The risk factor analysis is found
to be very beneficial for physical therapists and physicians in counseling
patients on effects following ACL reconstruction.
According to the American Journal of Sports Medicine, most of the patients with knee osteoarthritis even after 10-years of the anterior cruciate ligament (ACL) reconstruction show pre-operative patient-reported outcome related modifiable risk factors. Thus the cohort study was conducted to consult patients regarding their knee function and other related outcomes after ACL reconstruction.
The Swedish National Knee Ligament Register was used to extract data of patients who went through ACL reconstruction from January 2005 to December 2006. The patients with no 10-year follow up for KOOS (knee injury and osteoarthritis outcome score) were eliminated. The all 10-year surgery and patient-related risk factors above all KOOS sub-scales and KOOS4 were determined by using Multivariable proportional odds regression model. The sub-scales of KOOS were knee-related symptoms, pain, knee-related quality of life and function in sport and recreation.
A total of 874
patients with a mean age of 27.5 years during ACL reconstruction were involved.
A reduction in KOOS sub-scales was noticed on the increase in concomitant
articular cartilage injuries severity (p < 0.05). The odds of a higher score
on the symptoms, pain, sports sub-scales and KOOS4 were positively associated
with higher preoperative KOOS pain score. However, higher body mass index was
negatively associated with KOOS4 and 3 KOOS sub-scales. No surgery or
patient-related predictor was significant above all KOOS sub-scales. As per
these outcomes, there are several factors present that may affect the long-term
knee functionality after ACL reconstruction.
The American Journal of Sports Medicine
Ten-Year Risk Factors for Inferior Knee Injury and Osteoarthritis Outcome Score After Anterior Cruciate Ligament Reconstruction: A Study of 874 Patients From the Swedish National Knee Ligament Register
Eric Hamrin Senorski et al.
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