Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction
Abstract Background Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness’ risk factors can help its prevention. T...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | http://link.springer.com/article/10.1186/s13018-020-01694-7 |
| _version_ | 1798042142005788672 |
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| author | Bin Wang Jun-Long Zhong Xiang-He Xu Jie Shang Nan Lin Hua-Ding Lu |
| author_facet | Bin Wang Jun-Long Zhong Xiang-He Xu Jie Shang Nan Lin Hua-Ding Lu |
| author_sort | Bin Wang |
| collection | DOAJ |
| description | Abstract Background Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness’ risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness’ risk factors and incidence after ACL reconstruction and provide guidance on its prevention. Methods PubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2. Results In total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness’ incidence negatively correlated with the studies publication time (R = −0.62, P = 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68; P < 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction. Conclusion This study indicated that joint stiffness’ incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction. |
| first_indexed | 2024-04-11T22:32:24Z |
| format | Article |
| id | doaj.art-be55cebef53b4aa4b0fdc6b4068767a3 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T22:32:24Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-be55cebef53b4aa4b0fdc6b4068767a32022-12-22T03:59:22ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-05-0115111010.1186/s13018-020-01694-7Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstructionBin Wang0Jun-Long Zhong1Xiang-He Xu2Jie Shang3Nan Lin4Hua-Ding Lu5Department of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-Sen UniversityAbstract Background Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness’ risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness’ risk factors and incidence after ACL reconstruction and provide guidance on its prevention. Methods PubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2. Results In total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness’ incidence negatively correlated with the studies publication time (R = −0.62, P = 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68; P < 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction. Conclusion This study indicated that joint stiffness’ incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction.http://link.springer.com/article/10.1186/s13018-020-01694-7Joint stiffnessAnterior cruciate ligament reconstructionMeta-analysisIncidenceRisk factors |
| spellingShingle | Bin Wang Jun-Long Zhong Xiang-He Xu Jie Shang Nan Lin Hua-Ding Lu Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction Journal of Orthopaedic Surgery and Research Joint stiffness Anterior cruciate ligament reconstruction Meta-analysis Incidence Risk factors |
| title | Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction |
| title_full | Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction |
| title_fullStr | Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction |
| title_full_unstemmed | Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction |
| title_short | Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction |
| title_sort | incidence and risk factors of joint stiffness after anterior cruciate ligament reconstruction |
| topic | Joint stiffness Anterior cruciate ligament reconstruction Meta-analysis Incidence Risk factors |
| url | http://link.springer.com/article/10.1186/s13018-020-01694-7 |
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