dc.contributor.author | Dean, Robert S. | |
dc.contributor.author | DePhillipo, Nicholas | |
dc.contributor.author | Kahat, David H. | |
dc.contributor.author | Graden, Nathan R. | |
dc.contributor.author | Larson, Christopher M. | |
dc.contributor.author | LaPrade, Robert F. | |
dc.date.accessioned | 2021-02-09T14:06:13Z | |
dc.date.available | 2021-02-09T14:06:13Z | |
dc.date.created | 2020-11-30T10:10:08Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | American Journal of Sports Medicine. 2020, under utgivelse. | en_US |
dc.identifier.issn | 0363-5465 | |
dc.identifier.uri | https://hdl.handle.net/11250/2726954 | |
dc.description | I Brage finner du siste tekst-versjon av artikkelen, og den kan inneholde ubetydelige forskjeller fra forlagets pdf-versjon. Forlagets pdf-versjon finner du på journals.sagepub.com / In Brage you'll find the final text version of the article, and it may contain insignificant differences from the journal's pdf version. The definitive version is available at journals.sagepub.com | en_US |
dc.description.abstract | Background: Multiligament knee injuries (MLKIs) can result from high-energy injury mechanisms such as motor vehicle accidents or low-energy injury mechanisms such as activities of daily living or sports. Purpose/Hypothesis: The purpose was to conduct a systematic review on postoperative patient-reported outcomes after MLKIs and to conduct a meta-analysis of comparable outcome variables based upon high- versus low-energy injury mechanisms. It was hypothesized that MLKIs with low-energy injury mechanisms would demonstrate significantly improved subjective clinical outcome scores compared with high-energy injuries. Study design: Meta-analysis and systematic review. Methods: A systematic review was performed with the inclusion criteria of postoperative MLKI outcomes based upon high-versus low-energy mechanisms of injury with a minimum 2-year follow-up. Outcome scores included were the Lysholm knee scoring scale, Tegner activity scale, and the International Knee Documentation Committee (IKDC) score. High-energy mechanisms included motor vehicle accidents or falls from a height >5 feet; low-energy mechanisms included sports-related injuries, activities of daily living, or falls from <5 feet. A meta-analysis was performed comparing the outcome scores of high- versus low-energy mechanisms of MLKIs. Results: Overall, 1214 studies were identified, 15 of which were included in the systematic review and meta-analysis. Thirteen studies included surgical reconstructions of all injured ligaments. A total of 641 patients with 275 high-energy and 366 low-energy injuries were grouped for comparison in the meta-analysis. No significant differences in Lysholm scale (78.6 vs 78.0) or IKDC scores (69.0 vs 68.4) were found between high- and low-energy groups at a minimum of 2 years (range, 2-10 years) postoperatively (P > .05). The low-energy injury group demonstrated significantly higher Tegner activity scale scores (5.0 vs 3.9; P = .03). There was no significant difference in failure rates between groups (3.5% vs 2.0%; P = .23). Conclusion: We found in this systematic review and meta-analysis that patients with low-energy mechanisms of MLKI surgery had improved postoperative Tegner activity scores compared with those patients with high-energy mechanisms after MLKI surgery. However, there were no differences in Lysholm score, IKDC score, or failure rates between high- and low-energy MLKI patients at an average of 5.3 years postoperatively. | en_US |
dc.language.iso | eng | en_US |
dc.subject | multiligament knee injury | en_US |
dc.subject | outcomes | en_US |
dc.subject | knee trauma | en_US |
dc.subject | knee dislocation | en_US |
dc.title | Low-Energy Multiligament Knee Injuries Are Associated With Higher Postoperative Activity Scores Compared With High-Energy Multiligament Knee Injuries: A Systematic Review and Meta-analysis of the Literature | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | acceptedVersion | en_US |
dc.source.pagenumber | 7 | en_US |
dc.source.journal | American Journal of Sports Medicine | en_US |
dc.identifier.doi | 10.1177/0363546520962088 | |
dc.identifier.cristin | 1853960 | |
dc.description.localcode | Inistitutt for idrettsmedisinske fag / Department of Sports Medicine | en_US |
cristin.ispublished | true | |
cristin.fulltext | postprint | |
cristin.qualitycode | 2 | |