The long-term function of the knee in patients with fibular hemimelia and anterior cruciate ligament deficiency
Autor: | Paul M. Caskey, Bryan J. Tompkins, D. A. Crawford, Glen O. Baird |
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Rok vydání: | 2012 |
Předmět: |
Adult
Male medicine.medical_specialty Knee Joint Ectromelia Limp medicine.medical_treatment Anterior cruciate ligament Pain Fibular hemimelia Severity of Illness Index Amputation Surgical medicine Humans Orthopedics and Sports Medicine Anterior Cruciate Ligament Fibula Pain Measurement Retrospective Studies Lysholm Knee Score business.industry Hobbies Retrospective cohort study Middle Aged musculoskeletal system medicine.disease Surgery medicine.anatomical_structure Amputation Physical therapy Female medicine.symptom business human activities |
Zdroj: | The Journal of Bone and Joint Surgery. British volume. :328-333 |
ISSN: | 2044-5377 0301-620X |
Popis: | Most patients (95%) with fibular hemimelia have an absent anterior cruciate ligament (ACL). The purpose of this study was to assess the long-term outcome of such patients with respect to pain and knee function. We performed a retrospective review of patients with fibular hemimelia and associated ACL deficiency previously treated at our institution. Of a possible 66 patients, 23 were sent the Musculoskeletal Outcomes Data Evaluation and Management System (MODEMS) questionnaire and Lysholm knee score to complete. In all, 11 patients completed the MODEMS and nine completed the Lysholm score questionnaire. Their mean age was 37 years (27 to 57) at review. Five patients had undergone an ipsilateral Symes amputation. There was no significant difference in any subsections of the Short-Form 36 scores of our patients compared with age-matched controls. The mean Lysholm knee score was 90.2 (82 to 100). A slight limp was reported in six patients. No patients had episodes of locking of the knee or required a supportive device for walking. Four had occasional instability with sporting activities.These results suggest that patients with fibular hemimelia and ACL deficiency can live active lives with a similar health status to age-matched controls. |
Databáze: | OpenAIRE |
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