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Pre‐operative factors predicting good outcome in terms of health‐related quality of life after ACL reconstruction
Author(s) -
Månsson O.,
Kartus J.,
Sernert N.
Publication year - 2013
Publication title -
scandinavian journal of medicine and science in sports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.575
H-Index - 115
eISSN - 1600-0838
pISSN - 0905-7188
DOI - 10.1111/j.1600-0838.2011.01426.x
Subject(s) - anterior cruciate ligament , medicine , quality of life (healthcare) , anterior cruciate ligament reconstruction , acl injury , outcome (game theory) , stepwise regression , range of motion , physical therapy , surgery , nursing , mathematical economics , mathematics
The life situation of many patients changes after an anterior cruciate ligament ( ACL ) rupture and subsequent reconstruction, and this may affect their health‐related quality of life in many ways. It is well known that the overall clinical results after ACL reconstruction are considered good, but pre‐operative predictive factors for a good post‐operative clinical outcome after ACL reconstruction have not been studied in as much detail. The purpose of this study was to identify pre‐operative factors that predict a good post‐operative outcome as measured by the S hort F orm 36 ( SF ‐36) and K nee O steoarthritis O utcome S core ( KOOS ) 3–6 years after ACL reconstruction. Seventy‐three patients scheduled for ACL reconstruction were clinically examined pre‐operatively. The SF ‐36 and KOOS questionnaires were sent by mail to these patients 3–6 years after reconstruction. Predictive factors for health‐related quality of life were investigated using a stepwise regression analysis. In conclusion, pre‐operative factors, such as pivot shift, knee function, and range of motion, may predict a good post‐operative outcome and explain up to 25% in terms of health‐related quality of life after ACL reconstruction. Furthermore, it appears that the patients’ pre‐injury and pre‐operative Tegner activity levels are important predictors of post‐operative health‐related quality of life.