PMID- 31901387
OWN - NLM
STAT- MEDLINE
DCOM- 20201019
LR  - 20201019
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 36
IP  - 2
DP  - 2020 Feb
TI  - Clinical and Functional Outcomes of Anterior Cruciate Ligament Reconstruction 
      With Autologous Hamstring Tendon in Patients Aged 50 Years or Older.
PG  - 558-562
LID - S0749-8063(19)30789-3 [pii]
LID - 10.1016/j.arthro.2019.08.047 [doi]
AB  - PURPOSE: To assess the clinical and functional outcomes, including the return to 
      sports and the progression of arthritis, in patients aged 50 years or older after 
      anterior cruciate ligament (ACL) reconstruction. METHODS: A retrospective series 
      of patients aged 50 years or older with ACL rupture who received ACL 
      reconstruction surgery with autologous hamstring tendon was examined. 
      Preoperative and postoperative functional outcomes were evaluated with the 
      International Knee Documentation Committee (IKDC) subjective score, Lysholm 
      score, and Tegner activity score. Associated injuries, postoperative 
      complications, and the rate of return to preinjury sports were documented. A 
      paired t test and the minimal clinically important difference (MCID) and patient 
      acceptable symptom state (PASS) were used for statistical evaluation. RESULTS: A 
      total of 67 patients with a mean age of 56.6 years were enrolled. The mean 
      follow-up time was 30.2 months. Clinical improvement in the IKDC score (from 41.4 
      preoperatively to 88.9 postoperatively), Lysholm score (from 49.8 to 86.1), and 
      Tegner activity score (from 2.7 to 4.4) was noted. Regarding clinically relevant 
      values of the MCID, all patients (100%) showed a DeltaLysholm score exceeding 8.9; 66 
      of 67 patients (98.5%) revealed a DeltaIKDC score exceeding 16.7; and 47 of 67 
      patients (70.1%) showed a DeltaTegner activity score of more than 1. For the PASS, 
      none of the patients had an IKDC score over 75.9 preoperatively whereas 60 
      patients (89.5%) had a score exceeding 75.9 postoperatively. Associated lesions 
      included meniscal injuries (73.1%) and osteochondral lesions (89.6%). Of the 
      patients, 36 (53.7%) returned to preinjury sports and 18 (22.9%) returned to 
      sports with less intensity. No major complication, rerupture, or deterioration of 
      arthritis was noted. CONCLUSIONS: Patients aged 50 years or older receiving ACL 
      reconstruction achieved significant improvements in IKDC, Lysholm, and Tegner 
      scores. All patients reached the MCID for the DeltaLysholm score; 98.5%, for the 
      DeltaIKDC score; and 70.1%, for the DeltaTegner activity score. None of the patients 
      reached the PASS for the preoperative IKDC value, whereas 89.5% reached the PASS 
      postoperatively. Among patients aged 50 years or older, 53.7% returned to 
      preinjury sports and 26.9% returned to sports with lower intensity. LEVEL OF 
      EVIDENCE: Level IV, therapeutic case series.
CI  - Copyright (c) 2019 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Weng, Chun-Jui
AU  - Weng CJ
AD  - Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung 
      University, Taoyuan, Taiwan.
FAU - Yeh, Wen-Ling
AU  - Yeh WL
AD  - Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung 
      University, Taoyuan, Taiwan.
FAU - Hsu, Kuo-Yao
AU  - Hsu KY
AD  - Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung 
      University, Taoyuan, Taiwan.
FAU - Chiu, Chih-Hao
AU  - Chiu CH
AD  - Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung 
      University, Taoyuan, Taiwan.
FAU - Chang, Shih-Sheng
AU  - Chang SS
AD  - Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung 
      University, Taoyuan, Taiwan.
FAU - Chen, Alvin Chao-Yu
AU  - Chen AC
AD  - Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung 
      University, Taoyuan, Taiwan.
FAU - Chan, Yi-Sheng
AU  - Chan YS
AD  - Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung 
      University, Taoyuan, Taiwan. Electronic address: yschan512@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20191231
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
CIN - Arthroscopy. 2020 Feb;36(2):563-565. PMID: 32014185
MH  - Aged
MH  - Anterior Cruciate Ligament Injuries/diagnosis/*surgery
MH  - Anterior Cruciate Ligament Reconstruction/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Hamstring Tendons/*transplantation
MH  - Humans
MH  - Knee Joint/diagnostic imaging/*physiopathology
MH  - Lysholm Knee Score
MH  - Male
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - Postoperative Period
MH  - Range of Motion, Articular/*physiology
MH  - Retrospective Studies
MH  - Sports
MH  - Treatment Outcome
EDAT- 2020/01/07 06:00
MHDA- 2020/10/21 06:00
CRDT- 2020/01/06 06:00
PHST- 2019/04/11 00:00 [received]
PHST- 2019/08/20 00:00 [revised]
PHST- 2019/08/23 00:00 [accepted]
PHST- 2020/01/07 06:00 [pubmed]
PHST- 2020/10/21 06:00 [medline]
PHST- 2020/01/06 06:00 [entrez]
AID - S0749-8063(19)30789-3 [pii]
AID - 10.1016/j.arthro.2019.08.047 [doi]
PST - ppublish
SO  - Arthroscopy. 2020 Feb;36(2):558-562. doi: 10.1016/j.arthro.2019.08.047. Epub 2019 
      Dec 31.