MARC details
| 000 -LEADER |
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| fixed length control field |
03574nam a22003377a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
180619s20182018 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1538-8506 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1055/s-0038-1655741 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
29852512 |
| 245 ## - TITLE STATEMENT |
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| Title |
Predictors of Knee Arthrofibrosis and Outcomes after Arthroscopic Lysis of Adhesions following Ligamentous Reconstruction: A Retrospective Case-Control Study with Over Two Years' Average Follow-Up. |
| 251 ## - Source |
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| Source |
The Journal of Knee Surgery. 2018 May 31 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Knee Surg. 2018 May 31 |
| 253 ## - Journal Name |
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| Journal name |
The journal of knee surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2018 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2018 |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2018-06-19 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Arthrofibrosis can be a devastating complication after ligamentous knee reconstruction. Beyond early range of motion (ROM), manipulation under anesthesia (MUA) and arthroscopic lysis of adhesions (LOAs) are the most frequently employed interventions for the condition. There is a paucity of data regarding predictive factors of arthrofibrosis requiring MUA and LOA, and even less data regarding changes in validated patient-reported outcome measures following the procedure. A retrospective case-control study was performed at an academic, urban Level I trauma center of patients that developed arthrofibrosis requiring MUA and LOA following ligamentous reconstruction. The indication for LOA was failure to achieve a 90degree arc of ROM by 6 weeks. Seventeen cases and 141 controls were identified. Follow-up for cases was 26.9+/-17.1 months (mean+/-standard deviation). Time from initial reconstruction to LOA was 75.2+/-27.9 days. Cases had higher body mass indices by a mean of 2.9 (p=0.024). The most significant risk factors for stiffness were concomitant anterior cruciate ligament, posterior cruciate ligament, and posterolateral corner/lateral collateral ligament injury (odds ratio [OR], 17.08), knee dislocation (OR, 12.84), and use of an external fixator (OR, 12.81, 95% confidence interval [CI], 3.03-54.20) (all p<0.0026). Mean Knee Injury and Osteoarthritis Outcome Scores, Western Ontario and McMaster Universities Osteoarthritis Indices, and International Knee Documentation Committee scores improved by 47.5, 50.5, and 47.3% (all p<0.0038), respectively. All patients reported improvement in pain, with maximum daily pain scores improving by a mean of 4.1 points on the Numeric Pain Rating Scale (p<0.001). Mean ROM arc improved by 38.8degree (p<0.001). All 17 cases were satisfied with the procedure. Twelve cases (70.59%) reported a full return to preinjury level of activity. No factors were identified that predicted success from the procedure, likely due to inadequate sample size. Arthrofibrosis following knee injury and ligamentous reconstruction can be predicted by the severity of injury and early intervention with MUA and arthroscopic LOA can lead to a satisfactory outcome for the patient. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Copyright Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
MedStar Georgetown Orthopedic Institute, Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Orthopedic Surgery |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Argintar, Evan |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Shu, Henry T |
| 790 ## - Authors |
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| All authors |
Apseloff NA, Argintar EH, Bodendorfer BM, Keeling LE, Malone PS, Michaelson EM, Shu HT, Spratt JD |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1055/s-0038-1655741">https://dx.doi.org/10.1055/s-0038-1655741</a> |
| Public note |
https://dx.doi.org/10.1055/s-0038-1655741 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
