Patient characteristics of non-operative anterior cruciate ligament injury associated with poor knee functions on activities of daily living: a cross-sectional study

Abstract

Introduction: The ACL injury has commonly occurred in a greater number of athletes, less publication is about poor knee function and ACL injury in the patient with non-operative treatment. This study aimed to describe the characteristics of patients with ACL injury non-operative, which are associated with poor knee function on daily living activities.Methods: We included patients with ACL injury that has been diagnosed for ACL injury by an orthopedic surgeon or physiotherapist in a hospital or private clinic. All participants were recruited from February 2019 to April 2019. The inclusion criteria were patients who at least 18 years old. We used the KOOS ADL function cut-off score ≤80 to dichotomous the patient with knee problems, and score >80 have no statistical analysis problem. We calculated using binary logistic regression on the KOOS ADL function for each variable.Results: The mean score of KOOS daily living was 72.8 points, of which 66 participants had poor scores, and 37 were acceptable. Women were 9.2 times more likely to had poor KOOS daily living scores than men in non-operative ACL injury patients (p=0.044), and non-elite athletes had a higher possibility by 8.5 times higher than those who were participated in sports only for leisure or recreation (p=0.002).Conclusion: This study confirmed that patients who did not undergo the ACL reconstruction had a poor knee function in daily living. It was associated with women and non-elite athlete participants, yet the concomitant injuries were possibly confounder for the association.

Post Ankle Sprain Injury Associated with Lateral Ligaments Tear Rehab Protocol

“…The results of this study showed that the general characteristics of patients with lateral ligament injury included younger participants of younger than 40 years old. This is similar to previous study conducted by Adhitya I et al, who showing the mean age of patients with lateral ligament injuries was 27.5 years old (SD=6.6) [20] . Moreover, most of the participants were males and among body mass index of higher than 25 Kg/m2.…”

“…Moreover, most of the participants were males and among body mass index of higher than 25 Kg/m2. This is similar to the results of Adhitya I et al who found that 89.3 % the patients with lateral ligament injuries were males [20] . This difference between the two genders could be because of the morphology of the knee joint between sexes which had an important role in the risk of injury.…”

Let’s talk about sex (and gender) after ACL injury: a systematic review and meta-analysis of self-reported activity and knee-related outcomes

“…Data were extracted from 242 studies (7 RCTs, 235 observational/cohort), including 123 687 participants (43% females/ women/girls, mean age 26 years at ACL surgery), aged between 10 and 64 years at ACL injury or follow-up, most (94%) operatively managed, and follow-up ranged from 2 months to 31 years post-ACL injury/ACLR (online supplemental appendix 7). Notably, only 13 studies included an exclusively non-operatively managed group [36][37][38][39][40][41][42][43][44][45][46][47][48] ; however, 25 studies reported preoperative (7 meta-analyses) data. Six studies included both operatively and non-operatively managed individuals.…”

Hubungan Frekuensi Latihan Fisik Dan Jenis Rehabilitasi Terhadap Fungsi Lutut Dan Kesiapan Kembali Berolahragapasca Acl Reconstruction

“…2 ACL injuries are among the common injuries in the young adult population. 3,4 The annual incidence of ACL injuries in the general population reaches 68.6 per 100,000 people. 2,5 Management of patients with ACL injuries can include non-invasive approaches and surgery.…”