Clinical Outcome at a Minimum of Five Years After Reconstruction of the Anterior Cruciate Ligament

Spindler, Kurt P.; WARREN, TODD A.; CALLISON, J. CLAIBORNE; Secic, Michelle; FLEISCH, SHERYL B.; Wright, Rick W.

doi:10.2106/00004623-200508000-00002

Cited by 46 publications

(77 citation statements)

References 36 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We evaluated the weight gain (divide 2 group: Gain more than 15 lb or not) after ACL reconstruction and analysed the correlation between weight increase and development of OA and found that there was significant correlation between weight increase and development of OA (Odds ratio: 5.690, p-value=0.025). These results were quite similar to a report by Spindler et al [1].…”

supporting

confidence: 93%

What are the risk factors in the development of osteoarthritis following ACL reconstruction?

Seon

Song

Park

2006

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

We thank Dr. Cebesoy for his interest in our article. We evaluated the weight gain (divide 2 group: Gain more than 15 lb or not) after ACL reconstruction and analysed the correlation between weight increase and development of OA and found that there was significant correlation between weight increase and development of OA (Odds ratio: 5.690, p-value=0.025). These results were quite similar to a report by Spindler et al. [1].With regard to the relationship between instability and development of OA, there has been some debate. However, we found no correlation between instability and OA. Similar conclusions were reached by Sommerlath et al. [3] and Gillquist and Messner [2].Roe et al. [4] reported that ACL reconstruction patients with PT autograft showed higher OA incidence than those with hamstring autograft. However in our study we used a patellar tendon autograft in all cases and we have provided no information about the relationship between OA and graf t choice (PT or hamstring). The relationship between graf t material and OA remains to be proven. Recently, we have been performing a study relating to OA after ACL reconstruction with hamstring autografts.

show abstract

supporting

confidence: 93%

What are the risk factors in the development of osteoarthritis following ACL reconstruction?

Seon

Song

Park

2006

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Overall, we observed that a higher BMI was associated with lower subjective IKDC scores at 1 and 2 months, but this effect did not necessarily occur when the traditional obesity threshold was used as a cutoff point (nonobese ¼ BMI ,30, obese ¼ BMI !30). The association between obesity and lower self-reported outcomes has been well documented in long-term studies, 21,49 but little is known about the effect of BMI on patient function during the early phases of recovery. Our results indicate that BMI had a direct association with patient-reported function as early as the first 2 months after surgery.…”

Section: Discussionmentioning

confidence: 99%

What Can the First 2 Months Tell Us About Outcomes After Anterior Cruciate Ligament Reconstruction?

Christensen

Goldfine²,

Barker

et al. 2015

Journal of Athletic Training

View full text Add to dashboard Cite

Context: Substantial research has been conducted on anterior cruciate ligament reconstruction (ACLR) to evaluate patient outcomes. However, little attention has been given to outcomes during the early phase of recovery and how early deficits affect both short-and long-term outcomes.Objective: To identify relationships between demographic (age, sex, and body mass index [BMI]) and intraoperative (isolated ACLR versus primary ACLR þ secondary procedures), and postoperative (range-of-motion [ROM] and peak isometric knee-extension force [PIF]) variables during the first 2 months after ACLR using self-reported outcomes.Design: Cohort study. Results: Significant relationships were identified between !12-month IKDC scores and the 1-month (Pearson correlation, r ¼ 0.283, r 2 ¼ 0.08; P ¼ .025) and 2-month (r ¼ 0.301, r 2 ¼ 0.09; P ¼ .017) IKDC scores. After controlling for other variables, we found that the PIF ratio measures at 1 and 2 months were positively associated with 1-and 2-month IKDC scores (P , .001) and BMI was negatively associated with both 1-and 2-month IKDC scores (P , .05). One-month IKDC scores were related to the 1-month difference in knee-flexion ROM (P ¼ .04).Conclusions: The IKDC scores during the first 2 months were positively correlated with patients' perceptions of function on long-term IKDC scores. It also appears that improvements in lower extremity strength and flexion ROM deficits were positively associated with short-term IKDC scores. Higher BMI was negatively associated with patients' perceptions of function on short-term IKDC scores.Key Words: force output, knee, motion, rehabilitation, International Knee Documentation Committee Key PointsAfter anterior cruciate ligament reconstruction, patients' subjective International Knee Documentation Committee (IKDC) scores at both 1-and 2-month follow-ups had fair but significantly positive associations with the !12-month IKDC score. The ratio of surgical-to nonsurgical-limb measures of peak isometric knee-extension force at 1 and 2 months was positively associated with 1-and 2-month IKDC scores. The difference in flexion range of motion between the surgical and nonsurgical limbs had a significant positive relationship with 1-month IKDC score. Body mass index had a significant negative association with both 1-and 2-month IKDC scores. No significant relationships were noted between demographic, intraoperative, or postoperative variables during the first 2 months and IKDC scores at !12 months after anterior cruciate ligament reconstruction.

show abstract

“…Female athletes have a greater risk than male athletes for rupturing the ACL 14 , and they are more likely to rupture the contralateral ACL after reconstruction 15 . Although large cohorts of patients have no sex-based difference in risk of recurrent ACL tears 14,16,17 , female soccer players have a higher risk of ACL reinjury compared with their male counterparts 18 . Thus, women may gain the most benefit from education to guide their expectations following ACL reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Public Perception Regarding Anterior Cruciate Ligament Reconstruction

Matava

Howard

Polakof

et al. 2014

Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

Clinical Outcome at a Minimum of Five Years After Reconstruction of the Anterior Cruciate Ligament

Abstract: Callison, J. Claiborne Jr.; Secic, Michelle; Fleisch, Sheryl B.; and Wright, Rick W., ,"Clinical outcome at a minimum of five years after reconstruction of the anterior cruciate ligament

Cited by 46 publications

References 36 publications

What are the risk factors in the development of osteoarthritis following ACL reconstruction?

What are the risk factors in the development of osteoarthritis following ACL reconstruction?

What Can the First 2 Months Tell Us About Outcomes After Anterior Cruciate Ligament Reconstruction?

Public Perception Regarding Anterior Cruciate Ligament Reconstruction

Contact Info

Product

Resources

About