Effect of Preoperative Joint Space Width on Lateral Meniscal Allograft Transplantation: Outcomes at Midterm Follow-up
DC Field | Value | Language |
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dc.contributor.author | Lee, Dhong Won | - |
dc.contributor.author | Lee, Dong Ryun | - |
dc.contributor.author | Kim, Min Ah | - |
dc.contributor.author | Lee, Joon Kyu | - |
dc.contributor.author | Kim, Jin Goo | - |
dc.date.accessioned | 2023-08-16T07:51:50Z | - |
dc.date.available | 2023-08-16T07:51:50Z | - |
dc.date.created | 2023-07-21 | - |
dc.date.issued | 2022-09 | - |
dc.identifier.issn | 2325-9671 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/189163 | - |
dc.description.abstract | Background: It remains unclear whether lateral joint space narrowing without severe cartilage loss before meniscal allograft transplantation (MAT) affects clinical outcomes and graft extrusion. Hypothesis: Patients with greater preoperative joint space narrowing would show more graft extrusion, more osteoarthritis progression, and worse clinical outcomes than would those with less narrowing. Study Design: Case-control study; Level of evidence, 3. Methods: We retrospectively evaluated 61 patients who underwent lateral MAT and had a minimum follow-up of 4 to 5 years. The median preoperative joint space width (JSW) on Rosenberg view radiographs was used to classify patients into those with less joint space narrowing (JSW >= 3 mm; group A) and greater joint space narrowing (JSW <3 mm; group B). We compared differences between groups in terms of graft extrusion and articular cartilage loss (modified Outerbridge grade >= 3) on 1-year postoperative magnetic resonance imaging (MRI) scans and changes in JSW and clinical outcomes at the last follow-up. Results: There were 31 patients in group A and 30 patients in group B; the mean follow-up time for all patients was 64.4 +/- 10.3 months. All patients showed a significant preoperative to postoperative improvement in outcome scores (P < .001 for all). The mean preoperative JSW was 3.8 +/- 0.9 mm in group A and 2.3 +/- 0.4 mm in group B (P < .001). In group B, there was more graft extrusion on postoperative MRI scans (3.0 +/- 0.9 vs 1.9 +/- 0.6 mm, respectively; P < .001) and a higher proportion of patients with pathological graft extrusion at final follow-up (43.3% vs 12.9%, respectively; P = .011) compared with group A. At 1 year postoperatively, cartilage loss grade >= 3 was observed at the lateral femoral condyle in 3.2% and 20.0% of patients in groups A and B (P = .053), respectively, and at the lateral tibial plateau in 3.2% and 30.0% of patients (P = .006), respectively. There were moderate correlations between graft extrusion and preoperative absolute JSW (r = -0.471; P < .001) and preoperative relative JSW (r = -0.428; P = .001). Conclusion: Patients with less preoperative joint space narrowing had less graft extrusion and cartilage loss on 1-year postoperative MRI scans, as well as better radiological and clinical outcomes at midterm follow-up, compared with patients with greater preoperative narrowing. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | SAGE PUBLICATIONS INC | - |
dc.title | Effect of Preoperative Joint Space Width on Lateral Meniscal Allograft Transplantation: Outcomes at Midterm Follow-up | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Jin Goo | - |
dc.identifier.doi | 10.1177/23259671221103845 | - |
dc.identifier.scopusid | 2-s2.0-85137517726 | - |
dc.identifier.wosid | 000851135600001 | - |
dc.identifier.bibliographicCitation | ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE, v.10, no.9, pp.1 - 8 | - |
dc.relation.isPartOf | ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE | - |
dc.citation.title | ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE | - |
dc.citation.volume | 10 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 1 | - |
dc.citation.endPage | 8 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기학술지(Article(Perspective Article포함)) | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.subject.keywordPlus | ARTICULAR-CARTILAGE | - |
dc.subject.keywordPlus | GRAFT EXTRUSION | - |
dc.subject.keywordPlus | POSTERIOR ROOT | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | KNEE | - |
dc.subject.keywordPlus | MENISCECTOMY | - |
dc.subject.keywordPlus | TEAR | - |
dc.subject.keywordPlus | OSTEOARTHRITIS | - |
dc.subject.keywordPlus | SURVIVAL | - |
dc.subject.keywordPlus | MODERATE | - |
dc.subject.keywordAuthor | meniscus | - |
dc.subject.keywordAuthor | meniscal allograft transplantation | - |
dc.subject.keywordAuthor | joint space width | - |
dc.subject.keywordAuthor | extrusion | - |
dc.identifier.url | https://journals.sagepub.com/doi/10.1177/23259671221103845 | - |
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