The Use of the Tegner Activity Scale for Articular Cartilage Repair of the Knee: a Systematic Review

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2010 Nov 16

PMID 21076815

Citations 20

Authors

Karen Hambly

Affiliations

Soon will be listed here.

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.

Citing Articles

No significant differences in postoperative clinical outcomes evolution after fresh osteochondral allograft transplantation of the knee between patients with pathological and non-pathological scores regarding anxiety, depression, kinesiophobia and....

Gelber P, Ramirez-Bermejo E, Castella-Pujol A, Gonzalez-Osuna A, Farinas O J Exp Orthop. 2025; 12(1):e70210.

PMID: 40059956 PMC: 11888575. DOI: 10.1002/jeo2.70210.

[Refixation of osteochondral flake fractures after patellar dislocation-The parachute technique].

Vieider R, Siebenlist S, Fritsch L, Ellafi A, Ehmann Y, Mehl J Oper Orthop Traumatol. 2024; 36(6):354-362.

PMID: 39503790 PMC: 11604685. DOI: 10.1007/s00064-024-00873-7.

Differences in lower extremity kinematics during single-leg lateral drop landing of healthy individuals, injured but asymptomatic patients, and patients with chronic ankle instability- a cross-sectional observational study.

Sagawa Y, Yamada T, Ohmi T, Moriyama Y, Kato J PLoS One. 2024; 19(3):e0297660.

PMID: 38512894 PMC: 10956788. DOI: 10.1371/journal.pone.0297660.

Post-Operative Modified All-Inside ACL Reconstruction Technique's Clinical Outcomes and Isokinetic Strength Assessments.

Genc A, Guzel N, Yilmaz A, Ermis E, Pekesen Kurtca M, Agar A Diagnostics (Basel). 2023; 13(17).

PMID: 37685325 PMC: 10487178. DOI: 10.3390/diagnostics13172787.

Isolated radial tears of the lateral meniscus midbody: a case series of professional athletes treated with outside-in repair.

Torre G, Turchetta M, Del Buono A, Pavone V, Papalia R, Mariani P Musculoskelet Surg. 2022; 107(4):447-453.

PMID: 35945416 DOI: 10.1007/s12306-022-00757-8.

References

Jakobsen R, Engebretsen L, Slauterbeck J . An analysis of the quality of cartilage repair studies. J Bone Joint Surg Am. 2005; 87(10):2232-9. DOI: 10.2106/JBJS.D.02904. View

Paxton E, Fithian D, Stone M, Silva P . The reliability and validity of knee-specific and general health instruments in assessing acute patellar dislocation outcomes. Am J Sports Med. 2003; 31(4):487-92. DOI: 10.1177/03635465030310040201. View

Kon E, Gobbi A, Filardo G, Delcogliano M, Zaffagnini S, Marcacci M . 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. 2008; 37(1):33-41. DOI: 10.1177/0363546508323256. View

Marder R, Hopkins Jr G, Timmerman L . Arthroscopic microfracture of chondral defects of the knee: a comparison of two postoperative treatments. Arthroscopy. 2005; 21(2):152-8. DOI: 10.1016/j.arthro.2004.10.009. View

Forrest M, Andersen B . Ordinal scale and statistics in medical research. Br Med J (Clin Res Ed). 1986; 292(6519):537-8. PMC: 1339517. DOI: 10.1136/bmj.292.6519.537. View

Barber F, Iwasko N . Treatment of grade III femoral chondral lesions: mechanical chondroplasty versus monopolar radiofrequency probe. Arthroscopy. 2006; 22(12):1312-7. DOI: 10.1016/j.arthro.2006.06.008. View

Asik M, Ciftci F, Sen C, Erdil M, Atalar A . The microfracture technique for the treatment of full-thickness articular cartilage lesions of the knee: midterm results. Arthroscopy. 2008; 24(11):1214-20. DOI: 10.1016/j.arthro.2008.06.015. View

Sterett W, Steadman J . Chondral resurfacing and high tibial osteotomy in the varus knee. Am J Sports Med. 2004; 32(5):1243-9. DOI: 10.1177/0363546503259301. View

Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson O, Peterson L . Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med. 1994; 331(14):889-95. DOI: 10.1056/NEJM199410063311401. View

10.

Behrens P, Bitter T, Kurz B, Russlies M . Matrix-associated autologous chondrocyte transplantation/implantation (MACT/MACI)--5-year follow-up. Knee. 2006; 13(3):194-202. DOI: 10.1016/j.knee.2006.02.012. View

11.

Mithofer K, Minas T, Peterson L, Yeon H, Micheli L . Functional outcome of knee articular cartilage repair in adolescent athletes. Am J Sports Med. 2005; 33(8):1147-53. DOI: 10.1177/0363546504274146. View

12.

Norman G . Likert scales, levels of measurement and the "laws" of statistics. Adv Health Sci Educ Theory Pract. 2010; 15(5):625-32. DOI: 10.1007/s10459-010-9222-y. View

13.

Franceschi F, Longo U, Ruzzini L, Marinozzi A, Maffulli N, Denaro V . Simultaneous arthroscopic implantation of autologous chondrocytes and high tibial osteotomy for tibial chondral defects in the varus knee. Knee. 2008; 15(4):309-13. DOI: 10.1016/j.knee.2008.04.007. View

14.

STEVENS S . On the Theory of Scales of Measurement. Science. 1946; 103(2684):677-80. DOI: 10.1126/science.103.2684.677. View

15.

Carifio J, Perla R . Resolving the 50-year debate around using and misusing Likert scales. Med Educ. 2009; 42(12):1150-2. DOI: 10.1111/j.1365-2923.2008.03172.x. View

16.

Briggs K, Lysholm J, Tegner Y, Rodkey W, Kocher M, Steadman J . 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. 2009; 37(5):890-7. DOI: 10.1177/0363546508330143. View

17.

Jakobsson U . Statistical presentation and analysis of ordinal data in nursing research. Scand J Caring Sci. 2004; 18(4):437-40. DOI: 10.1111/j.1471-6712.2004.00305.x. View

18.

Cherubino P, Grassi F, Bulgheroni P, Ronga M . Autologous chondrocyte implantation using a bilayer collagen membrane: a preliminary report. J Orthop Surg (Hong Kong). 2003; 11(1):10-5. DOI: 10.1177/230949900301100104. View

19.

Gigante A, Enea D, Greco F, Bait C, Denti M, Schonhuber H . Distal realignment and patellar autologous chondrocyte implantation: mid-term results in a selected population. Knee Surg Sports Traumatol Arthrosc. 2008; 17(1):2-10. DOI: 10.1007/s00167-008-0635-6. View

20.

Zeifang F, Oberle D, Nierhoff C, Richter W, Moradi B, Schmitt H . Autologous chondrocyte implantation using the original periosteum-cover technique versus matrix-associated autologous chondrocyte implantation: a randomized clinical trial. Am J Sports Med. 2009; 38(5):924-33. DOI: 10.1177/0363546509351499. View