TY - JOUR
T1 - Impact of patient sex on clinical outcomes: Data from an anterior cruciate ligament reconstruction surgery registry 2008-20113
AU - Teitsma, Xavier
AU - van der Hoeven, Henk
AU - Tamminga, Rob
AU - de Bie, Rob
PY - 2014
Y1 - 2014
N2 - 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 ocumented preoperatively and at 3, 6, 9, nd 12 months postoperatively. Patients completed the Knee Injury and Osteoarthritis Outcome Score (KOOS), Lysholm, and egner 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 oth men and women, and the majority of patients were treated with hamstring tendon autografts (94%). Four percent received one–patellar tendon–bone autografts, and 2% of the patients received other grafts. Preoperatively, the KOOS, Lysholm, and egner scores were significantly higher in males. Twelve months postoperatively, both sexes showed comparable isokinetic trength (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 onlyminor 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.
Keywords:
anterior cruciate ligament; clinical outcome; sexes; epidemiology
AB - 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 ocumented preoperatively and at 3, 6, 9, nd 12 months postoperatively. Patients completed the Knee Injury and Osteoarthritis Outcome Score (KOOS), Lysholm, and egner 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 oth men and women, and the majority of patients were treated with hamstring tendon autografts (94%). Four percent received one–patellar tendon–bone autografts, and 2% of the patients received other grafts. Preoperatively, the KOOS, Lysholm, and egner scores were significantly higher in males. Twelve months postoperatively, both sexes showed comparable isokinetic trength (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 onlyminor 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.
Keywords:
anterior cruciate ligament; clinical outcome; sexes; epidemiology
KW - anterior cruciate ligament; clinical outcome; sexes; epidemiology
M3 - Article
JO - The Orthopaedic Journal of Sports Medicine
JF - The Orthopaedic Journal of Sports Medicine
ER -