Knee function 30 years after ACL reconstruction: a case series of 60 patients

Background and purpose — Until now, there have been no studies beyond 30 years after anterior cruciate ligament (ACL) reconstruction. We report knee function a mean 31 years after ACL reconstruction. Patients and methods — This cohort comprised a case series of 60 patients with a mean follow-up of 3...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Thomas Söderman, Suzanne Werner, Marie-Louise Wretling, Mari Hänni, Christina Mikkelsen, Anders Sundin, Adel Shalabi
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/0f25bd6763b94c2696fb01618f474019
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:0f25bd6763b94c2696fb01618f474019
record_format	dspace
spelling	oai:doaj.org-article:0f25bd6763b94c2696fb01618f4740192021-11-26T11:19:48ZKnee function 30 years after ACL reconstruction: a case series of 60 patients1745-36741745-368210.1080/17453674.2021.1959709https://doaj.org/article/0f25bd6763b94c2696fb01618f4740192021-10-01T00:00:00Zhttp://dx.doi.org/10.1080/17453674.2021.1959709https://doaj.org/toc/1745-3674https://doaj.org/toc/1745-3682Background and purpose — Until now, there have been no studies beyond 30 years after anterior cruciate ligament (ACL) reconstruction. We report knee function a mean 31 years after ACL reconstruction. Patients and methods — This cohort comprised a case series of 60 patients with a mean follow-up of 31 years (28–33) after ACL reconstruction. Patients were evaluated with the International Knee Documentation Committee (IKDC) objective assessment, Knee injury Osteoarthritis Outcome Score (KOOS), Tegner Activity Scale, radiography, and MRI. Results — 30 patients showed an intact ACL graft and 30 a ruptured or missing ACL graft. 40 patients had osteoarthritis in the tibiofemoral compartment and 24 patients in the patellofemoral compartment. Patients with intact ACL grafts scored higher than those with ruptured or missing ACL grafts when it comes to KOOS Sport/Rec. The Hodges Lehmann estimated median difference between groups was 15 (95% CI 0–35). The KOOS scores were lower in the group with ruptured or missing ACL grafts when compared with a healthy-knee reference group of males in terms of Pain, mean difference –8 (CI –15 to –1), Symptoms, mean difference –18 (CI –27 to –9), and Sport/Rec, mean difference –21 (CI –34 to –8). In the group with intact ACL grafts, the KOOS score was lower than a healthy-knee reference group of males in terms of Symptoms, mean difference –12 (CI –21 to –3). Scores for all subgroups of KOOS were higher in patients without osteoarthritis. The IKDC overall clinical assessment outcome was worse in patients with a ruptured or missing ACL graft. The Hodges Lehmann estimated median difference between groups was 1 (CI 0–1). Interpretation — Patients with an intact ACL graft reported higher sports activity and recreation, as measured with KOOS, than patients with a ruptured or missing ACL graft. Patients with severe osteoarthritis reported lower sports activity and recreation, as measured with KOOS.Thomas SödermanSuzanne WernerMarie-Louise WretlingMari HänniChristina MikkelsenAnders SundinAdel ShalabiTaylor & Francis GrouparticleOrthopedic surgeryRD701-811ENActa Orthopaedica, Vol 92, Iss 6, Pp 716-721 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811
spellingShingle	Orthopedic surgery RD701-811 Thomas Söderman Suzanne Werner Marie-Louise Wretling Mari Hänni Christina Mikkelsen Anders Sundin Adel Shalabi Knee function 30 years after ACL reconstruction: a case series of 60 patients
description	Background and purpose — Until now, there have been no studies beyond 30 years after anterior cruciate ligament (ACL) reconstruction. We report knee function a mean 31 years after ACL reconstruction. Patients and methods — This cohort comprised a case series of 60 patients with a mean follow-up of 31 years (28–33) after ACL reconstruction. Patients were evaluated with the International Knee Documentation Committee (IKDC) objective assessment, Knee injury Osteoarthritis Outcome Score (KOOS), Tegner Activity Scale, radiography, and MRI. Results — 30 patients showed an intact ACL graft and 30 a ruptured or missing ACL graft. 40 patients had osteoarthritis in the tibiofemoral compartment and 24 patients in the patellofemoral compartment. Patients with intact ACL grafts scored higher than those with ruptured or missing ACL grafts when it comes to KOOS Sport/Rec. The Hodges Lehmann estimated median difference between groups was 15 (95% CI 0–35). The KOOS scores were lower in the group with ruptured or missing ACL grafts when compared with a healthy-knee reference group of males in terms of Pain, mean difference –8 (CI –15 to –1), Symptoms, mean difference –18 (CI –27 to –9), and Sport/Rec, mean difference –21 (CI –34 to –8). In the group with intact ACL grafts, the KOOS score was lower than a healthy-knee reference group of males in terms of Symptoms, mean difference –12 (CI –21 to –3). Scores for all subgroups of KOOS were higher in patients without osteoarthritis. The IKDC overall clinical assessment outcome was worse in patients with a ruptured or missing ACL graft. The Hodges Lehmann estimated median difference between groups was 1 (CI 0–1). Interpretation — Patients with an intact ACL graft reported higher sports activity and recreation, as measured with KOOS, than patients with a ruptured or missing ACL graft. Patients with severe osteoarthritis reported lower sports activity and recreation, as measured with KOOS.
format	article
author	Thomas Söderman Suzanne Werner Marie-Louise Wretling Mari Hänni Christina Mikkelsen Anders Sundin Adel Shalabi
author_facet	Thomas Söderman Suzanne Werner Marie-Louise Wretling Mari Hänni Christina Mikkelsen Anders Sundin Adel Shalabi
author_sort	Thomas Söderman
title	Knee function 30 years after ACL reconstruction: a case series of 60 patients
title_short	Knee function 30 years after ACL reconstruction: a case series of 60 patients
title_full	Knee function 30 years after ACL reconstruction: a case series of 60 patients
title_fullStr	Knee function 30 years after ACL reconstruction: a case series of 60 patients
title_full_unstemmed	Knee function 30 years after ACL reconstruction: a case series of 60 patients
title_sort	knee function 30 years after acl reconstruction: a case series of 60 patients
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/0f25bd6763b94c2696fb01618f474019
work_keys_str_mv	AT thomassoderman kneefunction30yearsafteraclreconstructionacaseseriesof60patients AT suzannewerner kneefunction30yearsafteraclreconstructionacaseseriesof60patients AT marielouisewretling kneefunction30yearsafteraclreconstructionacaseseriesof60patients AT marihanni kneefunction30yearsafteraclreconstructionacaseseriesof60patients AT christinamikkelsen kneefunction30yearsafteraclreconstructionacaseseriesof60patients AT anderssundin kneefunction30yearsafteraclreconstructionacaseseriesof60patients AT adelshalabi kneefunction30yearsafteraclreconstructionacaseseriesof60patients
_version_	1718409519186313216

Knee function 30 years after ACL reconstruction: a case series of 60 patients

Ejemplares similares