Factors Affecting the Achievement of a Patient-Acceptable Symptom State 1 Year After Anterior Cruciate Ligament Reconstruction: A Cohort Study of 343 Patients From 2 Registries

Orthopaedic Journal of Sports Medicine
Eric Hamrin SenorskiKristian Samuelsson

Abstract

There is insufficient knowledge regarding the influence of concomitant injuries on the recovery of short-term subjective knee function after anterior cruciate ligament (ACL) reconstruction. To determine whether patient characteristics, concomitant injuries, and graft choice during ACL reconstruction can predict which patients achieve acceptable knee function 1 year after reconstruction. Case-control study; Level of evidence, 3. Data from 1 physical therapist-specific and 1 surgeon-specific register were used. Patients who had completed the Knee injury and Osteoarthritis Outcome Score (KOOS) at 1-year follow-up were included. Additional intraoperative information was extracted from a database. The primary outcome was achieving a patient-acceptable symptom state (PASS) for each subscale of the KOOS. Univariable and multivariable logistic regression models were used, with patient sex, age, and preinjury level of physical activity as covariates. A total of 343 patients (51% females) were included. The proportion of patients achieving PASS 1 year after ACL reconstruction varied between 40% and 85% among the KOOS subscales. Younger age at reconstruction and male sex provided favorable odds of achieving acceptable knee function across...Continue Reading

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Citations

Jun 24, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Riccardo CristianiAnders Stålman
Aug 6, 2020·Orthopaedic Journal of Sports Medicine·Eleonor SvantessonMing Hao Zheng
Aug 9, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Eleonor SvantessonUNKNOWN Panther Symposium ACL Injury Clinical Outcomes Consensus Group
Aug 24, 2021·Orthopaedic Journal of Sports Medicine·Kate E Webster, Julian A Feller

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