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Comparison of patient‐reported outcomes among those who chose ACL reconstruction or non‐surgical treatment
Author(s) -
Ardern C. L.,
Sonesson S.,
Forssblad M.,
Kvist J.
Publication year - 2017
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/sms.12707
Subject(s) - chose , medicine , acl injury , osteoarthritis , quality of life (healthcare) , anterior cruciate ligament , surgery , physical therapy , alternative medicine , nursing , pathology , political science , law
The aim of our study was to cross‐sectionally compare patient‐reported knee function outcomes between people who chose non‐surgical treatment for ACL injury and those who chose ACL reconstruction. We extracted Knee Injury and Osteoarthritis Outcome Score ( KOOS ) and EuroQoL‐5D data entered into the Swedish National ACL Registry by patients with a non‐surgically treated ACL injury within 180 days of injury ( n = 306), 1 ( n = 350), 2 ( n = 358), and 5 years ( n = 114) after injury. These data were compared cross‐sectionally to data collected pre‐operatively ( n = 306) and at 1 ( n = 350), 2 ( n = 358), and 5 years ( n = 114) post‐operatively from age‐ and gender‐matched groups of patients with primary ACL reconstruction. At the 1 and 2 year comparisons, patients who chose surgical treatment reported superior quality of life and function in sports (1 year mean difference 12.4 and 13.2 points, respectively; 2 year mean difference 4.5 and 6.9 points, respectively) compared to those who chose non‐surgical treatment. Patients who chose ACL reconstruction reported superior outcomes for knee symptoms and function, and in knee‐specific and health‐related quality of life, compared to patients who chose non‐surgical treatment.