表 3.
ACL首次翻修术后临床疗效的影响因素
Predictors of clinical outcomes after ACL revision surgery
| Predictors | Lysholm | IKDC subjective score | Tegner | |||||
| Coefficient (95% CI) | P value | Coefficient (95% CI) | P value | Coefficient (95% CI) | P value | |||
| Abbreviations as in Figure 1 and Table 1. Variables with P＜0. 20 at univariate analysis and gender, age at revision, BMI, time of follow up and pre-operation index score were included. | ||||||||
| Patient factors | ||||||||
| Gender | ||||||||
| Male | Reference | |||||||
| Female | -0.98 (-8.72, 6.75) | 0.801 | -3.97 (-13.08, 5.15) | 0.384 | -0.08 (-1.62, 1.46) | 0.917 | ||
| Age at revision | -0.35 (-0.95, 0.25) | 0.248 | -0.91 (-1.78, -0.03) | 0.042 | -0.04 (-0.15, 0.07) | 0.426 | ||
| BMI | -0.25 (-1.09, 0.61) | 0.571 | 0.07 (-0.07, 0.21) | 0.35 | ||||
| Cause of graft failure | ||||||||
| Sports | Reference | |||||||
| Daily activities | -9.90 (-18.31, -1.49) | 0.022 | -10.35 (-20.54, -0.17) | 0.047 | -1.41 (-2.72, -0.10) | 0.035 | ||
| Traffic accident | -18.67 (-35.00, -2.34) | 0.026 | -19.94 (-36.93, -2.94) | 0.023 | -2.45 (-5.12, 0.22) | 0.071 | ||
| Technical | -8.53 (-15.75, -1.31) | 0.021 | -9.39 (-17.74, -1.03) | 0.029 | -1.28 (-2.43, -0.14) | 0.029 | ||
| Time of follow-up | 2.11 (-0.24, 4.45) | 0.077 | 0.36 (-2.5, 3.22) | 0.8 | 0.38 (-0.01, 0.77) | 0.056 | ||
| Pre-operation index score | 0.03 (-0.12, 0.17) | 0.732 | -0.21 (-0.44, 0.01) | 0.064 | 0.31 (-0.06, 0.69) | 0.100 | ||
| Surgical factors | ||||||||
| Interval between primary ACLR and revision | -1.14 (-2.26, -0.03) | 0.045 | -0.92 (-2.56, 0.72) | 0.265 | -0.02 (-0.22, 0.18) | 0.856 | ||
| Femoral tunnel technique | ||||||||
| Antero-medial portal | Reference | |||||||
| Trans-tibial | -11.18 (-17.63, -4.73) | 0.001 | -6.41 (-15.15, 2.33) | 0.146 | ||||
| Others | -0.94 (-15.06, 13.17) | 0.894 | 2.60 (-10.17, 15.36) | 0.683 | ||||
| Medial meniscus | ||||||||
| Intact | Reference | |||||||
| Partial meniscectomy | 4.36 (-1.71, 10.43) | 0.156 | 6.06 (-1.84, 13.96) | 0.129 | ||||
| Repair | 8.12 (-0.49, 16.73) | 0.064 | 11.06 (1.21, 20.92) | 0.029 | ||||
| Tear without management | 0.41 (-12.21, 13.04) | 0.948 | -7.98 (-24.26, 8.30) | 0.327 | ||||
| Total meniscectomy | -8.72 (-28.04, 10.61) | 0.371 | -11.68(-26.83, 3.47) | 0.129 | ||||
| Trochlear cartilage | ||||||||
| Intact or injury < Grade Ⅲ | Reference | |||||||
| Injury ≥ Grade Ⅲ | -6.33 (-16.48, 3.82) | 0.217 | ||||||
| Medial tibial plateau cartilage | ||||||||
| Intact or injury < Grade Ⅲ | Reference | |||||||
| Injury ≥ Grade Ⅲ | -9.72 (-23.76, 4.31) | 0.171 | ||||||
| Medial tibial plateau cartilage | ||||||||
| Intact or injury < Grade Ⅲ | Reference | |||||||
| Injury ≥ Grade Ⅲ | -13.58 (-29.21, 2.05) | 0.087 | ||||||