Preoperative and Intraoperative Predictors of Long-Term Acceptable Knee Function and Osteoarthritis After Anterior Cruciate Ligament Reconstruction: An Analysis Based on 2 Randomized Controlled Trials

Senorski, Eric Hamrin; Sundemo, David; Svantesson, Eleonor; Sernert, Ninni; Kartus, Jüri-Toomas; Karlsson, Jón; Samuelsson, Kristian

doi:10.1016/j.arthro.2018.07.009

Cited by 17 publications

(16 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The remainder of our patients scored below 75. This is in line with a previous long-term follow-up mean 16 years after ACL reconstruction (Hamrin Senorski et al 2019 ), where half of the patients had a PASS value above the cutoff value.…”

Section: Discussionsupporting

confidence: 90%

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

et al. 2021

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 90%

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

et al. 2021

View full text Add to dashboard Cite

“…1 2 Furthermore, ACLR appears to be on the rise in both adults and adolescents worldwide. [3][4][5][6][7][8] As ACL injuries increase in incidence and thus overall cost, and with evidence that many athletes fail to return to their preinjury level of activity post-ACLR, [9][10][11][12][13] while many develop post-traumatic osteoarthritis, [14][15][16] research is ongoing to optimise surgical techniques, fixation devices, graft options and postoperative rehabilitation protocols.…”

Section: Introductionmentioning

confidence: 99%

ACL Study Group presents the global trends in ACL reconstruction: biennial survey of the ACL Study Group

et al. 2021

View full text Add to dashboard Cite

ObjectivesThe primary objective of this survey was to gauge the current global trends in anterior cruciate ligament reconstruction (ACLR) as reported by the members of the Anterior Cruciate Ligament (ACL) Study Group (SG).MethodsA survey was created and distributed among the members of the ACL SG consisting of 87 questions and 16 categories related to ACLR, including member demographics, preoperative management, primary ACLR techniques and graft choice, use of concomitant procedures and biological augmentation, postoperative rehabilitation, and more.ResultsThe survey was completed by the 140 members of the ACL SG. Fifty per cent of members are from Europe, 29% from the USA, 15% from the Asia-Pacific and the remaining 6% are from Latin America, the Middle East, New Zealand and Africa. Most (92%) do not believe there is a role for non-operative management of ACL tears in higher level athletes; conversely, most agree there is a role for non-operative management in lower impact athletes (92%). A single-bundle (90%) technique with hamstring autograft (53%) were most common for primary ACLR. Tunnel position varied among respondents. Sixty-one per cent do not use allograft for primary ACLR. Fifty per cent of respondents use cortical suspensory fixation on the femur, with variable responses on the tibia. Most (79%) do not use biologics in primary ACLR, while 83% think there is a selective role for extra-articular augmentation in primary ACLR. Fifty per cent prefer bone-tendon-bone autograft for revision ACLR and extra-articular augmentation is more commonly used (13% always, 26% often) than in primary ACLR (0% always, 15% often). A majority (53%) use a brace after primary ACLR. The most common responses for minimal time to return to play after primary ACLR were 6–8 months (44%) and 8–12 months (41%).ConclusionWe presented the thoughts and preferences of the ACL SG on the management of ACL injuries. This survey will help to facilitate an ongoing discussion with regard to ACLR by providing global insights into the current surgical trends in ACLR.Level of evidenceLevel V, Expert Opinion.

show abstract

“… 75 Several studies have since then applied the PASS values for the KOOS and IKDC-SKF when reporting on outcome after ACL treatment. 26 , 42 , 44 , 111 …”

Section: Consensus Statements and Discussionmentioning

confidence: 99%

Clinical Outcomes After Anterior Cruciate Ligament Injury: Panther Symposium ACL Injury Clinical Outcomes Consensus Group

Svantesson

Senorski

Webster

et al. 2020

Orthopaedic Journal of Sports Medicine

Self Cite

View full text Add to dashboard Cite

A stringent outcome assessment is a key aspect of establishing evidence-based clinical guidelines for anterior cruciate ligament (ACL) injury treatment. To establish a standardized assessment of clinical outcome after ACL treatment, a consensus meeting including a multidisciplinary group of ACL experts was held at the ACL Consensus Meeting Panther Symposium, Pittsburgh, Pennsylvania, USA, in June 2019. The aim was to establish a consensus on what data should be reported when conducting an ACL outcome study, what specific outcome measurements should be used, and at what follow-up time those outcomes should be assessed. The group reached consensus on 9 statements by using a modified Delphi method. In general, outcomes after ACL treatment can be divided into 4 robust categories: early adverse events, patient-reported outcomes (PROs), ACL graft failure/recurrent ligament disruption, and clinical measures of knee function and structure. A comprehensive assessment after ACL treatment should aim to provide a complete overview of the treatment result, optimally including the various aspects of outcome categories. For most research questions, a minimum follow-up of 2 years with an optimal follow-up rate of 80% is necessary to achieve a comprehensive assessment. This should include clinical examination, any sustained reinjuries, validated knee-specific PROs, and health-related quality of life questionnaires. In the midterm to long-term follow-up, the presence of osteoarthritis should be evaluated. This consensus paper provides practical guidelines for how the aforementioned entities of outcomes should be reported and suggests the preferred tools for a reliable and valid assessment of outcome after ACL treatment.

show abstract

Preoperative and Intraoperative Predictors of Long-Term Acceptable Knee Function and Osteoarthritis After Anterior Cruciate Ligament Reconstruction: An Analysis Based on 2 Randomized Controlled Trials

Cited by 17 publications

References 40 publications

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

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

ACL Study Group presents the global trends in ACL reconstruction: biennial survey of the ACL Study Group

Clinical Outcomes After Anterior Cruciate Ligament Injury: Panther Symposium ACL Injury Clinical Outcomes Consensus Group

Contact Info

Product

Resources

About