Patient-reported outcomes and their predictors at minimum 10 years after anterior cruciate ligament reconstruction: A systematic review of prospectively collected data

Robert A. Magnussen, Megan Verlage, David C. Flanigan, Christopher C. Kaeding, Kurt P. Spindler

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Background: Long-term results after anterior cruciate ligament (ACL) reconstruction are being reported with greater frequency, allowing a detailed analysis of long-term patient-reported outcomes and predictors. Purpose: To summarize expected patient-reported outcomes at a minimum 10 years following ACL reconstruction and to explore patient and surgical factors that affect these results. Study Design: Systematic review; Level of evidence, 4. Methods: Prospective studies detailing patient-reported outcomes with a minimum follow-up of 10 years were identified. Average scores for each outcome measure were calculated. Factors identified in each paper as predictors of patient-reported outcomes were identified and described. Results: Thirteen studies met inclusion and exclusion criteria. Lysholm scores were reported in 317 of 406 patients (78.1%) in 6 studies, with a mean score of 91.7 ± 11.2. Subjective International Knee Documentation Committee scores were reported in 1726 of 2611 patients (66.1%) in 5 studies, with a mean score of 84.2 ± 15.5. Cincinnati knee scores were reported in 1323 of 1801 patients (73.5%) in 3 studies, with a mean score of 87.4 ± 14.4. Tegner activity scores were reported in 728 of 914 patients (79.6%) in 8 studies, with a mean score of 5.1. There was mixed evidence that meniscectomy and articular cartilage damage were associated with poorer patient-reported outcomes. Patient sex and graft choice did not affect patient-reported outcomes. Conclusion: Patient-reported outcomes are generally good at a minimum of 10 tears following ACL reconstruction. Further large prospective studies with regression modeling and consistent outcome reporting will clarify predictors of outcomes.

Original languageEnglish (US)
JournalOrthopaedic Journal of Sports Medicine
Volume3
Issue number3
DOIs
StatePublished - Mar 2015
Externally publishedYes

Keywords

  • Anterior cruciate ligament reconstruction
  • Long-term outcomes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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