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Prediction of improvement after anterior cruciate ligament reconstruction

Wypych, Mikołaj ; Lundqvist, Robert ; Witoński, Dariusz ; Kȩska, Rafał ; Szmigielska, Anna and Paradowski, Przemysław T. (2021) In Open Medicine (Poland) 16(1). p.833-842
Abstract

The retrospective investigation was carried out to assess whether subjects who fulfilled our proposed recruitment criteria responded more favorably to anterior cruciate ligament reconstruction (ACLR) than those who did not. We retrospectively analyzed 109 skeletally mature subjects (78 men and 31 women) according to the following proposed criteria of recruitment: (1) pre-injury Tegner activity score ≥7 and a wish to return to a professional sports activity, (2) residual knee instability following injury and/or (3) age <20 years at the operation. The primary outcome was an improvement between assessment A (before operation) and B (mean follow-up of 1.6 years) in the average score for four of the five Knee injury and Osteoarthritis... (More)

The retrospective investigation was carried out to assess whether subjects who fulfilled our proposed recruitment criteria responded more favorably to anterior cruciate ligament reconstruction (ACLR) than those who did not. We retrospectively analyzed 109 skeletally mature subjects (78 men and 31 women) according to the following proposed criteria of recruitment: (1) pre-injury Tegner activity score ≥7 and a wish to return to a professional sports activity, (2) residual knee instability following injury and/or (3) age <20 years at the operation. The primary outcome was an improvement between assessment A (before operation) and B (mean follow-up of 1.6 years) in the average score for four of the five Knee injury and Osteoarthritis Outcome Score (KOOS) subscales, covering pain, symptoms, difficulty in sports and recreational activities, and quality of life (KOOS4). The proposed recruitment criteria for ACLR were met by 58 subjects (53%). There were 49 subjects (45%) who improved between assessment A and B. Subjects who met proposed recruitment criteria were more likely to improve clinically after ACLR (OR 5.7, 95% CI 2.5-13.3). Fulfillment of proposed recruitment criteria was a strong predictive factor for outcome improvement in short- to medium-term follow-up after ACLR. Case-control study. Level of evidence 3.

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author
; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
anterior cruciate ligament reconstruction, decision making, knee function, KOOS, outcome improvement
in
Open Medicine (Poland)
volume
16
issue
1
pages
10 pages
publisher
De Gruyter
external identifiers
  • scopus:85107988093
  • pmid:34124374
ISSN
2391-5463
DOI
10.1515/med-2021-0300
language
English
LU publication?
no
id
15b7f14b-5fc9-481c-936d-65efd7b102df
date added to LUP
2021-07-14 14:18:24
date last changed
2024-04-20 08:25:13
@article{15b7f14b-5fc9-481c-936d-65efd7b102df,
  abstract     = {{<p>The retrospective investigation was carried out to assess whether subjects who fulfilled our proposed recruitment criteria responded more favorably to anterior cruciate ligament reconstruction (ACLR) than those who did not. We retrospectively analyzed 109 skeletally mature subjects (78 men and 31 women) according to the following proposed criteria of recruitment: (1) pre-injury Tegner activity score ≥7 and a wish to return to a professional sports activity, (2) residual knee instability following injury and/or (3) age &lt;20 years at the operation. The primary outcome was an improvement between assessment A (before operation) and B (mean follow-up of 1.6 years) in the average score for four of the five Knee injury and Osteoarthritis Outcome Score (KOOS) subscales, covering pain, symptoms, difficulty in sports and recreational activities, and quality of life (KOOS4). The proposed recruitment criteria for ACLR were met by 58 subjects (53%). There were 49 subjects (45%) who improved between assessment A and B. Subjects who met proposed recruitment criteria were more likely to improve clinically after ACLR (OR 5.7, 95% CI 2.5-13.3). Fulfillment of proposed recruitment criteria was a strong predictive factor for outcome improvement in short- to medium-term follow-up after ACLR. Case-control study. Level of evidence 3. </p>}},
  author       = {{Wypych, Mikołaj and Lundqvist, Robert and Witoński, Dariusz and Kȩska, Rafał and Szmigielska, Anna and Paradowski, Przemysław T.}},
  issn         = {{2391-5463}},
  keywords     = {{anterior cruciate ligament reconstruction; decision making; knee function; KOOS; outcome improvement}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{833--842}},
  publisher    = {{De Gruyter}},
  series       = {{Open Medicine (Poland)}},
  title        = {{Prediction of improvement after anterior cruciate ligament reconstruction}},
  url          = {{http://dx.doi.org/10.1515/med-2021-0300}},
  doi          = {{10.1515/med-2021-0300}},
  volume       = {{16}},
  year         = {{2021}},
}