Prognostic Factors in the Midterm Results of Pullout Fixation for Posterior Root Tears of the Medial Meniscus.
DC Field | Value | Language |
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dc.contributor.author | Chung, Kyu Sung | - |
dc.contributor.author | Ha, Jeong Ku | - |
dc.contributor.author | Ra, Ho Jong | - |
dc.contributor.author | Kim, Jin Goo | - |
dc.date.accessioned | 2022-07-15T14:27:07Z | - |
dc.date.available | 2022-07-15T14:27:07Z | - |
dc.date.created | 2021-05-13 | - |
dc.date.issued | 2016-07 | - |
dc.identifier.issn | 0749-8063 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/154277 | - |
dc.description.abstract | Purpose: To identify predictors of unfavorable clinical and radiologic outcomes a minimum of 5 years after pullout fixation for medial meniscus posterior root tears (MMPRTs). Methods: In total, 40 patients who were followed for >5 years after pullout fixation in MMPRT were recruited. The mean follow-up duration was 71.1 months. Clinical outcomes, including Lysholm score and International Knee Documentation Committee (IKDC) score, and radiographic results, including Kellgren-Lawrence (K-L; 0/1/2/3/4) grade and medial joint space width, were evaluated preoperatively and at final follow-up. Preoperative prognostic factors, including age, sex, body mass index, degree of varus alignment, K-L grade, medial joint space width, meniscal extrusion, and cartilage status, by the modified Outerbridge classification (grades 1 or 2 v 3 or 4), for relatively unfavorable (fair or poor grade) Lysholm or IKDC score, and progression of K-L grade were investigated by multivariate logistic regression analysis. Results: The mean Lysholm score (52.1 +/- 8.8 to 83.8 +/- 11.9) and IKDC score (40.1 +/- 7.6 to 73.3 +/- 10.9) were improved significantly (P < .001), although the loss of medial joint space width (4.8 +/- 1.1 to 3.9 +/- 1.1 mm) and K-L grade (6/25/9/0/0 to 0/11/20/9/0) progressed significantly (P < .001). Unfavorable prognostic factors of the Lysholm score were grade >= 3 chondral lesions (odds ratio [OR] = 5.993; P = .028) and varus mechanical alignment (OR = 1.644; P = .017), for IKDC score were grade >= 3 chondral lesions (OR = 11.146; P = .038) and older age (OR = 1.200; P = .017). Preoperative chondral lesion grade >= 3 increased the risk of K-L grade progression (OR = 11.000; P = ..031). Conclusions: Clinically, modified Outerbridge classification grade >= 3 chondral lesions, varus alignment, and older age were found to predict a poor prognosis after MMPRT fixation. In terms of radiographic K-L grade progression, grade >= 3 chondral lesions were identified as a poor prognostic factor. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | - |
dc.title | Prognostic Factors in the Midterm Results of Pullout Fixation for Posterior Root Tears of the Medial Meniscus. | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Jin Goo | - |
dc.identifier.doi | 10.1016/j.arthro.2015.12.046 | - |
dc.identifier.scopusid | 2-s2.0-84959313674 | - |
dc.identifier.wosid | 000379847500024 | - |
dc.identifier.bibliographicCitation | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, v.32, no.7, pp.1319 - 1327 | - |
dc.relation.isPartOf | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | - |
dc.citation.title | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | - |
dc.citation.volume | 32 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 1319 | - |
dc.citation.endPage | 1327 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기 학술지(Review) | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalResearchArea | Sport Sciences | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Sport Sciences | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | 2-YEAR FOLLOW-UP | - |
dc.subject.keywordPlus | ALLOGRAFT TRANSPLANTATION | - |
dc.subject.keywordPlus | PARTIAL MENISCECTOMY | - |
dc.subject.keywordPlus | SUTURE ANCHOR | - |
dc.subject.keywordPlus | REPAIR | - |
dc.subject.keywordPlus | OSTEOARTHRITIS | - |
dc.subject.keywordPlus | REFIXATION | - |
dc.subject.keywordPlus | SURVIVAL | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0749806316000128?via%3Dihub | - |
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