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Outcome of chronic isolated anterior cruciate ligament reconstruction.
J Knee Surg. 2014 Oct; 27(5):383-92.JK

Abstract

The aim of the article is to identify demographic and intraoperative factors that predict patient-oriented outcomes as measured by knee-specific and general quality of life (QoL) questionnaires for chronic, unilateral primary anterior cruciate ligament (ACL) tears following surgical reconstruction. A total of 69 patients were prospectively evaluated using the Medical Outcomes Study 36-item Short Form (SF-36), modified Lysholm, Tegner activity level, and subjective portion of the International Knee Documentation Committee (IKDC) questionnaires. The surveys were administered preoperatively and postoperatively with a minimum 2-year follow up. Efficacy of treatment was evaluated by comparing preoperative and postoperative questionnaire scores. Multivariate linear regression analysis was used to identify demographic and intraoperative variables that were independent predictors of outcome. At a minimum 2-year follow-up (mean, 3.6 years), 55 of 69 patients (80%) were available for follow-up. There were statistically significant improvements in the Lysholm, Tegner, and subjective portion of the IKDC, as well as several SF-36 domains that measure physical capabilities (p < 0.001) . Increasingly, severe patellofemoral and medial compartment articular cartilage damage was associated with lower physical function (PF) (p = 0.009 and 0.005, respectively) and physical component (p = 0.041 and 0.033, respectively) scores on the SF-36. Medial compartment articular cartilage damage and the presence of a lateral meniscus tear were independent predictors of lower bodily pain (BP) scores on the SF-36 (p = 0.007 and 0.010, respectively). QoL and knee function were improved following ACL reconstruction for chronic ACL tears. Independent predictors of poorer outcome were identified in the PF, bodily pain, and physical component score (PCS) of the SF-36. Increasingly, severe articular cartilage injury to the medial and patellofemoral compartments, as well as the presence of a lateral meniscal tear were predictive of poorer outcomes.

Authors+Show Affiliations

Department of Orthopedic Surgery, University of California, Los Angeles, Los Angeles, California.Department of Orthopedic Surgery, University of Southern California, Pasadena, California.Department of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, New Mexico.Department of Statistics, Children's Hospital Los Angeles, Los Angeles, California.Department of Orthopedic Surgery, University of California, Los Angeles, Los Angeles, California.Department of Orthopedic Surgery, University of California, Los Angeles, Los Angeles, California.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24443288

Citation

McAllister, David R., et al. "Outcome of Chronic Isolated Anterior Cruciate Ligament Reconstruction." The Journal of Knee Surgery, vol. 27, no. 5, 2014, pp. 383-92.
McAllister DR, Foster B, Martin DE, et al. Outcome of chronic isolated anterior cruciate ligament reconstruction. J Knee Surg. 2014;27(5):383-92.
McAllister, D. R., Foster, B., Martin, D. E., Veitch, A. J., Dorey, F. J., Petrigliano, F., & Hame, S. L. (2014). Outcome of chronic isolated anterior cruciate ligament reconstruction. The Journal of Knee Surgery, 27(5), 383-92. https://doi.org/10.1055/s-0033-1364099
McAllister DR, et al. Outcome of Chronic Isolated Anterior Cruciate Ligament Reconstruction. J Knee Surg. 2014;27(5):383-92. PubMed PMID: 24443288.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcome of chronic isolated anterior cruciate ligament reconstruction. AU - McAllister,David R, AU - Foster,Brock, AU - Martin,Daniel E, AU - Veitch,Andrew J, AU - Dorey,Frederick J, AU - Petrigliano,Frank, AU - Hame,Sharon L, Y1 - 2014/01/17/ PY - 2014/1/21/entrez PY - 2014/1/21/pubmed PY - 2015/3/31/medline SP - 383 EP - 92 JF - The journal of knee surgery JO - J Knee Surg VL - 27 IS - 5 N2 - The aim of the article is to identify demographic and intraoperative factors that predict patient-oriented outcomes as measured by knee-specific and general quality of life (QoL) questionnaires for chronic, unilateral primary anterior cruciate ligament (ACL) tears following surgical reconstruction. A total of 69 patients were prospectively evaluated using the Medical Outcomes Study 36-item Short Form (SF-36), modified Lysholm, Tegner activity level, and subjective portion of the International Knee Documentation Committee (IKDC) questionnaires. The surveys were administered preoperatively and postoperatively with a minimum 2-year follow up. Efficacy of treatment was evaluated by comparing preoperative and postoperative questionnaire scores. Multivariate linear regression analysis was used to identify demographic and intraoperative variables that were independent predictors of outcome. At a minimum 2-year follow-up (mean, 3.6 years), 55 of 69 patients (80%) were available for follow-up. There were statistically significant improvements in the Lysholm, Tegner, and subjective portion of the IKDC, as well as several SF-36 domains that measure physical capabilities (p < 0.001) . Increasingly, severe patellofemoral and medial compartment articular cartilage damage was associated with lower physical function (PF) (p = 0.009 and 0.005, respectively) and physical component (p = 0.041 and 0.033, respectively) scores on the SF-36. Medial compartment articular cartilage damage and the presence of a lateral meniscus tear were independent predictors of lower bodily pain (BP) scores on the SF-36 (p = 0.007 and 0.010, respectively). QoL and knee function were improved following ACL reconstruction for chronic ACL tears. Independent predictors of poorer outcome were identified in the PF, bodily pain, and physical component score (PCS) of the SF-36. Increasingly, severe articular cartilage injury to the medial and patellofemoral compartments, as well as the presence of a lateral meniscal tear were predictive of poorer outcomes. SN - 1938-2480 UR - https://www.unboundmedicine.com/medline/citation/24443288/Outcome_of_chronic_isolated_anterior_cruciate_ligament_reconstruction_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0033-1364099 DB - PRIME DP - Unbound Medicine ER -