconstructions. The baseline characteristics were similar after inverse probability weighting treatment (IPWT). The occurrence of osteoarthritis was similar after IPWT (19.3% for PT and 19.6% for HS, P = .94). Age at surgery >29 years and IKDC osteoarthritis stage B at the index surgery were identified as risk factors for moderate to severe osteoarthritis. Most functional outcomes were significantly higher in the HS group; however, the difference between groups remained Conclusion: At 12 years of follow-up, neither graft technique was superior to the other in terms of the rate of osteoarthritis. |
| Databáze: | OpenAIRE |
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