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Impact of Patient Sex on Clinical Outcomes: Data From an Anterior Cruciate Ligament Reconstruction Registry, 2008-2013.

Teitsma XM, van der Hoeven H, Tamminga R, de Bie RA - Orthop J Sports Med (2014)

Bottom Line: Preoperatively, the KOOS, Lysholm, and Tegner scores were significantly higher in males.One year after ACL surgery, all patients had improved greatly, showing only minor differences between sexes.The male group showed slightly better results when evaluating self-reported knee questionnaires.

View Article: PubMed Central - PubMed

Affiliation: Department of Physical Therapy, Medicort Sports and Orthopedic Care, Naarden, the Netherlands. ; Combined Quality Care, Naarden, the Netherlands.

ABSTRACT

Background: The Combined Quality Care Anterior Cruciate Ligament registry provides data for clinical research regarding primary anterior cruciate ligament (ACL) surgery.

Purpose: To explore the data with regard to the clinical outcomes between sexes after ACL reconstruction in a Dutch population.

Study design: Cohort study; Level of evidence, 3.

Methods: Data involving patients diagnosed with an ACL tear and eligible for surgery were recorded. Isokinetic muscle strength, functional muscle performance, and anterior-posterior translation of the knee joint were documented preoperatively and at 3, 6, 9, and 12 months postoperatively. Patients completed the Knee Injury and Osteoarthritis Outcome Score (KOOS), Lysholm, and Tegner rating scales during each examination using a web-based questionnaire.

Results: Approximately 90% of ACL injuries occurred during sport activities. The mean (SD) age at surgery was 28 (11) years for both men and women, and the majority of patients were treated with hamstring tendon autografts (94%). Four percent received bone-patellar tendon-bone autografts, and 2% of the patients received other grafts. Preoperatively, the KOOS, Lysholm, and Tegner scores were significantly higher in males. Twelve months postoperatively, both sexes showed comparable isokinetic strength (P = .336), knee laxity (P = .680), and hop test for distance (P = .122) when comparing the injured with the uninjured side. Self-reported knee function was comparable between sexes as assessed by the KOOS (P = .202), Lysholm (P = .872), and Tegner (P = .767) questionnaires during the 12-month follow-up.

Conclusion: One year after ACL surgery, all patients had improved greatly, showing only minor differences between sexes. The male group showed slightly better results when evaluating self-reported knee questionnaires. Comparable outcomes and knee function between sexes can therefore be presumed with patients who are treated with hamstring tendon autografts in a Dutch population.

Clinical relevance: These results can be used during the clinical evaluation of patients who are eligible for ACL reconstruction.

No MeSH data available.


Related in: MedlinePlus

Mean Tegner scores. Boldfaced P values indicate statistical significance.
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fig3-2325967114550638: Mean Tegner scores. Boldfaced P values indicate statistical significance.

Mentions: Lysholm scores were available for 1052 patients (62% male, 38% female), Tegner scores were available for 790 patients (65% male, 35% female), and KOOS scores were available for 790 patients (64% male, 36% female). The mean scores for the Lysholm, Tegner, and KOOS questionnaires during all measurements are presented in Figures 2, 3, and 4, respectively. During the first 9 months, there were some minor differences between the sexes, where male patients tended to present higher outcome scores on the self-reported questionnaires. However, at 12 months after surgery, there were no differences between sexes in the KOOS (P = .202), Lysholm (P = .872), and Tegner scores (P = .767).


Impact of Patient Sex on Clinical Outcomes: Data From an Anterior Cruciate Ligament Reconstruction Registry, 2008-2013.

Teitsma XM, van der Hoeven H, Tamminga R, de Bie RA - Orthop J Sports Med (2014)

Mean Tegner scores. Boldfaced P values indicate statistical significance.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2 - License 3
Show All Figures
getmorefigures.php?uid=PMC4555630&req=5

fig3-2325967114550638: Mean Tegner scores. Boldfaced P values indicate statistical significance.
Mentions: Lysholm scores were available for 1052 patients (62% male, 38% female), Tegner scores were available for 790 patients (65% male, 35% female), and KOOS scores were available for 790 patients (64% male, 36% female). The mean scores for the Lysholm, Tegner, and KOOS questionnaires during all measurements are presented in Figures 2, 3, and 4, respectively. During the first 9 months, there were some minor differences between the sexes, where male patients tended to present higher outcome scores on the self-reported questionnaires. However, at 12 months after surgery, there were no differences between sexes in the KOOS (P = .202), Lysholm (P = .872), and Tegner scores (P = .767).

Bottom Line: Preoperatively, the KOOS, Lysholm, and Tegner scores were significantly higher in males.One year after ACL surgery, all patients had improved greatly, showing only minor differences between sexes.The male group showed slightly better results when evaluating self-reported knee questionnaires.

View Article: PubMed Central - PubMed

Affiliation: Department of Physical Therapy, Medicort Sports and Orthopedic Care, Naarden, the Netherlands. ; Combined Quality Care, Naarden, the Netherlands.

ABSTRACT

Background: The Combined Quality Care Anterior Cruciate Ligament registry provides data for clinical research regarding primary anterior cruciate ligament (ACL) surgery.

Purpose: To explore the data with regard to the clinical outcomes between sexes after ACL reconstruction in a Dutch population.

Study design: Cohort study; Level of evidence, 3.

Methods: Data involving patients diagnosed with an ACL tear and eligible for surgery were recorded. Isokinetic muscle strength, functional muscle performance, and anterior-posterior translation of the knee joint were documented preoperatively and at 3, 6, 9, and 12 months postoperatively. Patients completed the Knee Injury and Osteoarthritis Outcome Score (KOOS), Lysholm, and Tegner rating scales during each examination using a web-based questionnaire.

Results: Approximately 90% of ACL injuries occurred during sport activities. The mean (SD) age at surgery was 28 (11) years for both men and women, and the majority of patients were treated with hamstring tendon autografts (94%). Four percent received bone-patellar tendon-bone autografts, and 2% of the patients received other grafts. Preoperatively, the KOOS, Lysholm, and Tegner scores were significantly higher in males. Twelve months postoperatively, both sexes showed comparable isokinetic strength (P = .336), knee laxity (P = .680), and hop test for distance (P = .122) when comparing the injured with the uninjured side. Self-reported knee function was comparable between sexes as assessed by the KOOS (P = .202), Lysholm (P = .872), and Tegner (P = .767) questionnaires during the 12-month follow-up.

Conclusion: One year after ACL surgery, all patients had improved greatly, showing only minor differences between sexes. The male group showed slightly better results when evaluating self-reported knee questionnaires. Comparable outcomes and knee function between sexes can therefore be presumed with patients who are treated with hamstring tendon autografts in a Dutch population.

Clinical relevance: These results can be used during the clinical evaluation of patients who are eligible for ACL reconstruction.

No MeSH data available.


Related in: MedlinePlus