Cargando…
Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction
BACKGROUND: Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness’ risk factors can help its prevention. This meta...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7227360/ https://www.ncbi.nlm.nih.gov/pubmed/32410648 http://dx.doi.org/10.1186/s13018-020-01694-7 |
_version_ | 1783534488286920704 |
---|---|
author | Wang, Bin Zhong, Jun-Long Xu, Xiang-He Shang, Jie Lin, Nan Lu, Hua-Ding |
author_facet | Wang, Bin Zhong, Jun-Long Xu, Xiang-He Shang, Jie Lin, Nan Lu, Hua-Ding |
author_sort | Wang, Bin |
collection | PubMed |
description | BACKGROUND: Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness’ risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness’ risk factors and incidence after ACL reconstruction and provide guidance on its prevention. METHODS: PubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2. RESULTS: In total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness’ incidence negatively correlated with the studies publication time (R = −0.62, P = 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68; P < 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction. CONCLUSION: This study indicated that joint stiffness’ incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction. |
format | Online Article Text |
id | pubmed-7227360 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-72273602020-05-27 Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction Wang, Bin Zhong, Jun-Long Xu, Xiang-He Shang, Jie Lin, Nan Lu, Hua-Ding J Orthop Surg Res Research Article BACKGROUND: Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness’ risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness’ risk factors and incidence after ACL reconstruction and provide guidance on its prevention. METHODS: PubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2. RESULTS: In total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness’ incidence negatively correlated with the studies publication time (R = −0.62, P = 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68; P < 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction. CONCLUSION: This study indicated that joint stiffness’ incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction. BioMed Central 2020-05-14 /pmc/articles/PMC7227360/ /pubmed/32410648 http://dx.doi.org/10.1186/s13018-020-01694-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Wang, Bin Zhong, Jun-Long Xu, Xiang-He Shang, Jie Lin, Nan Lu, Hua-Ding Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction |
title | Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction |
title_full | Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction |
title_fullStr | Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction |
title_full_unstemmed | Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction |
title_short | Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction |
title_sort | incidence and risk factors of joint stiffness after anterior cruciate ligament reconstruction |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7227360/ https://www.ncbi.nlm.nih.gov/pubmed/32410648 http://dx.doi.org/10.1186/s13018-020-01694-7 |
work_keys_str_mv | AT wangbin incidenceandriskfactorsofjointstiffnessafteranteriorcruciateligamentreconstruction AT zhongjunlong incidenceandriskfactorsofjointstiffnessafteranteriorcruciateligamentreconstruction AT xuxianghe incidenceandriskfactorsofjointstiffnessafteranteriorcruciateligamentreconstruction AT shangjie incidenceandriskfactorsofjointstiffnessafteranteriorcruciateligamentreconstruction AT linnan incidenceandriskfactorsofjointstiffnessafteranteriorcruciateligamentreconstruction AT luhuading incidenceandriskfactorsofjointstiffnessafteranteriorcruciateligamentreconstruction |