Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2011

01-04-2011 | Knee

The use of the Tegner Activity Scale for articular cartilage repair of the knee: a systematic review

Author: Karen Hambly

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2011

Login to get access

Abstract

Purpose

The Tegner Activity Scale (TAS) was developed in 1984 and has been widely used in studies on knee populations. The primary objective of this study was to undertake a systematic review on the use of the TAS for articular cartilage repair (ACR) of the knee.

Methods

A systematic review was conducted using electronic databases (MEDLINE, CINAHL, SPORTDiscus™, NHS Evidence, ISI Web of Knowledge, AMED, BNI, PEDro and The Cochrane Collaboration of Systematic Reviews) and reference lists from extracted articles. Studies were selected that were published between 1984 and 2009 in which the TAS was reported for patients who had undergone ACR of the knee.

Results

The search strategy identified 442 citations of which 34 articles met the inclusion criteria. There was a large degree of study heterogeneity especially regarding data reporting a wide variation in the number of participants (range 5–137), participant age (range 12–76 years), follow-up time (range 3–120 months) and male-to-female participant ratio. Where pre- to postoperative TAS change was analysed, 88% of studies demonstrated a significant improvement in postoperative TAS scores.

Conclusions

In general, TAS data were inconsistently reported and methodological detail was often lacking. Caution is advised in the interpretation of TAS scores following ACR of the knee where there are large ranges in postoperative follow-up times, mixed gender cohorts and wide ranges in participant ages. TAS data should be presented and analysed fully and ideally in a standardised fashion to facilitate the comparison of outcomes between studies.
Literature
1.
go back to reference Asik M, Ciftci F, Sen C, Erdil M, Atalar A (2008) The microfracture technique for the treatment of full-thickness articular cartilage lesions of the knee: midterm results. Arthroscopy 24:1214–1220PubMedCrossRef Asik M, Ciftci F, Sen C, Erdil M, Atalar A (2008) The microfracture technique for the treatment of full-thickness articular cartilage lesions of the knee: midterm results. Arthroscopy 24:1214–1220PubMedCrossRef
2.
go back to reference Barber FA, Chow JC (2006) Arthroscopic chondral osseous autograft transplantation (COR procedure) for femoral defects. Arthroscopy 22:10–16PubMedCrossRef Barber FA, Chow JC (2006) Arthroscopic chondral osseous autograft transplantation (COR procedure) for femoral defects. Arthroscopy 22:10–16PubMedCrossRef
3.
go back to reference Barber FA, Iwasko NG (2006) Treatment of grade III femoral chondral lesions: mechanical chondroplasty versus monopolar radiofrequency probe. Arthroscopy 22:1312–1317PubMedCrossRef Barber FA, Iwasko NG (2006) Treatment of grade III femoral chondral lesions: mechanical chondroplasty versus monopolar radiofrequency probe. Arthroscopy 22:1312–1317PubMedCrossRef
4.
go back to reference Behrens P, Bitter T, Kurz B, Russlies M (2006) Matrix-associated autologous chondrocyte transplantation/implantation (MACT/MACI)-5-year follow-up. Knee 13:194–202PubMedCrossRef Behrens P, Bitter T, Kurz B, Russlies M (2006) Matrix-associated autologous chondrocyte transplantation/implantation (MACT/MACI)-5-year follow-up. Knee 13:194–202PubMedCrossRef
5.
go back to reference Briggs KK, Kocher MS, Rodkey WG, Steadman JR (2006) Reliability, validity, and responsiveness of the Lysholm knee score and Tegner activity scale for patients with meniscal injury of the knee. J Bone Joint Surg Am 88:698–705PubMedCrossRef Briggs KK, Kocher MS, Rodkey WG, Steadman JR (2006) Reliability, validity, and responsiveness of the Lysholm knee score and Tegner activity scale for patients with meniscal injury of the knee. J Bone Joint Surg Am 88:698–705PubMedCrossRef
6.
go back to reference Briggs KK, Lysholm J, Tegner Y, Rodkey WG, Kocher MS, Steadman JR (2009) The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later. Am J Sports Med 37:890–897PubMedCrossRef Briggs KK, Lysholm J, Tegner Y, Rodkey WG, Kocher MS, Steadman JR (2009) The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later. Am J Sports Med 37:890–897PubMedCrossRef
7.
go back to reference Briggs KK, Steadman JR, Hay CJ, Hines SL (2009) Lysholm score and Tegner activity level in individuals with normal knees. Am J Sports Med 37:898–901PubMedCrossRef Briggs KK, Steadman JR, Hay CJ, Hines SL (2009) Lysholm score and Tegner activity level in individuals with normal knees. Am J Sports Med 37:898–901PubMedCrossRef
8.
go back to reference Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson O, Peterson L (1994) Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med 331:889–895PubMedCrossRef Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson O, Peterson L (1994) Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med 331:889–895PubMedCrossRef
9.
go back to reference Carifio J, Perla R (2008) Resolving the 50-year debate around using and misusing Likert scales. Med Educ 42:1150–1152PubMedCrossRef Carifio J, Perla R (2008) Resolving the 50-year debate around using and misusing Likert scales. Med Educ 42:1150–1152PubMedCrossRef
10.
go back to reference Cherubino P, Grassi FA, Bulgheroni E, Ronga M (2003) Autologous chondrocyte implantation using a bilayer collagen membrane: a preliminary report. J Ortho Surg 11:10–15 Cherubino P, Grassi FA, Bulgheroni E, Ronga M (2003) Autologous chondrocyte implantation using a bilayer collagen membrane: a preliminary report. J Ortho Surg 11:10–15
11.
go back to reference Davidson PA, Carter TR (2007) Osteochondral allograft transplantation. Oper Tech Sports Med 15:53–61CrossRef Davidson PA, Carter TR (2007) Osteochondral allograft transplantation. Oper Tech Sports Med 15:53–61CrossRef
12.
go back to reference Davidson PA, Rivenburgh DW, Dawson PE, Rozin R (2007) Clinical, histologic, and radiographic outcomes of distal femoral resurfacing with hypothermically stored osteoarticular allografts. Am J Sports Med 35:1082–1090PubMedCrossRef Davidson PA, Rivenburgh DW, Dawson PE, Rozin R (2007) Clinical, histologic, and radiographic outcomes of distal femoral resurfacing with hypothermically stored osteoarticular allografts. Am J Sports Med 35:1082–1090PubMedCrossRef
13.
go back to reference Forrest M, Andersen B (1986) Ordinal scale and statistics in medical research. Br Med J (Clin Res Ed) 292:537–538CrossRef Forrest M, Andersen B (1986) Ordinal scale and statistics in medical research. Br Med J (Clin Res Ed) 292:537–538CrossRef
14.
go back to reference Franceschi F, Longo UG, Ruzzini L, Marinozzi A, Maffulli N, Denaro V (2008) Simultaneous arthroscopic implantation of autologous chondrocytes and high tibial osteotomy for tibial chondral defects in the varus knee. Knee 15:309–313PubMedCrossRef Franceschi F, Longo UG, Ruzzini L, Marinozzi A, Maffulli N, Denaro V (2008) Simultaneous arthroscopic implantation of autologous chondrocytes and high tibial osteotomy for tibial chondral defects in the varus knee. Knee 15:309–313PubMedCrossRef
15.
go back to reference Frobell RB, Svensson E, Gothrick M, Roos EM (2008) Self-reported activity level and knee function in amateur football players: the influence of age, gender, history of knee injury and level of competition. Knee Surg Sports Traumatol Arthrosc 16:713–719PubMedCrossRef Frobell RB, Svensson E, Gothrick M, Roos EM (2008) Self-reported activity level and knee function in amateur football players: the influence of age, gender, history of knee injury and level of competition. Knee Surg Sports Traumatol Arthrosc 16:713–719PubMedCrossRef
16.
go back to reference Gigante A, Enea D, Greco F, Bait C, Denti M, Schonhuber H, Volpi P (2009) Distal realignment and patellar autologous chondrocyte implantation: mid-term results in a selected population. Knee Surg Sports Traumatol Arthrosc 17:2–10PubMedCrossRef Gigante A, Enea D, Greco F, Bait C, Denti M, Schonhuber H, Volpi P (2009) Distal realignment and patellar autologous chondrocyte implantation: mid-term results in a selected population. Knee Surg Sports Traumatol Arthrosc 17:2–10PubMedCrossRef
17.
go back to reference Glasziou P, Irwig L, Bain C, Colditz G (2001) Systematic reviews in health care: a practical guide. University of Cambridge, CambridgeCrossRef Glasziou P, Irwig L, Bain C, Colditz G (2001) Systematic reviews in health care: a practical guide. University of Cambridge, CambridgeCrossRef
18.
go back to reference Gobbi A, Francisco R (2006) Factors affecting return to sports after anterior cruciate ligament reconstruction with patellar tendon and hamstring graft: a prospective clinical investigation. Knee Surg Sports Traumatol Arthrosc 14:1021–1028PubMedCrossRef Gobbi A, Francisco R (2006) Factors affecting return to sports after anterior cruciate ligament reconstruction with patellar tendon and hamstring graft: a prospective clinical investigation. Knee Surg Sports Traumatol Arthrosc 14:1021–1028PubMedCrossRef
19.
go back to reference Gobbi A, Kon E, Berruto M, Filardo G, Delcogliano M, Boldrini L, Bathan L, Marcacci M (2009) Patellofemoral full-thickness chondral defects treated with second-generation autologous chondrocyte implantation: results at 5 years’ follow-up. Am J Sports Med 37:1083–1092PubMedCrossRef Gobbi A, Kon E, Berruto M, Filardo G, Delcogliano M, Boldrini L, Bathan L, Marcacci M (2009) Patellofemoral full-thickness chondral defects treated with second-generation autologous chondrocyte implantation: results at 5 years’ follow-up. Am J Sports Med 37:1083–1092PubMedCrossRef
20.
go back to reference Gobbi A, Nunag P, Malinowski K (2005) Treatment of full thickness chondral lesions of the knee with microfracture in a group of athletes. Knee Surg Sports Traumatol Arthrosc 13:213–221PubMedCrossRef Gobbi A, Nunag P, Malinowski K (2005) Treatment of full thickness chondral lesions of the knee with microfracture in a group of athletes. Knee Surg Sports Traumatol Arthrosc 13:213–221PubMedCrossRef
21.
go back to reference Halasi T, Kynsburg A, Tallay A, Berkes I (2004) Development of a new activity score for the evaluation of ankle instability. Am J Sports Med 32:899–908PubMedCrossRef Halasi T, Kynsburg A, Tallay A, Berkes I (2004) Development of a new activity score for the evaluation of ankle instability. Am J Sports Med 32:899–908PubMedCrossRef
22.
go back to reference Hambly K, Bobic V, Wondrasch B, Van Assche D, Marlovits S (2006) Autologous chondrocyte implantation postoperative care and rehabilitation: science and practice. Am J Sports Med 34:1020–1038PubMedCrossRef Hambly K, Bobic V, Wondrasch B, Van Assche D, Marlovits S (2006) Autologous chondrocyte implantation postoperative care and rehabilitation: science and practice. Am J Sports Med 34:1020–1038PubMedCrossRef
23.
go back to reference Hambly K, Griva K (2008) IKDC or KOOS? Which measures symptoms and disabilities most important to postoperative articular cartilage repair patients? Am J Sports Med 36:1695–1704PubMedCrossRef Hambly K, Griva K (2008) IKDC or KOOS? Which measures symptoms and disabilities most important to postoperative articular cartilage repair patients? Am J Sports Med 36:1695–1704PubMedCrossRef
24.
go back to reference Horas U, Pelinkovic D, Herr G, Aigner T, Schnettler R (2003) Autologous chondrocyte implantation and osteochondral cylinder transplantation in cartilage repair of the knee joint. A prospective, comparative trial. J Bone Joint Surg Am 85-A:185–192PubMed Horas U, Pelinkovic D, Herr G, Aigner T, Schnettler R (2003) Autologous chondrocyte implantation and osteochondral cylinder transplantation in cartilage repair of the knee joint. A prospective, comparative trial. J Bone Joint Surg Am 85-A:185–192PubMed
25.
go back to reference Jakobsen RB, Engebretsen L, Slauterbeck JR (2005) An analysis of the quality of cartilage repair studies. J Bone Joint Surg Am 87:2232–2239PubMedCrossRef Jakobsen RB, Engebretsen L, Slauterbeck JR (2005) An analysis of the quality of cartilage repair studies. J Bone Joint Surg Am 87:2232–2239PubMedCrossRef
26.
go back to reference Jakobsson U (2004) Statistical presentation and analysis of ordinal data in nursing research. Scand J Caring Sci 18:437–440PubMedCrossRef Jakobsson U (2004) Statistical presentation and analysis of ordinal data in nursing research. Scand J Caring Sci 18:437–440PubMedCrossRef
28.
go back to reference Karataglis D, Learmonth DJA (2005) Management of big osteochondral defects of the knee using osteochondral allografts with the mega-oats technique. Knee 12:389–393PubMedCrossRef Karataglis D, Learmonth DJA (2005) Management of big osteochondral defects of the knee using osteochondral allografts with the mega-oats technique. Knee 12:389–393PubMedCrossRef
29.
go back to reference Kim MK, Choi SW, Kim SR, Oh IS, Won MH (2009) Autologous chondrocyte implantation in the knee using fibrin. Knee Surg Sports Traumatol Arthrosc 18:528–534PubMedCrossRef Kim MK, Choi SW, Kim SR, Oh IS, Won MH (2009) Autologous chondrocyte implantation in the knee using fibrin. Knee Surg Sports Traumatol Arthrosc 18:528–534PubMedCrossRef
30.
go back to reference Knutsen G, Drogset JO, Engebretsen L, Grontvedt T, Isaksen V, Ludvigsen TC, Roberts S, Solheim E, Strand T, Johansen O (2007) A randomized trial comparing autologous chondrocyte implantation with microfracture. Findings at 5 years. J Bone Joint Surg Am 89:2105–2112PubMedCrossRef Knutsen G, Drogset JO, Engebretsen L, Grontvedt T, Isaksen V, Ludvigsen TC, Roberts S, Solheim E, Strand T, Johansen O (2007) A randomized trial comparing autologous chondrocyte implantation with microfracture. Findings at 5 years. J Bone Joint Surg Am 89:2105–2112PubMedCrossRef
31.
go back to reference Kocher MS, Steadman JR, Briggs KK, Sterett WI, Hawkins RJ (2004) Reliability, validity, and responsiveness of the Lysholm knee scale for various chondral disorders of the knee. J Bone Joint Surg Am 86-A:1139–1145PubMed Kocher MS, Steadman JR, Briggs KK, Sterett WI, Hawkins RJ (2004) Reliability, validity, and responsiveness of the Lysholm knee scale for various chondral disorders of the knee. J Bone Joint Surg Am 86-A:1139–1145PubMed
32.
go back to reference Kon E, Gobbi A, Filardo G, Delcogliano M, Zaffagnini S, Marcacci M (2009) Arthroscopic second-generation autologous chondrocyte implantation compared with microfracture for chondral lesions of the knee: prospective nonrandomized study at 5 years. Am J Sports Med 37:33–41PubMedCrossRef Kon E, Gobbi A, Filardo G, Delcogliano M, Zaffagnini S, Marcacci M (2009) Arthroscopic second-generation autologous chondrocyte implantation compared with microfracture for chondral lesions of the knee: prospective nonrandomized study at 5 years. Am J Sports Med 37:33–41PubMedCrossRef
33.
go back to reference Kumar V, Panagoupolous A, Triantafyllopoulos JK, van Niekerk L (2008) Two stage autologous chondrocyte implantation for large full thickness cartilage defects in high demand patients: results after 2 years follow-up. J Bone Joint Surg Br 90-B:324CrossRef Kumar V, Panagoupolous A, Triantafyllopoulos JK, van Niekerk L (2008) Two stage autologous chondrocyte implantation for large full thickness cartilage defects in high demand patients: results after 2 years follow-up. J Bone Joint Surg Br 90-B:324CrossRef
34.
go back to reference LaValley MP, Felson DT (2002) Statistical presentation and analysis of ordered categorical outcome data in rheumatology journals. Arthritis Rheum 47:255–259PubMedCrossRef LaValley MP, Felson DT (2002) Statistical presentation and analysis of ordered categorical outcome data in rheumatology journals. Arthritis Rheum 47:255–259PubMedCrossRef
35.
go back to reference Lunn PD (2010) The sports and exercise life-course: a survival analysis of recall data from Ireland. Soc Sci Med 70:711–719PubMedCrossRef Lunn PD (2010) The sports and exercise life-course: a survival analysis of recall data from Ireland. Soc Sci Med 70:711–719PubMedCrossRef
36.
go back to reference Ma HL, Hung SC, Wang ST, Chang MC, Chen TH (2004) Osteochondral autografts transfer for post-traumatic osteochondral defect of the knee—2 to 5 years follow-up. Injury 35:1286–1292PubMedCrossRef Ma HL, Hung SC, Wang ST, Chang MC, Chen TH (2004) Osteochondral autografts transfer for post-traumatic osteochondral defect of the knee—2 to 5 years follow-up. Injury 35:1286–1292PubMedCrossRef
37.
go back to reference Marcacci M, Kon E, Delcogliano M, Filardo G, Busacca M, Zaffagnini S (2007) Arthroscopic autologous osteochondral grafting for cartilage defects of the knee: prospective study results at a minimum 7-year follow-up. Am J Sports Med 35:2014–2021PubMedCrossRef Marcacci M, Kon E, Delcogliano M, Filardo G, Busacca M, Zaffagnini S (2007) Arthroscopic autologous osteochondral grafting for cartilage defects of the knee: prospective study results at a minimum 7-year follow-up. Am J Sports Med 35:2014–2021PubMedCrossRef
38.
go back to reference Marder RA, Hopkins G Jr, Timmerman LA (2005) Arthroscopic microfracture of chondral defects of the knee: a comparison of two postoperative treatments. Arthroscopy 21:152–158PubMedCrossRef Marder RA, Hopkins G Jr, Timmerman LA (2005) Arthroscopic microfracture of chondral defects of the knee: a comparison of two postoperative treatments. Arthroscopy 21:152–158PubMedCrossRef
40.
go back to reference Marx RG, Stump TJ, Jones EC, Wickiewicz TL, Warren RF (2001) Development and evaluation of an activity rating scale for disorders of the knee. Am J Sports Med 29:213–218PubMed Marx RG, Stump TJ, Jones EC, Wickiewicz TL, Warren RF (2001) Development and evaluation of an activity rating scale for disorders of the knee. Am J Sports Med 29:213–218PubMed
41.
go back to reference McNickle AG, L’Heureux DR, Yanke AB, Cole BJ (2009) Outcomes of autologous chondrocyte implantation in a diverse patient population. Am J Sports Med 37:1344–1350PubMedCrossRef McNickle AG, L’Heureux DR, Yanke AB, Cole BJ (2009) Outcomes of autologous chondrocyte implantation in a diverse patient population. Am J Sports Med 37:1344–1350PubMedCrossRef
42.
go back to reference Miller BS, Steadman JR, Briggs KK, Rodrigo JJ, Rodkey WG (2004) Patient satisfaction and outcome after microfracture of the degenerative knee. J Knee Surg 17:13–17PubMed Miller BS, Steadman JR, Briggs KK, Rodrigo JJ, Rodkey WG (2004) Patient satisfaction and outcome after microfracture of the degenerative knee. J Knee Surg 17:13–17PubMed
43.
go back to reference Mithoefer K, Hambly K, Della Villa S, Silvers H, Mandelbaum BR (2009) Return to sports participation after articular cartilage repair in the knee: scientific evidence. Am J Sports Med 37:167S–176SPubMedCrossRef Mithoefer K, Hambly K, Della Villa S, Silvers H, Mandelbaum BR (2009) Return to sports participation after articular cartilage repair in the knee: scientific evidence. Am J Sports Med 37:167S–176SPubMedCrossRef
44.
go back to reference Mithoefer K, Minas T, Peterson L, Yeon H, Micheli LJ (2005) Functional outcome of knee articular cartilage repair in adolescent athletes. Am J Sports Med 33:1147–1153CrossRef Mithoefer K, Minas T, Peterson L, Yeon H, Micheli LJ (2005) Functional outcome of knee articular cartilage repair in adolescent athletes. Am J Sports Med 33:1147–1153CrossRef
45.
go back to reference Mithoefer K, Peterson L, Mandelbaum BR, Minas T (2005) Articular cartilage repair in soccer players with autologous chondrocyte transplantation: functional outcome and return to competition. Am J Sports Med 33:1639–1646CrossRef Mithoefer K, Peterson L, Mandelbaum BR, Minas T (2005) Articular cartilage repair in soccer players with autologous chondrocyte transplantation: functional outcome and return to competition. Am J Sports Med 33:1639–1646CrossRef
46.
go back to reference Mithoefer K, Williams RJ 3rd, Warren RF, Wickiewicz TL, Marx RG (2006) High-impact athletics after knee articular cartilage repair: a prospective evaluation of the microfracture technique. Am J Sports Med 34:1413–1418PubMedCrossRef Mithoefer K, Williams RJ 3rd, Warren RF, Wickiewicz TL, Marx RG (2006) High-impact athletics after knee articular cartilage repair: a prospective evaluation of the microfracture technique. Am J Sports Med 34:1413–1418PubMedCrossRef
47.
go back to reference Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 62:1006–1012PubMedCrossRef Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 62:1006–1012PubMedCrossRef
49.
go back to reference Pascual-Garrido C, Slabaugh MA, L’Heureux DR, Friel NA, Cole BJ (2009) Recommendations and treatment outcomes for patellofemoral articular cartilage defects with autologous chondrocyte implantation: prospective evaluation at average 4-year follow-up. Am J Sports Med 37:33S–41SPubMedCrossRef Pascual-Garrido C, Slabaugh MA, L’Heureux DR, Friel NA, Cole BJ (2009) Recommendations and treatment outcomes for patellofemoral articular cartilage defects with autologous chondrocyte implantation: prospective evaluation at average 4-year follow-up. Am J Sports Med 37:33S–41SPubMedCrossRef
50.
go back to reference Paxton E, Fithian D, Stone M, Silva P (2003) The reliability and validity of knee-specific and general health instruments in assessing acute patellar dislocation outcomes. Am J Sports Med 31:487–492PubMed Paxton E, Fithian D, Stone M, Silva P (2003) The reliability and validity of knee-specific and general health instruments in assessing acute patellar dislocation outcomes. Am J Sports Med 31:487–492PubMed
51.
go back to reference Rangaswamy L (1998) Conversations with a cab driver. J Bone Joint Surg Am 80:1407–1409PubMed Rangaswamy L (1998) Conversations with a cab driver. J Bone Joint Surg Am 80:1407–1409PubMed
52.
go back to reference Salzmann GM, Paul J, Bauer JS, Woertler K, Sauerschnig M, Landwehr S, Imhoff AB, Schottle PB (2009) T2 assessment and clinical outcome following autologous matrix-assisted chondrocyte and osteochondral autograft transplantation. Osteoarthr Cartil 17:1576–1582PubMedCrossRef Salzmann GM, Paul J, Bauer JS, Woertler K, Sauerschnig M, Landwehr S, Imhoff AB, Schottle PB (2009) T2 assessment and clinical outcome following autologous matrix-assisted chondrocyte and osteochondral autograft transplantation. Osteoarthr Cartil 17:1576–1582PubMedCrossRef
53.
go back to reference Smith TO, Davies L, O’Driscoll ML, Donell ST (2008) An evaluation of the clinical tests and outcome measures used to assess patellar instability. Knee 15:255–262PubMedCrossRef Smith TO, Davies L, O’Driscoll ML, Donell ST (2008) An evaluation of the clinical tests and outcome measures used to assess patellar instability. Knee 15:255–262PubMedCrossRef
54.
go back to reference Spahn G, Kahl E, Muckley T, Hofmann GO, Klinger HM (2008) Arthroscopic knee chondroplasty using a bipolar radiofrequency-based device compared to mechanical shaver: results of a prospective, randomized, controlled study. Knee Surg Sports Traumatol Arthrosc 16:565–573PubMedCrossRef Spahn G, Kahl E, Muckley T, Hofmann GO, Klinger HM (2008) Arthroscopic knee chondroplasty using a bipolar radiofrequency-based device compared to mechanical shaver: results of a prospective, randomized, controlled study. Knee Surg Sports Traumatol Arthrosc 16:565–573PubMedCrossRef
55.
go back to reference Spahn G, Kirschbaum S (2005) Operative treatment of deep chondral defects of the patella: Results after abrasive arthroplasty and periosteal arthroplasty. Knee Surg Sports Traumatol Arthrosc 13:352–356PubMedCrossRef Spahn G, Kirschbaum S (2005) Operative treatment of deep chondral defects of the patella: Results after abrasive arthroplasty and periosteal arthroplasty. Knee Surg Sports Traumatol Arthrosc 13:352–356PubMedCrossRef
56.
go back to reference Steadman JR, Briggs KK, Rodrigo JJ, Kocher MS, Gill TJ, Rodkey WG (2003) Outcomes of microfracture for traumatic chondral defects of the knee: average 11-year follow-up. Arthroscopy 19:477–484PubMedCrossRef Steadman JR, Briggs KK, Rodrigo JJ, Kocher MS, Gill TJ, Rodkey WG (2003) Outcomes of microfracture for traumatic chondral defects of the knee: average 11-year follow-up. Arthroscopy 19:477–484PubMedCrossRef
57.
go back to reference Sterett WI, Steadman JR (2004) Chondral resurfacing and high tibial osteotomy in the varus knee. Am J Sports Med 32:1243–1249PubMedCrossRef Sterett WI, Steadman JR (2004) Chondral resurfacing and high tibial osteotomy in the varus knee. Am J Sports Med 32:1243–1249PubMedCrossRef
58.
go back to reference Stevens SS (1946) On the theory of scales of measurement. Science 103:677–680CrossRef Stevens SS (1946) On the theory of scales of measurement. Science 103:677–680CrossRef
59.
go back to reference Suk M, Hanson BP, Norvell DC, Helfet DL (2005) AO handbook: musculoskeletal outcomes measures and instruments. Thieme, Davos Platz Suk M, Hanson BP, Norvell DC, Helfet DL (2005) AO handbook: musculoskeletal outcomes measures and instruments. Thieme, Davos Platz
60.
go back to reference Tegner Y (1985) Cruciate ligament injuries in the knee: Evaluation and rehabilitation. Dissertation, Linköping University, Linköping, Sweden Tegner Y (1985) Cruciate ligament injuries in the knee: Evaluation and rehabilitation. Dissertation, Linköping University, Linköping, Sweden
61.
go back to reference Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49PubMed Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49PubMed
62.
go back to reference Tetta C, Busacca M, Moio A, Rinaldi R, Delcogliano M, Kon E, Filardo G, Marcacci M, Albisinni U (2009) Knee osteochondral autologous transplantation: long-term MR findings and clinical correlations. Eur J Radiol. doi:10.1016/j.ejrad.2009.05.011 Tetta C, Busacca M, Moio A, Rinaldi R, Delcogliano M, Kon E, Filardo G, Marcacci M, Albisinni U (2009) Knee osteochondral autologous transplantation: long-term MR findings and clinical correlations. Eur J Radiol. doi:10.​1016/​j.​ejrad.​2009.​05.​011
63.
go back to reference Thomee P, Wahrborg P, Borjesson M, Thomee R, Eriksson BI, Karlsson J (2007) Self-efficacy, symptoms and physical activity in patients with an anterior cruciate ligament injury: a prospective study. Scand J Med Sci Sports 17:238–245PubMed Thomee P, Wahrborg P, Borjesson M, Thomee R, Eriksson BI, Karlsson J (2007) Self-efficacy, symptoms and physical activity in patients with an anterior cruciate ligament injury: a prospective study. Scand J Med Sci Sports 17:238–245PubMed
64.
go back to reference Visna P, Pasa L, Cizmar I, Hart R, Hoch J (2004) Treatment of deep cartilage defects of the knee using autologous chondrograft transplantation and by abrasive techniques—a randomized controlled study. Acta Chir Belg 104:709–714PubMed Visna P, Pasa L, Cizmar I, Hart R, Hoch J (2004) Treatment of deep cartilage defects of the knee using autologous chondrograft transplantation and by abrasive techniques—a randomized controlled study. Acta Chir Belg 104:709–714PubMed
65.
go back to reference Wallgren K, Norlin R, Gillquist J (1987) Activity score for the evaluation of orthopedic patients. Acta Orthop Scand 58:453 Wallgren K, Norlin R, Gillquist J (1987) Activity score for the evaluation of orthopedic patients. Acta Orthop Scand 58:453
66.
go back to reference Weitzel P, Richmond J (2002) Critical evaluation of different scoring systems of the knee. Sports Med Arthrosc Rev 10:183–190CrossRef Weitzel P, Richmond J (2002) Critical evaluation of different scoring systems of the knee. Sports Med Arthrosc Rev 10:183–190CrossRef
67.
go back to reference Wondrasch B, Zak L, Welsch GH, Marlovits S (2009) Effect of accelerated weightbearing after matrix-associated autologous chondrocyte implantation on the femoral condyle on radiographic and clinical outcome after 2 years: a prospective, randomized controlled pilot study. Am J Sports Med 37:88S–96SPubMedCrossRef Wondrasch B, Zak L, Welsch GH, Marlovits S (2009) Effect of accelerated weightbearing after matrix-associated autologous chondrocyte implantation on the femoral condyle on radiographic and clinical outcome after 2 years: a prospective, randomized controlled pilot study. Am J Sports Med 37:88S–96SPubMedCrossRef
68.
go back to reference Zeifang F, Oberle D, Nierhoff C, Richter W, Moradi B, Schmitt H (2009) Autologous chondrocyte implantation using the original periosteum-cover technique versus matrix-associated autologous chondrocyte implantation: a randomized clinical trial. Am J Sports Med 38:924–933PubMedCrossRef Zeifang F, Oberle D, Nierhoff C, Richter W, Moradi B, Schmitt H (2009) Autologous chondrocyte implantation using the original periosteum-cover technique versus matrix-associated autologous chondrocyte implantation: a randomized clinical trial. Am J Sports Med 38:924–933PubMedCrossRef
Metadata
Title
The use of the Tegner Activity Scale for articular cartilage repair of the knee: a systematic review
Author
Karen Hambly
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-010-1301-3

Other articles of this Issue 4/2011

Knee Surgery, Sports Traumatology, Arthroscopy 4/2011 Go to the issue