Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction
Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness' risk factors can help its prevention. This meta-analys...
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Published in | Journal of orthopaedic surgery and research Vol. 15; no. 1; p. 175 |
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Language | English |
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Abstract | Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness' risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness' risk factors and incidence after ACL reconstruction and provide guidance on its prevention.
PubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2.
In total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness' incidence negatively correlated with the studies publication time (R = -0.62, P = 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68; P < 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction.
This study indicated that joint stiffness' incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction. |
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AbstractList | Abstract
Background
Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness’ risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness’ risk factors and incidence after ACL reconstruction and provide guidance on its prevention.
Methods
PubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2.
Results
In total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness’ incidence negatively correlated with the studies publication time (
R
= −0.62,
P
= 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68;
P
< 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction.
Conclusion
This study indicated that joint stiffness’ incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction. Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness' risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness' risk factors and incidence after ACL reconstruction and provide guidance on its prevention. PubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2. In total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness' incidence negatively correlated with the studies publication time (R = -0.62, P = 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68; P < 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction. This study indicated that joint stiffness' incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction. Abstract Background Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness’ risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness’ risk factors and incidence after ACL reconstruction and provide guidance on its prevention. Methods PubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2. Results In total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness’ incidence negatively correlated with the studies publication time (R = −0.62, P = 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68; P < 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction. Conclusion This study indicated that joint stiffness’ incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction. BACKGROUNDJoint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness' risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness' risk factors and incidence after ACL reconstruction and provide guidance on its prevention. METHODSPubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2. RESULTSIn total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness' incidence negatively correlated with the studies publication time (R = -0.62, P = 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68; P < 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction. CONCLUSIONThis study indicated that joint stiffness' incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction. Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness' risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness' risk factors and incidence after ACL reconstruction and provide guidance on its prevention. PubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2. In total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness' incidence negatively correlated with the studies publication time (R = -0.62, P = 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68; P < 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction. This study indicated that joint stiffness' incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction. Background Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness' risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness' risk factors and incidence after ACL reconstruction and provide guidance on its prevention. Methods PubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2. Results In total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness' incidence negatively correlated with the studies publication time (R = -0.62, P = 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68; P < 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction. Conclusion This study indicated that joint stiffness' incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction. Keywords: Joint stiffness, Anterior cruciate ligament reconstruction, Meta-analysis, Incidence, Risk factors Background Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness’ risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness’ risk factors and incidence after ACL reconstruction and provide guidance on its prevention. Methods PubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2. Results In total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness’ incidence negatively correlated with the studies publication time (R = −0.62, P = 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68; P < 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction. Conclusion This study indicated that joint stiffness’ incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction. |
ArticleNumber | 175 |
Audience | Academic |
Author | Zhong, Jun-Long Lu, Hua-Ding Shang, Jie Lin, Nan Wang, Bin Xu, Xiang-He |
Author_xml | – sequence: 1 givenname: Bin surname: Wang fullname: Wang, Bin organization: Department of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, Guangdong, China – sequence: 2 givenname: Jun-Long surname: Zhong fullname: Zhong, Jun-Long organization: Department of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, Guangdong, China – sequence: 3 givenname: Xiang-He surname: Xu fullname: Xu, Xiang-He organization: Department of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, Guangdong, China – sequence: 4 givenname: Jie surname: Shang fullname: Shang, Jie organization: Department of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, Guangdong, China – sequence: 5 givenname: Nan surname: Lin fullname: Lin, Nan organization: Department of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, Guangdong, China – sequence: 6 givenname: Hua-Ding surname: Lu fullname: Lu, Hua-Ding email: johnniehuading@163.com organization: Department of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, Guangdong, China. johnniehuading@163.com |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32410648$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_3389_fsurg_2023_1122379 crossref_primary_10_33549_physiolres_934796 crossref_primary_10_3389_fspor_2023_1264150 crossref_primary_10_1016_j_jor_2021_01_003 crossref_primary_10_1016_j_tice_2022_101861 crossref_primary_10_1177_23259671231181371 crossref_primary_10_1055_a_1934_0776 crossref_primary_10_1097_BPO_0000000000001860 crossref_primary_10_1016_j_arthro_2023_01_016 crossref_primary_10_1080_03008207_2023_2232881 crossref_primary_10_13105_wjma_v9_i5_411 crossref_primary_10_1002_ksa_12073 crossref_primary_10_1186_s12891_022_05052_y crossref_primary_10_1177_23259671221147869 |
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Keywords | Anterior cruciate ligament reconstruction Joint stiffness Risk factors Incidence Meta-analysis |
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Snippet | Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and... Abstract Background Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the... Background Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the... BACKGROUNDJoint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation... Abstract Background Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the... |
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SubjectTerms | Anterior cruciate ligament Anterior Cruciate Ligament Injuries - diagnosis Anterior Cruciate Ligament Injuries - epidemiology Anterior Cruciate Ligament Injuries - surgery Anterior cruciate ligament reconstruction Anterior Cruciate Ligament Reconstruction - adverse effects Anterior Cruciate Ligament Reconstruction - trends Gender Humans Incidence Injuries Joint stiffness Knee Ligaments Medical research Meniscus Meta-analysis Orthopedic surgery Orthopedics Patient satisfaction Postoperative Complications - diagnosis Postoperative Complications - epidemiology Quality Retrospective Studies Risk Factors Sex Factors Statistical analysis Statistical methods Studies Surgery Trauma |
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Title | Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction |
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