Open AccessClinical, Functional, and Physical Activity Outcomes 5 Years Following the Treatment Algorithm of the Delaware-Oslo ACL Cohort Study
Author(s) -
Marie Pedersen,
Hege Grindem,
Jessica L Johnson,
Lars Engebretsen,
Michael J. Axe,
Lynn SnyderMackler,
May Arna Risberg
Publication year - 2021
Publication title -
journal of bone and joint surgery. american volume/the journal of bone and joint surgery. american volume
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.634
H-Index - 260
eISSN - 1058-2436
pISSN - 0021-9355
DOI - 10.2106/jbjs.20.01731
Subject(s) - medicine , rehabilitation , physical therapy , anterior cruciate ligament reconstruction , concomitant , anterior cruciate ligament , cohort , osteoarthritis , cohort study , quality of life (healthcare) , prospective cohort study , acl injury , physical medicine and rehabilitation , surgery , alternative medicine , nursing , pathology
Anterior cruciate ligament (ACL) injuries can be treated with or without ACL reconstruction (ACLR), and more high-quality studies evaluating outcomes after the different treatment courses are needed. The purpose of the present study was to describe and compare 5-year clinical, functional, and physical activity outcomes for patients who followed our decision-making and treatment algorithm and chose (1) early ACLR with preoperative and postoperative rehabilitation, (2) delayed ACLR with preoperative and postoperative rehabilitation, or (3) progressive rehabilitation alone. Early ACLR was defined as that performed ≤6 months after the preoperative rehabilitation program, and late ACLR was defined as that performed >6 months after the preoperative rehabilitation program.