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- Title
Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction.
- Authors
Wang, Bin; Zhong, Jun-Long; Xu, Xiang-He; Shang, Jie; Lin, Nan; Lu, Hua-Ding
- 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.
- Subjects
ANTERIOR cruciate ligament surgery; CONFIDENCE intervals; MEDICAL databases; INFORMATION storage &; retrieval systems; MEDICAL information storage &; retrieval systems; JOINT diseases; MEDLINE; META-analysis; ONLINE information services; RISK assessment; SEX distribution; SURGICAL complications; TRANSPLANTATION of organs, tissues, etc.; SYSTEMATIC reviews; TREATMENT effectiveness; DISEASE incidence; ODDS ratio; DISEASE risk factors
- Publication
Journal of Orthopaedic Surgery & Research, 2020, Vol 15, Issue 1, p1
- ISSN
1749-799X
- Publication type
Article
- DOI
10.1186/s13018-020-01694-7