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dc.contributor.authorKise, Nina Jullum
dc.contributor.authorAga, Cathrine
dc.contributor.authorEngebretsen, Lars
dc.contributor.authorRoos, Ewa M.
dc.contributor.authorTariq, Rana
dc.contributor.authorRisberg, May Arna
dc.date.accessioned2020-03-16T12:29:13Z
dc.date.available2020-03-16T12:29:13Z
dc.date.created2019-09-20T15:45:11Z
dc.date.issued2019
dc.identifier.citationAmerican Journal of Sports Medicine. 2019, 47(10), 2402-2411.en_US
dc.identifier.issn0363-5465
dc.identifier.urihttps://hdl.handle.net/11250/2646983
dc.descriptionI Brage finner du siste tekst-versjon av artikkelen, og den kan inneholde ubetydelige forskjeller fra forlagets pdf-versjon. Forlagets pdf-versjon finner du på sage.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 sage.comen_US
dc.description.abstractBackground: Few studies have examined morphological findings from preoperative magnetic resonance imaging (MRI) and arthroscopic findings as prognostic factors for outcomes 1 and 2 years after arthroscopic partial meniscectomy (APM). Purpose/Hypothesis: The purpose was to evaluate prognostic factors of preoperative findings from MRI and arthroscopic evaluation on lower extremity performance at 1 year and patient-reported outcomes at 1 to 2 years after APM. The hypothesis was that medial compartment abnormalities would be prognostic for 1- and 2-year functional outcomes. Study Design: Cohort study; Level of evidence, 2. Methods: This secondary analysis from the OMEX (Odense-Oslo Meniscectomy Versus Exercise) trial included 40 patients treated surgically. Regression analyses with adjustments for age, sex, and body mass index explored associations between MRI findings (tear complexity and extrusion), arthroscopic findings (tear length, cartilage injury, and amount of excised meniscal tissue), and the following: lower extremity performance tests and thigh muscle strength at 1 year and the 5 Knee injury and Osteoarthritis Outcome Score (KOOS) subscales at 1 and 2 years. Results: A complex meniscal tear was a significant and clinically relevant prognostic factor for worse KOOS Symptoms subscores at 2 years (mean, 14.1 points [95% CI, 6.1-22.2]). Meniscal extrusion of at least 11%, 25%, and 20% were significant and clinically relevant prognostic factors for worse KOOS Activities of Daily Living (ADL) subscores at 1 year and worse KOOS Sports and Recreation (Sports/Rec) subscores at 1 and 2 years, respectively. Tear lengths of at least 7.0 mm, 6.7 mm, and 6.5 mm were significant and clinically relevant prognostic factors for better KOOS Symptoms subscores at 1 year and better KOOS Sports/Rec subscores at 1 and 2 years, respectively. A cartilage injury in the medial compartment was a significant and clinically relevant prognostic factor for worse KOOS ADL and Quality of Life (QoL) subscores at 2 years (mean, 10.4 and 19.4 points, respectively [95% CI, 3.4-17.4 and 7.7-31.1, respectively]). More than 20% meniscal tissue excised was a significant and clinically relevant prognostic factor for worse KOOS Pain, Symptoms, ADL, and Sports/Rec subscores at 1 and 2 years (mean, 8.9-41.5 points [95% CI, 2.2-15.5 to 21.0-62.0]) and worse KOOS QoL subscores at 2 years (mean, 25.3 points [95% CI, 13.6-37.0]). Conclusion: Complex meniscal tears, larger extrusion, cartilage injuries, and larger meniscal excision were significant and clinically relevant prognostic factors for worse outcomes 1 and 2 years after APM.en_US
dc.language.isoengen_US
dc.subjectarthroscopic partial meniscectomyen_US
dc.subjectarthroscopic surgeryen_US
dc.subjectdegenerative meniscal lesionsen_US
dc.subjectdegenerative meniscal tearsen_US
dc.subjectknee performanceen_US
dc.subjectlower extremity performanceen_US
dc.subjectmiddle-ageden_US
dc.subjectpredictorsen_US
dc.subjectprognostic factorsen_US
dc.titleComplex Tears, Extrusion, and Larger Excision Are Prognostic Factors for Worse Outcomes 1 and 2 Years After Arthroscopic Partial Meniscectomy for Degenerative Meniscal Tears: A Secondary Explorative Study of the Surgically Treated Group From the Odense-Oslo Meniscectomy Versus Exercise (OMEX) Trialen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionacceptedVersionen_US
dc.source.pagenumber2402-2411en_US
dc.source.volume47en_US
dc.source.journalAmerican Journal of Sports Medicineen_US
dc.source.issue10en_US
dc.identifier.doi10.1177/0363546519858602
dc.identifier.cristin1727337
dc.description.localcodeSeksjon for idrettsmedisinske fag / Department of Sports Medicineen_US
cristin.ispublishedtrue
cristin.fulltextpostprint
cristin.qualitycode2


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