Does age predict outcome after multiligament knee reconstruction for the dislocated knee? 2- to 22-year follow-up

Nate M. Levy, Aaron Krych, Mario Hevesi, Patrick J. Reardon, Ayoosh Pareek, Michael J. Stuart, Bruce A Levy

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Purpose: The purpose of this study is to determine whether age is a predictor of clinical and functional outcomes in patients who sustained a knee dislocation (KD) and underwent multiligament knee reconstruction. It was hypothesized that increasing age will negatively affect patient outcome. Methods: In total, 125 multiligament knee injuries (MLKI) associated with KD were surgically reconstructed between 1992 and 2013 and evaluated with IKDC and Lysholm scores at a median follow-up of 5 (range 2–22) years. Patient demographics including age were then analysed with respect to IKDC and Lysholm scores using rank sums and pair-wise rank sums analysis for continuous variables and Chi-square analysis for categorical variables. Results: In total, 125 patients (96 males and 29 females) with a median age of 31 (range 11–62) years at the time of surgery were included. At final follow-up, patients ≤30 years old compared to >30 years old obtained higher IKDC (73.3 vs. 61.9; p = 0.01) and Lysholm scores (76.9 vs. 68.5; p = 0.04). No confounding variables including gender, injury mechanism, injury pattern, injuries to the peroneal nerve, popliteal artery, meniscus, or cartilage accounted for differences in outcome scores between the two groups. Conclusion: Based on current available literature, this study represents the largest cohort with the longest follow-up reported on MLKI to date. At intermediate- to long-term follow-up, patients >30 years of age that undergo multiligament knee reconstruction for KD have inferior IKDC and Lysholm scores compared to those ≤30 years of age. However, successful multiligament knee reconstruction can still be obtained in this age group. Level of evidence: IV.

Original languageEnglish (US)
Pages (from-to)3003-3007
Number of pages5
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume23
Issue number10
DOIs
StatePublished - Aug 19 2015

Fingerprint

Knee
Knee Dislocation
Knee Injuries
Wounds and Injuries
Popliteal Artery
Peroneal Nerve
Confounding Factors (Epidemiology)
Cartilage
Age Groups
Demography

Keywords

  • Age
  • Knee dislocation
  • Knee reconstruction
  • Multiligament knee injury

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Does age predict outcome after multiligament knee reconstruction for the dislocated knee? 2- to 22-year follow-up. / Levy, Nate M.; Krych, Aaron; Hevesi, Mario; Reardon, Patrick J.; Pareek, Ayoosh; Stuart, Michael J.; Levy, Bruce A.

In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 23, No. 10, 19.08.2015, p. 3003-3007.

Research output: Contribution to journalArticle

Levy, Nate M. ; Krych, Aaron ; Hevesi, Mario ; Reardon, Patrick J. ; Pareek, Ayoosh ; Stuart, Michael J. ; Levy, Bruce A. / Does age predict outcome after multiligament knee reconstruction for the dislocated knee? 2- to 22-year follow-up. In: Knee Surgery, Sports Traumatology, Arthroscopy. 2015 ; Vol. 23, No. 10. pp. 3003-3007.
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T1 - Does age predict outcome after multiligament knee reconstruction for the dislocated knee? 2- to 22-year follow-up

AU - Levy, Nate M.

AU - Krych, Aaron

AU - Hevesi, Mario

AU - Reardon, Patrick J.

AU - Pareek, Ayoosh

AU - Stuart, Michael J.

AU - Levy, Bruce A

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N2 - Purpose: The purpose of this study is to determine whether age is a predictor of clinical and functional outcomes in patients who sustained a knee dislocation (KD) and underwent multiligament knee reconstruction. It was hypothesized that increasing age will negatively affect patient outcome. Methods: In total, 125 multiligament knee injuries (MLKI) associated with KD were surgically reconstructed between 1992 and 2013 and evaluated with IKDC and Lysholm scores at a median follow-up of 5 (range 2–22) years. Patient demographics including age were then analysed with respect to IKDC and Lysholm scores using rank sums and pair-wise rank sums analysis for continuous variables and Chi-square analysis for categorical variables. Results: In total, 125 patients (96 males and 29 females) with a median age of 31 (range 11–62) years at the time of surgery were included. At final follow-up, patients ≤30 years old compared to >30 years old obtained higher IKDC (73.3 vs. 61.9; p = 0.01) and Lysholm scores (76.9 vs. 68.5; p = 0.04). No confounding variables including gender, injury mechanism, injury pattern, injuries to the peroneal nerve, popliteal artery, meniscus, or cartilage accounted for differences in outcome scores between the two groups. Conclusion: Based on current available literature, this study represents the largest cohort with the longest follow-up reported on MLKI to date. At intermediate- to long-term follow-up, patients >30 years of age that undergo multiligament knee reconstruction for KD have inferior IKDC and Lysholm scores compared to those ≤30 years of age. However, successful multiligament knee reconstruction can still be obtained in this age group. Level of evidence: IV.

AB - Purpose: The purpose of this study is to determine whether age is a predictor of clinical and functional outcomes in patients who sustained a knee dislocation (KD) and underwent multiligament knee reconstruction. It was hypothesized that increasing age will negatively affect patient outcome. Methods: In total, 125 multiligament knee injuries (MLKI) associated with KD were surgically reconstructed between 1992 and 2013 and evaluated with IKDC and Lysholm scores at a median follow-up of 5 (range 2–22) years. Patient demographics including age were then analysed with respect to IKDC and Lysholm scores using rank sums and pair-wise rank sums analysis for continuous variables and Chi-square analysis for categorical variables. Results: In total, 125 patients (96 males and 29 females) with a median age of 31 (range 11–62) years at the time of surgery were included. At final follow-up, patients ≤30 years old compared to >30 years old obtained higher IKDC (73.3 vs. 61.9; p = 0.01) and Lysholm scores (76.9 vs. 68.5; p = 0.04). No confounding variables including gender, injury mechanism, injury pattern, injuries to the peroneal nerve, popliteal artery, meniscus, or cartilage accounted for differences in outcome scores between the two groups. Conclusion: Based on current available literature, this study represents the largest cohort with the longest follow-up reported on MLKI to date. At intermediate- to long-term follow-up, patients >30 years of age that undergo multiligament knee reconstruction for KD have inferior IKDC and Lysholm scores compared to those ≤30 years of age. However, successful multiligament knee reconstruction can still be obtained in this age group. Level of evidence: IV.

KW - Age

KW - Knee dislocation

KW - Knee reconstruction

KW - Multiligament knee injury

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