The Majority of Patients Aged 40 and Older Having Allograft Anterior Cruciate Ligament Reconstruction Achieve a Patient Acceptable Symptomatic State

High Levels of Satisfaction and Adequate Patient-Reported Outcomes After Operative Reconstruction of Multiligament Knee Injury With Allograft Among Patients Aged 40 Years and Older

“…35 Marx scores among these patients have been less frequently reported, although a recent study of 201 patients showed a median score of 6.0 (IQR 2-10) in patients with intact ACL reconstruction graft and a median of 1.5 (IQR 0-7) in patients with graft failure. 36 Furthermore, 182 of 201 (90.5%) of these patients were satisfied with their procedure. The IKDC Marx activity scores and satisfaction levels for our cohort were comparable with those in patients undergoing ACL reconstruction.…”

Editorial Commentary: Age-Appropriate Expectations Are Critical When Analyzing Knee Anterior Cruciate Ligament Reconstruction Outcomes: Age Is More Than Just a Number

“…They found a PASS threshold for IKDC-subjective knee form of 75.9. At 6.1 years postoperatively, Sylvia et al 13 found a PASS threshold of 66.7 for their cohort of patients older than 40 years of age. As noted by the authors, if the previously published PASS threshold (75.9) was applied to the patient population of Sylvia et al, 23 patients would not have met the IKDC PASS threshold, 22 of whom were satisfied following their ACL reconstruction.…”

“…In their study, "The Majority of Patients Aged 40 and Older Having Allograft Anterior Cruciate Ligament Reconstruction Achieve a Patient Acceptable Symptomatic State," 13 authors Sylvia, Perrone, Stone, Miltenberg, Nezwek, Zhang, Golenbock, Richmond, and Salzler evaluated the appropriateness of using several PRO scoring systems and the PASS score in patients older than 40 years of age undergoing ACL reconstruction. Specifically, they evaluated patient-reported satisfaction, PRO scores, and failure rates in 201 patients at a mean follow-up of 6.2 years (minimum follow-up, 2 years).…”

“…The authors demonstrated significantly lower PROs and a decreased percentage of achieving PASS among patient who had a failed ACL reconstruction. Furthermore, they identified a novel 13 work, however, is not necessarily in their analysis of IKDC scores, Marx activity scores, or failure rate after ACL reconstruction in patients 40 years of age and older. In fact, their IKDC score of 86.2 and Marx score of 6 after successful ACL reconstruction at a mean of 6.1 years are similar to previously reported results in this patient population.…”

“…Certainly, the innovative data presented by Sylvia et al 13 will be used to inform future research, both on outcomes after ACL reconstruction in differing age groups and on the development of other more accurate and useful research measures of satisfactory patient outcome. More importantly, however, Sylvia et al's work will help clinicians and patients alike make reallife decisions to help improve clinical outcomes after ACL reconstruction.…”