Patients' joint perception after anterior cruciate ligament reconstruction as a reliable patient-reported outcome measure.

IF 3.3 2区医学 Q1 ORTHOPEDICS Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2024-08-12 DOI:10.1002/ksa.12416

Peyman Mirghaderi, Mohammad Poursalehian, Nasim Eshraghi, Mohammad Ayati Firoozabadi, S M Javad Mortazavi

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Abstract

Purpose: This study aims to evaluate and compare patients' joint perception (PJP) with other commonly employed patient-reported outcome measures (PROMs) in a cohort of patients following anterior cruciate ligament reconstruction (ACLR).

Methods: A retrospective study was conducted on 108 patients who underwent ACLR between 2017 and 2021, with complete data available for visual analogue scale (VAS) pain, PJP, Forgotten Joint Score (FJS), Tegner Activity Scale, Lysholm Knee Scoring Scale, Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI), Single Assessment Numeric Evaluation (SANE), Cincinnati Knee Rating System (CKRS) and The Hospital for Special Surgery Anterior Cruciate Ligament Satisfaction Survey (HSS ACL-SS) at a mean follow-up of 3 years. Spearman's rank-order correlation was used to determine the correlations between clinical scores. A receiver operating characteristic (ROC) curve analysis was used to assess the discriminatory power of the chosen PROMs in detecting natural joint perception. Natural joint perception was defined as patients responding 'like a native or natural joint' or PJP = 1. This study hypothesized that PJP would demonstrate significant correlations with established PROMs, indicating its reliability and validity as a tool for assessing outcomes following ACLR.

Results: PJP showed significant correlations with all the reported PROMs, suggesting its potential as a valid and reliable assessment tool for evaluating ACLR outcomes. The ROC curve analysis indicated a good area under the curve for identifying natural joint perception using various PROMs. According to the PJP, nearly 20% of patients reported natural joint perception.

Conclusion: This study evaluates PJP as a reliable tool for assessing patient outcomes following ACLR. Its significant correlation with other established PROMs underscores its potential as a valuable addition to the existing array of PROMs in ACLR.

Level of evidence: Level III.

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将前交叉韧带重建术后患者的关节感知作为可靠的患者报告结果测量指标。

目的：本研究旨在评估和比较前交叉韧带重建术（ACLR）患者队列中的患者关节感知（PJP）与其他常用的患者报告结果测量指标（PROMs）：对2017年至2021年间接受前交叉韧带重建术的108名患者进行了一项回顾性研究，这些患者的完整数据包括视觉模拟量表（VAS）疼痛、PJP、遗忘关节评分（FJS）、Tegner活动量表、Lysholm膝关节评分量表、前交叉韧带损伤后恢复运动（ACL-RSI）、单一评估数字评价（SANE）、辛辛那提膝关节评分系统（CKRS）和特殊外科医院前交叉韧带满意度调查（HSS ACL-SS），平均随访 3 年。斯皮尔曼秩相关性用于确定临床评分之间的相关性。接受者操作特征曲线（ROC）分析用于评估所选 PROM 在检测自然关节感知方面的判别能力。自然关节感知的定义是患者的反应 "像本地或自然关节 "或 PJP = 1。本研究假设 PJP 将与已确立的 PROMs 显示出显著的相关性，从而表明其作为评估前交叉韧带置换术后结果的工具的可靠性和有效性：结果：PJP 与所有已报告的 PROMs 均显示出明显的相关性，表明其有可能成为评估前交叉韧带损伤结果的有效、可靠的评估工具。ROC 曲线分析表明，使用各种 PROMs 识别自然关节知觉的曲线下面积良好。根据 PJP，近 20% 的患者报告了自然关节感知：本研究评估了 PJP 作为评估前交叉韧带置换术后患者疗效的可靠工具。它与其他已确立的 PROMs 有明显的相关性，强调了其作为 ACLR 现有 PROMs 系列重要补充的潜力：证据等级：三级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).