دورية أكاديمية

Multirater Agreement of the Causes of Anterior Cruciate Ligament Reconstruction Failure

التفاصيل البيبلوغرافية
العنوان: Multirater Agreement of the Causes of Anterior Cruciate Ligament Reconstruction Failure
المؤلفون: Matava, Matthew J, Arciero, Robert A, Baumgarten, Keith M, Carey, James L, DeBerardino, Thomas M, Hame, Sharon L, Hannafin, Jo A, Miller, Bruce S, Nissen, Carl W, Taft, Timothy N, Wolf, Brian R, Wright, Rick W, Albright, John P, Allen, Christina R, Amendola, Annunziato, Anderson, Allen F, Andrish, Jack T, Annunziata, Christopher C, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carpenter, James E, Cole, Brian J, Cooper, Daniel E, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, Dunn, Warren R, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Haas, Amanda K, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Huston, Laura J, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Lantz, Brett Brick A, Levy, Bruce A, Ma, C Benjamin, Maiers, G Peter, Mann, Barton, Marx, Robert G, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, O’Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L
المصدر: The American Journal of Sports Medicine, vol 43, iss 2
بيانات النشر: eScholarship, University of California
سنة النشر: 2015
المجموعة: University of California: eScholarship
مصطلحات موضوعية: Biomedical and Clinical Sciences, Clinical Sciences, Clinical Research, Bioengineering, Anterior Cruciate Ligament, Anterior Cruciate Ligament Reconstruction, Cohort Studies, Databases, Factual, Femur, Humans, Knee Joint, Observer Variation, Radiography, Reproducibility of Results, Surveys and Questionnaires, Tibia, Transplants, Treatment Failure, revision, tunnel placement, interobserver reliability, MARS Group, Biomedical Engineering, Mechanical Engineering, Human Movement and Sports Sciences, Orthopedics, Allied health and rehabilitation science, Sports science and exercise
جغرافية الموضوع: 310 - 319
الوصف: BackgroundAnterior cruciate ligament (ACL) reconstruction failure occurs in up to 10% of cases. Technical errors are considered the most common cause of graft failure despite the absence of validated studies. Limited data are available regarding the agreement among orthopaedic surgeons regarding the causes of primary ACL reconstruction failure and accuracy of graft tunnel placement.HypothesisExperienced knee surgeons have a high level of interobserver reliability in the agreement about the causes of primary ACL reconstruction failure, anatomic graft characteristics, and tunnel placement.Study designCohort study (diagnosis); Level of evidence, 3.MethodsTwenty cases of revision ACL reconstruction were randomly selected from the Multicenter ACL Revision Study (MARS) database. Each case included the patient's history, standardized radiographs, and a concise 30-second arthroscopic video taken at the time of revision demonstrating the graft remnant and location of the tunnel apertures. All 20 cases were reviewed by 10 MARS surgeons not involved with the primary surgery. Each surgeon completed a 2-part questionnaire dealing with each surgeon's training and practice, as well as the placement of the femoral and tibial tunnels, condition of the primary graft, and the surgeon's opinion as to the causes of graft failure. Interrater agreement was determined for each question with the kappa coefficient and the prevalence-adjusted, bias-adjusted kappa (PABAK).ResultsThe 10 reviewers have been in practice an average of 14 years and have performed at least 25 ACL reconstructions per year, and 9 were fellowship trained in sports medicine. There was wide variability in agreement among knee experts as to the specific causes of ACL graft failure. When participants were specifically asked about technical error as the cause for failure, interobserver agreement was only slight (PABAK = 0.26). There was fair overall agreement on ideal femoral tunnel placement (PABAK = 0.55) but only slight agreement on whether a femoral tunnel was too ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: unknown
العلاقة: qt4xw043kd; https://escholarship.org/uc/item/4xw043kdTest
الإتاحة: https://escholarship.org/uc/item/4xw043kdTest
حقوق: public
رقم الانضمام: edsbas.DE4203C5
قاعدة البيانات: BASE