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Comparative Influence of Sport Type on Outcome After Anterior Cruciate Ligament Reconstruction at Minimum 2-Year Follow-up.
Arthroscopy 2017; 33(2):415-421A

Abstract

PURPOSE

To investigate differences between sport types for patient-reported outcome after anterior cruciate ligament reconstruction (ACLR).

METHODS

Included patients were enrolled as part of a prospective institutional ACL registry. Inclusion criteria were preoperative self-identification as a competitive athlete, maximum score on the preoperative Marx Activity Scale, and minimum 2-year follow-up. Demographic, intraoperative, and outcome data were extracted from the registry. Outcome tools administered as part of the registry included International Knee Documentation Committee (IKDC), Lysholm-Tegner Scales, Marx Activity Scale (MAS), and 12-Item Short Form Health Survey (SF-12).

RESULTS

A total of 294 patients with a mean age of 25.5 years (standard deviation 12.1) met the study inclusion criteria; mean follow-up was 3.7 years. Included sports categories were soccer (n = 92; 31.3%), skiing (n = 67; 22.8%), basketball (n = 56; 19.1%), lacrosse (n = 38; 12.9%), football (n = 29; 9.9%), and Tennis (n = 12; 4.1%). At baseline, compared with other sports, lacrosse players have higher outcome scores while skiers had lower scores. At 2-year follow-up, however, across all outcome tools, football players demonstrated significantly higher outcome scores than all other athletes (IKDC, 93.2, P = .001; Lysholm, 93.2, P = .03; MAS, 13.1, P = .03; SF-12 Mental Component Summary, 57.9, P = .0002). Conversely, at 2-year follow-up, soccer players demonstrated a significantly lower Lysholm (86.7, P = .02) and a trend toward lower IKDC (85.6, P = .09) scores.

CONCLUSIONS

Patient-reported outcomes after ACLR among active athletes are comparable. Football players demonstrate quantitatively higher outcome scores whereas soccer players have lower scores. However, these outcome score differences may not be clinically significant and may be subject to confounding variables. Continued attention should be paid to understanding sport-specific outcome after ACLR.

LEVEL OF EVIDENCE

Level IV, therapeutic case series.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.. Electronic address: nwachukwub@hss.edu.Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27773640

Citation

Nwachukwu, Benedict U., et al. "Comparative Influence of Sport Type On Outcome After Anterior Cruciate Ligament Reconstruction at Minimum 2-Year Follow-up." Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, vol. 33, no. 2, 2017, pp. 415-421.
Nwachukwu BU, Voleti PB, Chang B, et al. Comparative Influence of Sport Type on Outcome After Anterior Cruciate Ligament Reconstruction at Minimum 2-Year Follow-up. Arthroscopy. 2017;33(2):415-421.
Nwachukwu, B. U., Voleti, P. B., Chang, B., Berkanish, P., Mahony, G. T., Williams, R. J., ... Allen, A. A. (2017). Comparative Influence of Sport Type on Outcome After Anterior Cruciate Ligament Reconstruction at Minimum 2-Year Follow-up. Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 33(2), pp. 415-421. doi:10.1016/j.arthro.2016.08.012.
Nwachukwu BU, et al. Comparative Influence of Sport Type On Outcome After Anterior Cruciate Ligament Reconstruction at Minimum 2-Year Follow-up. Arthroscopy. 2017;33(2):415-421. PubMed PMID: 27773640.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparative Influence of Sport Type on Outcome After Anterior Cruciate Ligament Reconstruction at Minimum 2-Year Follow-up. AU - Nwachukwu,Benedict U, AU - Voleti,Pramod B, AU - Chang,Brenda, AU - Berkanish,Patricia, AU - Mahony,Gregory T, AU - Williams,Riley J,3rd AU - Altchek,David W, AU - Allen,Answorth A, Y1 - 2016/10/20/ PY - 2016/04/01/received PY - 2016/08/03/revised PY - 2016/08/04/accepted PY - 2016/10/25/pubmed PY - 2017/10/20/medline PY - 2016/10/25/entrez SP - 415 EP - 421 JF - Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association JO - Arthroscopy VL - 33 IS - 2 N2 - PURPOSE: To investigate differences between sport types for patient-reported outcome after anterior cruciate ligament reconstruction (ACLR). METHODS: Included patients were enrolled as part of a prospective institutional ACL registry. Inclusion criteria were preoperative self-identification as a competitive athlete, maximum score on the preoperative Marx Activity Scale, and minimum 2-year follow-up. Demographic, intraoperative, and outcome data were extracted from the registry. Outcome tools administered as part of the registry included International Knee Documentation Committee (IKDC), Lysholm-Tegner Scales, Marx Activity Scale (MAS), and 12-Item Short Form Health Survey (SF-12). RESULTS: A total of 294 patients with a mean age of 25.5 years (standard deviation 12.1) met the study inclusion criteria; mean follow-up was 3.7 years. Included sports categories were soccer (n = 92; 31.3%), skiing (n = 67; 22.8%), basketball (n = 56; 19.1%), lacrosse (n = 38; 12.9%), football (n = 29; 9.9%), and Tennis (n = 12; 4.1%). At baseline, compared with other sports, lacrosse players have higher outcome scores while skiers had lower scores. At 2-year follow-up, however, across all outcome tools, football players demonstrated significantly higher outcome scores than all other athletes (IKDC, 93.2, P = .001; Lysholm, 93.2, P = .03; MAS, 13.1, P = .03; SF-12 Mental Component Summary, 57.9, P = .0002). Conversely, at 2-year follow-up, soccer players demonstrated a significantly lower Lysholm (86.7, P = .02) and a trend toward lower IKDC (85.6, P = .09) scores. CONCLUSIONS: Patient-reported outcomes after ACLR among active athletes are comparable. Football players demonstrate quantitatively higher outcome scores whereas soccer players have lower scores. However, these outcome score differences may not be clinically significant and may be subject to confounding variables. Continued attention should be paid to understanding sport-specific outcome after ACLR. LEVEL OF EVIDENCE: Level IV, therapeutic case series. SN - 1526-3231 UR - https://www.unboundmedicine.com/medline/citation/27773640/Comparative_Influence_of_Sport_Type_on_Outcome_After_Anterior_Cruciate_Ligament_Reconstruction_at_Minimum_2_Year_Follow_up_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-8063(16)30593-X DB - PRIME DP - Unbound Medicine ER -