首页> 外文期刊>American Journal of Sports Medicine >The effects of timing of pediatric knee ligament surgery on short-term academic performance in school-aged athletes.
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The effects of timing of pediatric knee ligament surgery on short-term academic performance in school-aged athletes.

机译:小儿膝关节韧带手术时机对学龄运动员短期学习成绩的影响。

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BACKGROUND: Orthopaedic injuries negatively affect the academic lives of children. HYPOTHESIS: The timing of anterior cruciate ligament (ACL) and medial patellofemoral ligament (MPFL) reconstructions affects academic performance in school-aged athletes. STUDY DESIGN: Cohort study; Level of evidence, 2. Methods Records of patients < or = 18 years old who underwent ACL or MPFL reconstructions from 2001-2007 were reviewed retrospectively. Subjects had been administered a unique questionnaire to evaluate school life in the immediate postoperative period as well as International Knee Documentation Committee (IDKC), Lysholm, and Kujala knee-specific questionnaires. Patients were in 1 of 3 study cohorts: group A (surgery during school year), group B (surgery during school holiday), and group C (surgery during summer break). RESULTS: There were 62 subjects (53 ACL and 12 MPFL reconstructions). A higher proportion of patients in group A required being driven to school (88.5%) than groups B (63.6%) or C (64.7%) (P < .05). A lower proportion of patients in group A returned to school immediately after surgery (3.8%) than groups B (36.4%) or C (88.2%) (P < .005). Among children who had never failed a test before surgery, a higher proportion of patients in group A failed a test (36.4%) after return to school than groups B (0%) or C (0%) (P < .05). Patients in group C had higher mean Likert scores (4.5) than groups A (3.8) or B (3.7) (P = .05) in response to the question "my grades suffered in my classes." Delay in surgery was negatively correlated with IKDC, Lysholm, and Kujala questionnaire scores (P < .05). CONCLUSION: In school-aged athletes with ligamentous knee injuries receiving operative treatment, surgery on a school day causes more academic difficulties than surgery during a holiday or summer break. Academic benefits of delaying surgery during the school year must be weighed against potentially worse outcomes encountered with prolonged surgical delay.
机译:背景:骨伤对儿童的学习生活造成负面影响。假设:前十字韧带(ACL)和media股内侧韧带(MPFL)重建的时间会影响学龄运动员的学习成绩。研究设计:队列研究;证据级别:2。方法回顾性分析2001年至2007年接受ACL或MPFL重建的18岁以下患者的记录。已向受试者管理了一份独特的问卷,以评估术后即刻的学校生活,同时还向国际膝关节文献委员会(IDKC),Lysholm和Kujala膝关节专用问卷进行了评估。患者属于3个研究队列中的1个:A组(学年期间的手术),B组(学校假期期间的手术)和C组(暑假期间的手术)。结果:共有62名受试者(53例ACL和12例MPFL重建)。与B组(63.6%)或C组(64.7%)相比,A组需要上学的患者(88.5%)比例更高(P <.05)。手术后立即返校的A组患者比例(3.8%)低于B组(36.4%)或C组(88.2%)(P <.005)。在手术前从未通过测试的孩子中,A组返校后未通过测试的患者(36.4%)的比例高于B组(0%)或C组(0%)(P <.05)。回答“我的班级成绩”这一问题,C组患者的平均Likert得分(4.5)高于A组(3.8)或B组(3.7)(P = .05)。手术延迟与IKDC,Lysholm和Kujala问卷得分负​​相关(P <.05)。结论:在接受手术治疗的膝关节韧带韧带损伤的学龄运动员中,在放学日进行手术比在假期或暑假期间进行手术造成的学术困难更大。必须权衡在学年延迟手术的学术收益与长期手术延迟可能导致的较差结果之间的权衡。

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