Reliability, Validity, and Responsiveness of a Modified International Knee Documentation Committee Subjective Knee Form (Pedi-IKDC) in Children With Knee Disorders

Kocher, Mininder S.; Smith, Jeremy T.; Iversen, Maura D.; Brustowicz, Katherine; Ogunwole, Olabode; Andersen, Jason; Yoo, Won Joon; McFeely, Eric D.; Anderson, Allen F.; Zurakowski, David

doi:10.1177/0363546510383002

Cited by 182 publications

(239 citation statements)

References 17 publications

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“…Many of these studies suffer from small sample size, use of chronologic rather than bone age, and poor reporting of outcomes. Although a validated ACL specific outcome score for this age group does not exist, the pedi-IKDC (The International Knee Documentation Committee) has been found to have acceptable psychometric performance for outcome assessment of children and adolescents with various knee problems, including ACL injuries [20]. Unfortunately, this outcome score has yet to become commonplace.…”

Section: Outcomes Of Aclr Techniques In the Skeletally Immature Patientmentioning

confidence: 99%

Pediatric anterior cruciate ligament reconstruction outcomes

Peterson

Ayeni

2016

Curr Rev Musculoskelet Med

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Treatment of pediatric anterior cruciate injuries have become an area of controversy sparking much debate about best management strategies. Delaying surgery until skeletal maturity has often been shown to result in unfavorable outcomes due to concomitant meniscal and chondral injuries in this population. There have been numerous techniques used to reconstruct the ACL in the skeletally immature patient; however, most studies are limited by small patient numbers and other methodological concerns. With recent publications reporting failure rates as high as 15-25 % and growth disturbances being uncommon but now reported within almost every technical category, patient and caregiver education become of paramount importance. Key principles will be outlined that may help to avoid some of the pitfalls that occur when dealing with this unique population.

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Section: Outcomes Of Aclr Techniques In the Skeletally Immature Patientmentioning

confidence: 99%

Pediatric anterior cruciate ligament reconstruction outcomes

Peterson

Ayeni

2016

Curr Rev Musculoskelet Med

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“…7 Recognizing which aspects a patient is struggling with-mentally, physically, or both-and being able to address those concerns will greatly increase the likelihood of patient success in the rehabilitation process and in returning to the same level of physical activity. Patient-rated outcome measures, such as the pediatric version of the IKDC scale 8 and the Pediatric Quality of Life Inventory, 9 may be useful in assessing a pediatric patient. The pediatric version of the IKDC scale can help in addressing the patient's physical functioning, whereas the Pediatric Quality of Life Inventory can capture changes beyond the patient's physical functioning.…”

Section: Commentarymentioning

confidence: 99%

Early Operative Versus Delayed or Nonoperative Treatment of Anterior Cruciate Ligament Injuries in Pediatric Patients

Dunn

Lam

McLeod

2016

Journal of Athletic Training

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Study Selection: Available studies were included only if they were written in English; were of level 1, 2, or 3 evidence (grading taxonomy not stated); were cohort designs that compared nonoperative and operative treatments; involved an early versus delayed ACL reconstruction that could be prospective or retrospective; and reported primary outcome interest measures. Animal studies, basic science studies, case series, reviews, commentaries, and editorials were excluded from the review.Data Extraction: A systematic assessment tool, Guide to Community Preventive Services: Systematic Reviews and Evidence-Based Recommendations, was used by 2 of the authors to independently grade the quality of each study that met the inclusion criteria. The tool focused on 6 areas: intervention and study description, sampling, measurement, analysis, interpretation of results, and other execution factors. This tool helped to ensure consistency, reduce bias, and improve the validity and reliability of preventive health care studies. Eleven studies met the inclusion criteria. Six studies compared nonoperative with operative treatment, and 5 studies compared early reconstruction (open physes) with delayed reconstruction (closed physes). Studies in this meta-analysis consisted of the following: four level-3 prospective studies, four level-3 retrospective studies, one level-2 retrospective study, one level-3 case-control study, and one level-3 study with both prospective and retrospective data collection. All of the studies included data related to patient demographics, treatment interventions, follow-up duration, presence of any meniscal symptoms, time to return to sport participation, patient-reported outcomes (International Knee Documentation Committee [IKDC], Lysholm, or Tegner scores), the need for a second surgical procedure, and any posttreatment problems.Main Results: Of those who chose the nonoperative route, 75% reported instability, whereas only 13.6% of those who had surgery reported instability. These data also showed that nonoperative or delayed-operative patients were 33.7 times more likely to report instability than the early operative group. Those who chose the nonoperative route had a 12 times greater risk (odds ratio ¼ 12.2, 95% confidence interval ¼ 1.55, 96.3) of developing a meniscal tear after the initial injury. Three studies included in the meta-analysis reported return to sport status, but only 2 studies provided adequate data for both operative and nonoperative patients. In 1 study, 92% of operative patients were able to return to sport, but only 43.75% of nonoperative patients were able to do so. The second study reported that all operative and nonoperative patients were able to return to the same level of sport after injury. Of those in the early operative group, 6% required a repeat surgical intervention for either an ACL rerupture or a meniscal tear, and 19% of those who initially chose nonoperative treatment eventually needed surgery to repair the ACL or meniscus. Findings favor the early operative group ove...

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“…Ankle-Hindfoot Rating [54] Ankle Osteoarthritis Scale [26] Foot and Ankle Ability Measure [1,86] Revised Foot Function Index [14,78] Adult -Upper Extremity DASH [46] Oxford Shoulder Score [21,22] American Shoulder and Elbow Surgeons (ASES) Shoulder Form [77] Oxford Elbow Score [19,20] American Shoulder and Elbow Surgeons (ASES) Elbow Form [53] Adult -Spine AAOS / North American Spine Society (NASS) Spine Form [16] Oswestry Disability Index [30] Pediatric -Musculoskeletal Function Pediatric Orthopaedic Society of North America / Pediatric Outcomes Data Collection Instrument (PODCI) [17] KOOS -Child [70] Pedi-IKDC [55] Volume 471, Number 11, November 2013 Clinical Perspective on Outcome Measures 3429 research effort well before the study commences. Collecting data without a clearly defined research objective or specific questions always leads to a failed project and wasted time and resources.…”

Section: Types Of Studiesmentioning

confidence: 99%