Posts by Nicole Cattano, PhD, MPH, LAT, ATC

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Disparity in ACL Outcomes – A Patient’s Perceptions Should Not Be Overlooked

https://pixabay.com/photos/achieve-woman-girl-jumping-running-1822503/

Age, Gender, Quadriceps Strength and Hop Test Performance are the Most Important Factors Affecting the Achievement of a Patient-Acceptable Symptom State After ACL Reconstruction

Cristiani R, Mikkelsen C, Edman G, Forssblad M, Engstrom B, & Stalman A.  Knee Surgery, Sports Traumatology, Arthroscopy. 2019; Published online June 22, 2019 DOI: https://doi.org/10.1007/s00167-019-05576-2 Full Text Freely Available

Take Home Message: A patient is more likely to report acceptable symptom states at 2 years after an anterior cruciate ligament reconstruction if they were male, over the age of 30 years, and had good limb symmetry for strength and hop performance at 6 months after surgery. 

One in 3 patients perceives their knee as unsatisfactory 2 to 6 years after an anterior cruciate ligament (ACL) reconstruction. Unfortunately, it is unclear how clinicians could predict who is at risk for a poor outcome.  These authors used a clinical registry to determine which pre-operative, intra-operative, and post-operative factors related to a patient’s perceptions of their symptoms at 2 years after a primary ACL reconstruction.

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