Microdrilling Demonstrates Superior Patient-Reported Outcomes and Lower Revision Rates Than Traditional Microfracture: A Matched Cohort Analysis.
Journal
Arthroscopy, sports medicine, and rehabilitation
ISSN: 2666-061X
Titre abrégé: Arthrosc Sports Med Rehabil
Pays: United States
ID NLM: 101765256
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
18
04
2020
accepted:
21
10
2020
entrez:
1
7
2021
pubmed:
2
7
2021
medline:
2
7
2021
Statut:
epublish
Résumé
The purpose of this study was to compare patient-reported outcomes and revision rates between the standard microfracture awl versus the microdrilling technique. Microfracture patients were queried from a single-institution database between 2001 and 2016. Patient-reported outcome measure data were collected at preoperative and 6- and 12-month time points, inclusive of the International Knee Documentation Committee (IKDC) score, Short Form 12 (SF12) Physical Component Score (PCS) and Mental Component Score, and all Knee Injury and Osteoarthritis Outcome Score (KOOS) subscales. A matching algorithm based on previous procedures, lesion size, and demographic factors created 2 technique-based cohorts. Outcomes including revision rates and both statistically and clinically significant differences (i.e., the minimally clinically important difference [MCID]) between awl and microdrill cohorts were compared using univariate statistics. A total of 68 patients (aged 32.0 ± 13.1 years, 48.5% female, body mass index 26.7 ± 5.3 kg/m Microdrilling demonstrated superior outcomes relative to traditional microfracture awl techniques with respect to patient-reported outcomes at 6 months and revision rates within 3 years of follow-up. In addition, clinically meaningful differences were evident at 6 months in the microdrilling group. Level III, retrospective comparative study.
Identifiants
pubmed: 34195625
doi: 10.1016/j.asmr.2020.10.006
pii: S2666-061X(20)30166-8
pmc: PMC8220563
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e629-e638Informations de copyright
© 2020 by the Arthroscopy Association of North America. Published by Elsevier Inc.
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