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Combined posterolateral knee reconstruction: ACL-based injuries perform better compared to PCL-based injuries
PURPOSE: To compare post-operative physical activity and return to work after combined posterolateral corner (PLC) reconstruction (PLC-R) in anterior cruciate ligament (ACL)- or posterior cruciate ligament (PCL)-based injuries. METHODS: Patients aged > 18 years undergoing PLC-R using the Larson t...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514347/ https://www.ncbi.nlm.nih.gov/pubmed/33483769 http://dx.doi.org/10.1007/s00167-020-06409-3 |
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author | Lutz, Patricia M. Merkle, Michael Winkler, Philipp W. Geyer, Stephanie Herbst, Elmar Braun, Sepp Imhoff, Andreas B. Feucht, Matthias J. |
author_facet | Lutz, Patricia M. Merkle, Michael Winkler, Philipp W. Geyer, Stephanie Herbst, Elmar Braun, Sepp Imhoff, Andreas B. Feucht, Matthias J. |
author_sort | Lutz, Patricia M. |
collection | PubMed |
description | PURPOSE: To compare post-operative physical activity and return to work after combined posterolateral corner (PLC) reconstruction (PLC-R) in anterior cruciate ligament (ACL)- or posterior cruciate ligament (PCL)-based injuries. METHODS: Patients aged > 18 years undergoing PLC-R using the Larson technique combined with either ACL or PCL reconstruction were included. Outcome was evaluated retrospectively after a minimum follow-up of 24 months using Tegner Activity Scale, Activity Rating Scale (ARS), Knee Injury and Osteoarthritis Outcome Score (KOOS), work intensity according to REFA classification, and a questionnaire about type of occupation and time to return to work. RESULTS: A total of 32 patients (11 ACL-based injuries and 21 PCL-based injuries) were included. Mean follow-up was 56 ± 26 months in the ACL-based injury group and 59 ± 24 months in the PCL-based injury group. All patients in the ACL-based injury group and 91% of patients in the PCL-based injury group returned to sports activities. Comparing pre- and post-operative values, a significant deterioration of the Tegner Activity Scale and ARS was observed in the PCL-based injury group, whereas no significant change was observed in the ACL-based injury group. KOOS subscales were generally higher in the ACL-based injury with significant differences in the subscale sports and recreational activities. Patients with ACL-based injuries returned to work significantly earlier compared to patients with PCL-based injuries (11 ± 4 weeks vs. 21 ± 10 weeks, p < 0.05). CONCLUSION: High rates of return to sports and work can be expected after combined PLC-R in both ACL- and PCL-based injuries. However, deterioration of sports ability must be expected in PCL-based injuries. ACL-based injuries led to superior patient-reported outcomes and an earlier return to work, as compared to PCL-based injuries. LEVEL OF EVIDENCE: Level IV. |
format | Online Article Text |
id | pubmed-8514347 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-85143472021-10-27 Combined posterolateral knee reconstruction: ACL-based injuries perform better compared to PCL-based injuries Lutz, Patricia M. Merkle, Michael Winkler, Philipp W. Geyer, Stephanie Herbst, Elmar Braun, Sepp Imhoff, Andreas B. Feucht, Matthias J. Knee Surg Sports Traumatol Arthrosc Knee PURPOSE: To compare post-operative physical activity and return to work after combined posterolateral corner (PLC) reconstruction (PLC-R) in anterior cruciate ligament (ACL)- or posterior cruciate ligament (PCL)-based injuries. METHODS: Patients aged > 18 years undergoing PLC-R using the Larson technique combined with either ACL or PCL reconstruction were included. Outcome was evaluated retrospectively after a minimum follow-up of 24 months using Tegner Activity Scale, Activity Rating Scale (ARS), Knee Injury and Osteoarthritis Outcome Score (KOOS), work intensity according to REFA classification, and a questionnaire about type of occupation and time to return to work. RESULTS: A total of 32 patients (11 ACL-based injuries and 21 PCL-based injuries) were included. Mean follow-up was 56 ± 26 months in the ACL-based injury group and 59 ± 24 months in the PCL-based injury group. All patients in the ACL-based injury group and 91% of patients in the PCL-based injury group returned to sports activities. Comparing pre- and post-operative values, a significant deterioration of the Tegner Activity Scale and ARS was observed in the PCL-based injury group, whereas no significant change was observed in the ACL-based injury group. KOOS subscales were generally higher in the ACL-based injury with significant differences in the subscale sports and recreational activities. Patients with ACL-based injuries returned to work significantly earlier compared to patients with PCL-based injuries (11 ± 4 weeks vs. 21 ± 10 weeks, p < 0.05). CONCLUSION: High rates of return to sports and work can be expected after combined PLC-R in both ACL- and PCL-based injuries. However, deterioration of sports ability must be expected in PCL-based injuries. ACL-based injuries led to superior patient-reported outcomes and an earlier return to work, as compared to PCL-based injuries. LEVEL OF EVIDENCE: Level IV. Springer Berlin Heidelberg 2021-01-23 2021 /pmc/articles/PMC8514347/ /pubmed/33483769 http://dx.doi.org/10.1007/s00167-020-06409-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Knee Lutz, Patricia M. Merkle, Michael Winkler, Philipp W. Geyer, Stephanie Herbst, Elmar Braun, Sepp Imhoff, Andreas B. Feucht, Matthias J. Combined posterolateral knee reconstruction: ACL-based injuries perform better compared to PCL-based injuries |
title | Combined posterolateral knee reconstruction: ACL-based injuries perform better compared to PCL-based injuries |
title_full | Combined posterolateral knee reconstruction: ACL-based injuries perform better compared to PCL-based injuries |
title_fullStr | Combined posterolateral knee reconstruction: ACL-based injuries perform better compared to PCL-based injuries |
title_full_unstemmed | Combined posterolateral knee reconstruction: ACL-based injuries perform better compared to PCL-based injuries |
title_short | Combined posterolateral knee reconstruction: ACL-based injuries perform better compared to PCL-based injuries |
title_sort | combined posterolateral knee reconstruction: acl-based injuries perform better compared to pcl-based injuries |
topic | Knee |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514347/ https://www.ncbi.nlm.nih.gov/pubmed/33483769 http://dx.doi.org/10.1007/s00167-020-06409-3 |
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