Risk Factors of Loss of Knee Range of Motion after Primary Anterior Cruciate Ligament Reconstruction following Preoperative Recovery of Knee Range of Motion

被引:0
作者
Yokoe, Takuji [1 ,2 ]
Tajima, Takuya [1 ]
Yamaguchi, Nami [1 ]
Morita, Yudai [1 ]
Chosa, Etsuo [1 ]
机构
[1] Univ Miyazaki, Fac Med, Dept Med Sensory & Motor Organs, Div Orthopaed Surg, Kiyotake, Miyazaki, Japan
[2] Univ Miyazaki 5200 Kihara, Fac Med, Dept Med Sensory & Motor Organs, Div Orthopaed Surg, 1692 Kihara, Kiyotake, Miyazaki 8891692, Japan
关键词
anterior cruciate ligament reconstruction; range of motion; body mass index; white blood cell; risk factors; osteoarthritis; medial tibial spine height; INTERCONDYLAR NOTCH SIZE; ARTHROFIBROSIS; OSTEOARTHRITIS;
D O I
10.1055/a-1934-0776
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The loss of knee range of motion (ROM) is not an uncommon complication after anterior cruciate ligament reconstruction (ACLR). However, the risk factors of loss of knee ROM remain debatable. The purpose of this study was to evaluate the incidence and risk factors of loss of knee ROM at 12 months after primary ACLR performed after regaining full knee ROM preoperatively. Consecutive patients who underwent primary ACLR after regaining full ROM between January 2014 and January 2020 were retrospectively reviewed. Patients who received a surgical arthrolysis within 12 months after ACLR or those who had a loss of knee ROM at 12 months postoperatively were defined as the loss of ROM group. Possible risk factors of loss of knee ROM, including patient demographic, preoperative, surgical, and postoperative factors, were assessed. The notch wide index and radiographic parameters of the tibial spines; medial tibial spine height/tibial length (TL), lateral tibial spine height (LTSH)/TL, and tibial spine width (TSW)/TL, were also assessed. A total of 141 patients (141 knees) were included (mean age, 25.8 & PLUSMN; 11.4 years; male/female, 56/85). Of the 141 patients, three received surgical arthrolysis within 12 months, and 23 had a loss of knee ROM at 12 months after ACLR. On comparing patients with and without loss of knee ROM, significant differences were found in the age ( p = 0.04), LTSH/TL ( p = 0.02), and TSW/TL ( p = 0.02). A multivariate regression analysis showed that the age (odds ratio [OR]; 1.05, 95% confidence interval [CI]: 1.01-1.09, p = 0.02), LTSH/TL (OR: 1.44, 95% CI: 1.01-2.1, p = 0.04), and TSW/TL (OR: 0.79, 95% CI: 0.65-0.97, p = 0.02) were identified as significant independent risk predictors of loss of knee ROM. This study showed that the incidence of loss of knee ROM at 12 months after primary ACLR was 18.4% (26/141). An older age, a higher LTSH/TL, and a smaller TSW/TL may be associated with loss of knee ROM at 12 months after ACLR.
引用
收藏
页码:1365 / 1373
页数:9
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