[Translated article] Three years follow-up outcome of 4-strand semitendinous-gracilis anterior ligament reconstruction in women: A matched-cohort study
Women carry out a greater risk of anterior cruciate ligament (ACL) rupture. However, outcomes following ACL reconstruction remain unclear. The aim of this study was to analyse the outcomes in women following ACL reconstruction and compare these outcomes with men. Retrospective study of a prospective...
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| Published in | Revista española de cirugía ortopédica y traumatología Vol. 67; no. 1; pp. T43 - T49 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English Spanish |
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Elsevier España, S.L.U
01.01.2023
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| Abstract | Women carry out a greater risk of anterior cruciate ligament (ACL) rupture. However, outcomes following ACL reconstruction remain unclear. The aim of this study was to analyse the outcomes in women following ACL reconstruction and compare these outcomes with men.
Retrospective study of a prospective database of patients treated with ACL reconstruction between January 2017 and December 2018. Outcome measures included Tegner activity scale, Lysholm scale, EVA scale, and IKDC evaluation form. Clinical significance was measured with minimally clinical important difference, and patient acceptable symptom state.
A total of 33 women were matched with 99 men. The mean follow-up was 36 months. Women showed significant improvement from preoperative PROs to the latest follow-up, with no differences between groups. In patients under 25 years old, there was less significant IKDC subjective score in women compared to men. There were no significant differences in frequency of patients achieving MCID and PASS in women compared with men.
At 3-year following 4-strand semitendinosus-gracilis anterior ligament reconstruction, women showed significant improvements in PROs, with no differences compared to men.
Las mujeres presentan un riesgo elevado de rotura del ligamento cruzado anterior (LCA). Sin embargo, los resultados tras la cirugía reconstructiva son dispares en la literatura. El propósito de este estudio fue analizar los resultados en las mujeres tras cirugía reconstructiva del LCA, y compararlos con los resultados de los hombres.
Estudio retrospectivo de una base de datos prospectiva de pacientes intervenidos mediante reconstrucción anatómica semitendinoso-recto interno 4 fascículos del LCA entre enero de 2017 y diciembre de 2018. Para la valoración de los pacientes se utilizó la escala de actividad deportiva de Tegner, la escala de Lysholm, la EVA y el formulario IKDC subjetivo y objetivo. Se determinó la significación clínica con la diferencia mínima clínicamente importante y el estado de síntomas aceptable del paciente.
Se incluyeron en el estudio 33 mujeres y 99 hombres. El seguimiento medio de los pacientes fue de 36 meses. Las puntuaciones se incrementaron significativamente en los cuestionarios de valoración funcional en las mujeres al final del seguimiento, con resultados similares a los hombres. Solo se detectó una menor puntuación media significativa en las mujeres en el cuestionario IKDC subjetivo en aquellas menores de 25 años comparadas con los hombres. El porcentaje de pacientes que alcanzaron la significación clínica fue similar entre mujeres y hombres.
A los 3 años de seguimiento tras la reconstrucción anatómica semitendinoso-recto interno 4 fascículos del LCA, las mujeres presentaron una mejoría con significación estadística y clínica en los cuestionarios de valoración, sin diferencias con respecto a los hombres. |
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| AbstractList | INTRODUCTIONWomen carry out a greater risk of anterior cruciate ligament (ACL) rupture. However, outcomes following ACL reconstruction remain unclear. The aim of this study was to analyse the outcomes in women following ACL reconstruction and compare these outcomes with men. MATERIAL AND METHODSRetrospective study of a prospective database of patients treated with ACL reconstruction between January 2017 and December 2018. Outcome measures included Tegner activity scale, Lysholm scale, EVA scale, and IKDC evaluation form. Clinical significance was measured with minimally clinical important difference, and patient acceptable symptom state. RESULTSA total of 33 women were matched with 99 men. The mean follow-up was 36 months. Women showed significant improvement from preoperative PROs to the latest follow-up, with no differences between groups. In patients under 25 years old, there was less significant IKDC subjective score in women compared to men. There were no significant differences in frequency of patients achieving MCID and PASS in women compared with men. CONCLUSIONSAt 3-year following 4-strand semitendinosus-gracilis anterior ligament reconstruction, women showed significant improvements in PROs, with no differences compared to men. Women carry out a greater risk of anterior cruciate ligament (ACL) rupture. However, outcomes following ACL reconstruction remain unclear. The aim of this study was to analyse the outcomes in women following ACL reconstruction and compare these outcomes with men. Retrospective study of a prospective database of patients treated with ACL reconstruction between January 2017 and December 2018. Outcome measures included Tegner activity scale, Lysholm scale, EVA scale, and IKDC evaluation form. Clinical significance was measured with minimally clinical important difference, and patient acceptable symptom state. A total of 33 women were matched with 99 men. The mean follow-up was 36 months. Women showed significant improvement from preoperative PROs to the latest follow-up, with no differences between groups. In patients under 25 years old, there was less significant IKDC subjective score in women compared to men. There were no significant differences in frequency of patients achieving MCID and PASS in women compared with men. At 3-year following 4-strand semitendinosus-gracilis anterior ligament reconstruction, women showed significant improvements in PROs, with no differences compared to men. Las mujeres presentan un riesgo elevado de rotura del ligamento cruzado anterior (LCA). Sin embargo, los resultados tras la cirugía reconstructiva son dispares en la literatura. El propósito de este estudio fue analizar los resultados en las mujeres tras cirugía reconstructiva del LCA, y compararlos con los resultados de los hombres. Estudio retrospectivo de una base de datos prospectiva de pacientes intervenidos mediante reconstrucción anatómica semitendinoso-recto interno 4 fascículos del LCA entre enero de 2017 y diciembre de 2018. Para la valoración de los pacientes se utilizó la escala de actividad deportiva de Tegner, la escala de Lysholm, la EVA y el formulario IKDC subjetivo y objetivo. Se determinó la significación clínica con la diferencia mínima clínicamente importante y el estado de síntomas aceptable del paciente. Se incluyeron en el estudio 33 mujeres y 99 hombres. El seguimiento medio de los pacientes fue de 36 meses. Las puntuaciones se incrementaron significativamente en los cuestionarios de valoración funcional en las mujeres al final del seguimiento, con resultados similares a los hombres. Solo se detectó una menor puntuación media significativa en las mujeres en el cuestionario IKDC subjetivo en aquellas menores de 25 años comparadas con los hombres. El porcentaje de pacientes que alcanzaron la significación clínica fue similar entre mujeres y hombres. A los 3 años de seguimiento tras la reconstrucción anatómica semitendinoso-recto interno 4 fascículos del LCA, las mujeres presentaron una mejoría con significación estadística y clínica en los cuestionarios de valoración, sin diferencias con respecto a los hombres. Women carry out a greater risk of anterior cruciate ligament (ACL) rupture. However, outcomes following ACL reconstruction remain unclear. The aim of this study was to analyse the outcomes in women following ACL reconstruction and compare these outcomes with men. Retrospective study of a prospective database of patients treated with ACL reconstruction between January 2017 and December 2018. Outcome measures included Tegner activity scale, Lysholm scale, EVA scale, and IKDC evaluation form. Clinical significance was measured with minimally clinical important difference, and patient acceptable symptom state. A total of 33 women were matched with 99 men. The mean follow-up was 36 months. Women showed significant improvement from preoperative PROs to the latest follow-up, with no differences between groups. In patients under 25 years old, there was less significant IKDC subjective score in women compared to men. There were no significant differences in frequency of patients achieving MCID and PASS in women compared with men. At 3-year following 4-strand semitendinosus-gracilis anterior ligament reconstruction, women showed significant improvements in PROs, with no differences compared to men. |
| Author | Morales-Santias, M. Garcia Miralles, S. Bustamante Suarez de Puga, D. Más Martínez, J. Sanz-Reig, J. Alfaro Micó, J. |
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| Cites_doi | 10.1136/bjsports-2013-093398 10.1177/0363546510361218 10.1177/0363546517714472 10.2106/JBJS.M.00299 10.4085/1062-6050-0034.20 10.1016/j.arthro.2014.03.028 10.1007/s00167-021-06826-y 10.1007/BF01560215 10.1177/0363546516652888 10.1177/23259671211009589 10.1302/0301-620X.43B4.752 10.1177/2325967120964919 10.1097/00003086-198509000-00007 10.1177/0363546514542796 10.1007/s00590-018-2317-5 10.1177/0363546518803365 10.5435/JAAOS-21-01-41 10.1177/0363546508330143 10.1177/036354658201000306 10.1016/j.arthro.2017.01.053 10.1136/bjsports-2015-095898 10.1177/0363546515573008 10.1177/0363546509354163 |
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| Keywords | Anterior cruciate ligament reconstruction Ligamento cruzado anterior Return to sports Sex Anterior cruciate ligament Sexo Reincorporación deportiva Reconstrucción del ligamento cruzado anterior |
| Language | English Spanish |
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| Snippet | Women carry out a greater risk of anterior cruciate ligament (ACL) rupture. However, outcomes following ACL reconstruction remain unclear. The aim of this... INTRODUCTIONWomen carry out a greater risk of anterior cruciate ligament (ACL) rupture. However, outcomes following ACL reconstruction remain unclear. The aim... |
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| SubjectTerms | Adult Anterior cruciate ligament Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries - diagnosis Anterior Cruciate Ligament Injuries - surgery Anterior cruciate ligament reconstruction Cohort Studies Female Follow-Up Studies Humans Knee Joint - surgery Ligamento cruzado anterior Male Reconstrucción del ligamento cruzado anterior Reincorporación deportiva Retrospective Studies Return to sports Sex Sexo Treatment Outcome |
| Title | [Translated article] Three years follow-up outcome of 4-strand semitendinous-gracilis anterior ligament reconstruction in women: A matched-cohort study |
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