| Descriptive epidemiology of the Multicenter ACL Revision Study (MARS) cohort. | |
| | |
MedLine Citation:
|
PMID: 20889962 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Revision anterior cruciate ligament (ACL) reconstruction has worse outcomes than primary reconstructions. Predictors for these worse outcomes are not known. The Multicenter ACL Revision Study (MARS) Group was developed to perform a multisurgeon, multicenter prospective longitudinal study to obtain sufficient subjects to allow multivariable analysis to determine predictors of clinical outcome. PURPOSE: To describe the formation of MARS and provide descriptive analysis of patient demographics and clinical features for the initial 460 enrolled patients to date in this prospective cohort. STUDY DESIGN: Cross-sectional study; Level of evidence, 2. METHODS: After training and institutional review board approval, surgeons began enrolling patients undergoing revision ACL reconstruction, recording patient demographics, previous ACL reconstruction methods, intra-articular injuries, and current revision techniques. Enrolled subjects completed a questionnaire consisting of validated patient-based outcome measures. RESULTS: As of April 1, 2009, 87 surgeons have enrolled a total of 460 patients (57% men; median age, 26 years). For 89%, the reconstruction was the first revision. Mode of failure as deemed by the revising surgeon was traumatic (32%), technical (24%), biologic (7%), combination (37%), infection (<1%), and no response (<1%). Previous graft present at the time of injury was 70% autograft, 27% allograft, 2% combination, and 1% unknown. Sixty-two percent were more than 2 years removed from their last reconstruction. Graft choice for revision ACL reconstruction was 45% autograft, 54% allograft, and more than 1% both allograft and autograft. Meniscus and/or chondral damage was found in 90% of patients. CONCLUSION: The MARS Group has been able to quickly accumulate the largest revision ACL reconstruction cohort reported to date. Traumatic reinjury is deemed by surgeons to be the most common single mode of failure, but a combination of factors represents the most common mode of failure. Allograft graft choice is more common in the revision setting than autograft. Concomitant knee injury is extremely common in this population. |
| | |
Authors:
|
; Rick W Wright; Laura J Huston; Kurt P Spindler; Warren R Dunn; Amanda K Haas; Christina R Allen; Daniel E Cooper; Thomas M DeBerardino; Brett Brick A Lantz; Barton J Mann; Michael J Stuart |
Publication Detail:
|
Type: Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: The American journal of sports medicine Volume: 38 ISSN: 1552-3365 ISO Abbreviation: Am J Sports Med Publication Date: 2010 Oct |
Date Detail:
|
Created Date: 2010-10-04 Completed Date: 2011-02-18 Revised Date: 2013-03-27 |
Medline Journal Info:
|
Nlm Unique ID: 7609541 Medline TA: Am J Sports Med Country: United States |
Other Details:
|
Languages: eng Pagination: 1979-86 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Anterior Cruciate Ligament / injuries*, surgery Canada / epidemiology Child Cohort Studies Cross-Sectional Studies Female Humans Knee Injuries / epidemiology, surgery* Male Middle Aged Multivariate Analysis Orthopedic Procedures / methods* Outcome Assessment (Health Care) Prospective Studies Questionnaires Reoperation Sports Medicine Treatment Failure United States / epidemiology Young Adult |
| Grant Support | |
ID/Acronym/Agency:
|
5 K23 AR052392-04/AR/NIAMS NIH HHS; R01 AR060846/AR/NIAMS NIH HHS |
| Investigator | |
Investigator/Affiliation:
|
Rick W Wright / ; Laura J Huston / ; Kurt P Spindler / ; Warren R Dunn / ; Amanda K Haas / ; Christina R Allen / ; Daniel E Cooper / ; Thomas M DeBerardino / ; Brett Brick A Lantz / ; Barton J Mann / ; Michael J Stuart / ; John P Albright / ; Annunziato Ned Amendola / ; Allen F Anderson / ; Jack T Andrish / ; Christopher C Annunziata / ; Robert A Arciero / ; Bernard R Bach / ; Champ L Baker / ; Arthur R Bartolozzi / ; Keith M Baumgarten / ; Jeffery R Bechler / ; Jeffrey H Berg / ; Geoffrey A Bernas / ; Stephen F Brockmeier / ; Robert H Brophy / ; Charles A Bush-Joseph / ; J Brad Butler / ; John D Campbell / ; James L Carey / ; James E Carpenter / ; Brian J Cole / ; Jonathan M Cooper / ; Charles L Cox / ; R Alexander Creighton / ; Diane L Dahm / ; Tal S David / ; David C Flanigan / ; Robert W Frederick / ; Charles J Gatt / ; Steven R Gecha / ; James Robert Giffin / ; Donald B Goodfellow / ; Sharon L Hame / ; Jo A Hannafin / ; Christopher D Harner / ; Norman Lindsay Harris / ; Keith S Hechtman / ; Elliott B Hershman / ; Rudolf G Hoellrich / ; Timothy M Hosea / ; David C Johnson / ; Timothy S Johnson / ; Morgan H Jones / ; Christopher C Kaeding / ; Thomas E Klootwyk / ; Bruce A Levy / ; C Benjamin Ma / ; G Peter Maiers / ; Robert G Marx / ; Matthew J Matava / ; Gregory M Mathien / ; David R McAllister / ; Eric C McCarty / ; Robert G McCormack / ; Bruce S Miller / ; Ali R Motamedi / ; Carl W Nissen / ; Daniel F O'Neil / ; Richard D Parker / ; Mark L Purnell / ; Arun J Ramappa / ; Michael A Rauh / ; Arthur Rettig / ; Jon K Sekiya / ; Kevin G Shea / ; Orrin H Sherman / ; James R Slauterbeck / ; Matthew V Smith / ; Steven J Svoboda / ; Timothy N Taft / ; Joachim J Tenuta / ; Edwin M Tingstad / ; Armando F Vidal / ; Darius G Viskontas / ; Richard A White / ; James S Williams / ; Michelle L Wolcott / ; Brian R Wolf / ; James J York / |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Comment on Braun et al, "biomechanical evaluation of shear force vectors leading to injury of the bi...
Next Document: Alfred Russell Wallace and the evolution of the human mind.