Patients older than 55 years regain sporting and recreational activities after arthroscopic anterior cruciate ligament reconstruction
Purpose (1) To compare sporting and recreational activity levels before and at a minimum 6 year follow-up, and (2) to assess the clinical and functional outcomes after anterior cruciate ligament (ACL) reconstruction in patients older than 55 years. Methods A retrospective evaluation of prospectively...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2023-02, Vol.31 (2), p.632-640 |
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| creator | Ogunleye, Philips Jäger, Hannah Zimmermann, Felix Balcarek, Peter Sobau, Christian Ellermann, Andree Zimmerer, Alexander |
| description | Purpose
(1) To compare sporting and recreational activity levels before and at a minimum 6 year follow-up, and (2) to assess the clinical and functional outcomes after anterior cruciate ligament (ACL) reconstruction in patients older than 55 years.
Methods
A retrospective evaluation of prospectively collected data of 150 patients with a mean age of 64 ± 4.5 (57–74) years was evaluated 8.6 ± 1.4 (6–11) years after primary ACL reconstruction using hamstring autograft. All patients were assessed using the International Knee Documentation Committee scoring system (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), Tegner activity level, and visual analog scale (VAS) for pain. The level of recreational activities was assessed using a sport-specific questionnaire. All patients were categorized according to Isolated and Combined ACL injury groups.
Results
The data of 125 patients were analyzed at the last follow-up. While 25 patients were lost to follow-up, 117 of 125 patients were active before their injury in at least one sports discipline compared to 121 of 125 patients after ACL reconstruction. One hundred and two (82%) patients had returned to their recreational activities at the final follow-up. The mean IKDC subjective score increased from 49.5 ± 23.2 (11.5–100) to 76.2 ± 14.8 (33.3–100) (
p
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| doi_str_mv | 10.1007/s00167-022-07116-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2704873155</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2704873155</sourcerecordid><originalsourceid>FETCH-LOGICAL-c305t-bc3ae896f10b7d5089beb82049af44bec2d7e668c1738107fb6ac84825547dac3</originalsourceid><addsrcrecordid>eNp9kU1uFDEQRi0EIkPgAiyQJTZsGsp_bfcSRSFBigQLWFtut3viqMcebDdKLsA5OAsno4YJILFgZav86pXKHyHPGbxmAPpNBWC97oDzDjRjfXf7gGyYFKLTQuqHZAOD5B0H1Z-QJ7XeAOBVDo_JiVCDMYypDfn20bUYUqs0L1MotF27RJX68f0uuFJpCVsXE637XFpMW-rShDVfAnbl5BbqfItfIyoqdXNDgSvtuuTq8z56xLEUc6G-rD66FugSt26H8w6WnGrD-sH0lDya3VLDs_vzlHx-d_7p7LK7-nDx_uztVecFqNaNXrhghn5mMOpJgRnGMBoOcnCzlGPwfNKh741nWhgGeh575400XCmpJ-fFKXl19O5L_rKG2uwuVh-WxaWQ12q5Bmm0YEoh-vIf9CavBXc-UJozg58rkeJHyuPStYTZ7kvcuXJnGdhDSvaYksWU7K-U7C02vbhXr-MuTH9afseCgDgCFZ_SNpS_s_-j_QlFcaGT</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2772189424</pqid></control><display><type>article</type><title>Patients older than 55 years regain sporting and recreational activities after arthroscopic anterior cruciate ligament reconstruction</title><source>Wiley-Blackwell Journals</source><source>MEDLINE</source><source>SpringerLink (Online service)</source><creator>Ogunleye, Philips ; Jäger, Hannah ; Zimmermann, Felix ; Balcarek, Peter ; Sobau, Christian ; Ellermann, Andree ; Zimmerer, Alexander</creator><creatorcontrib>Ogunleye, Philips ; Jäger, Hannah ; Zimmermann, Felix ; Balcarek, Peter ; Sobau, Christian ; Ellermann, Andree ; Zimmerer, Alexander</creatorcontrib><description>Purpose
(1) To compare sporting and recreational activity levels before and at a minimum 6 year follow-up, and (2) to assess the clinical and functional outcomes after anterior cruciate ligament (ACL) reconstruction in patients older than 55 years.
Methods
A retrospective evaluation of prospectively collected data of 150 patients with a mean age of 64 ± 4.5 (57–74) years was evaluated 8.6 ± 1.4 (6–11) years after primary ACL reconstruction using hamstring autograft. All patients were assessed using the International Knee Documentation Committee scoring system (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), Tegner activity level, and visual analog scale (VAS) for pain. The level of recreational activities was assessed using a sport-specific questionnaire. All patients were categorized according to Isolated and Combined ACL injury groups.
Results
The data of 125 patients were analyzed at the last follow-up. While 25 patients were lost to follow-up, 117 of 125 patients were active before their injury in at least one sports discipline compared to 121 of 125 patients after ACL reconstruction. One hundred and two (82%) patients had returned to their recreational activities at the final follow-up. The mean IKDC subjective score increased from 49.5 ± 23.2 (11.5–100) to 76.2 ± 14.8 (33.3–100) (
p
< 0.0001). The mean KOOS sport increased significantly from 36 ± 36.2 (0–100) to 74.1 ± 25.5 (0–100) (
p
< 0.0001). The mean VAS score improved from 6.0 ± 2.6 (0–10) to 1.0 ± 1.4 (0–6) (
p
< 0.0001). There was no significant difference in the median Tegner activity level (preoperative 5 (2–8) vs. follow-up 5 (2–8) (n.s). There was no significant difference in the number of sports disciplines and duration when comparing pre-injury and mid-term follow-up activity after ACL reconstruction. High-impact activities experienced a significant decline, while a significant increase in participation in low-impact activities was recorded.
Conclusion
The majority of patients with symptomatic instability regained their pre-injury recreational activity level with excellent clinical and functional outcomes after arthroscopic ACL reconstruction. Nevertheless, a change from high-to low-impact activities has been observed.
Level of evidence
Level IV.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-022-07116-x</identifier><identifier>PMID: 35988115</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Anterior cruciate ligament ; Anterior Cruciate Ligament Injuries - surgery ; Anterior Cruciate Ligament Reconstruction ; Data collection ; Evaluation ; Follow-Up Studies ; Humans ; Injuries ; Injury analysis ; Knee ; Knee Joint - surgery ; Ligaments ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Osteoarthritis ; Pain ; Recreation ; Retrospective Studies ; Sports ; Sports Medicine ; Sports Traumatology ; Treatment Outcome</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023-02, Vol.31 (2), p.632-640</ispartof><rights>The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c305t-bc3ae896f10b7d5089beb82049af44bec2d7e668c1738107fb6ac84825547dac3</citedby><cites>FETCH-LOGICAL-c305t-bc3ae896f10b7d5089beb82049af44bec2d7e668c1738107fb6ac84825547dac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-022-07116-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-022-07116-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35988115$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ogunleye, Philips</creatorcontrib><creatorcontrib>Jäger, Hannah</creatorcontrib><creatorcontrib>Zimmermann, Felix</creatorcontrib><creatorcontrib>Balcarek, Peter</creatorcontrib><creatorcontrib>Sobau, Christian</creatorcontrib><creatorcontrib>Ellermann, Andree</creatorcontrib><creatorcontrib>Zimmerer, Alexander</creatorcontrib><title>Patients older than 55 years regain sporting and recreational activities after arthroscopic anterior cruciate ligament reconstruction</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
(1) To compare sporting and recreational activity levels before and at a minimum 6 year follow-up, and (2) to assess the clinical and functional outcomes after anterior cruciate ligament (ACL) reconstruction in patients older than 55 years.
Methods
A retrospective evaluation of prospectively collected data of 150 patients with a mean age of 64 ± 4.5 (57–74) years was evaluated 8.6 ± 1.4 (6–11) years after primary ACL reconstruction using hamstring autograft. All patients were assessed using the International Knee Documentation Committee scoring system (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), Tegner activity level, and visual analog scale (VAS) for pain. The level of recreational activities was assessed using a sport-specific questionnaire. All patients were categorized according to Isolated and Combined ACL injury groups.
Results
The data of 125 patients were analyzed at the last follow-up. While 25 patients were lost to follow-up, 117 of 125 patients were active before their injury in at least one sports discipline compared to 121 of 125 patients after ACL reconstruction. One hundred and two (82%) patients had returned to their recreational activities at the final follow-up. The mean IKDC subjective score increased from 49.5 ± 23.2 (11.5–100) to 76.2 ± 14.8 (33.3–100) (
p
< 0.0001). The mean KOOS sport increased significantly from 36 ± 36.2 (0–100) to 74.1 ± 25.5 (0–100) (
p
< 0.0001). The mean VAS score improved from 6.0 ± 2.6 (0–10) to 1.0 ± 1.4 (0–6) (
p
< 0.0001). There was no significant difference in the median Tegner activity level (preoperative 5 (2–8) vs. follow-up 5 (2–8) (n.s). There was no significant difference in the number of sports disciplines and duration when comparing pre-injury and mid-term follow-up activity after ACL reconstruction. High-impact activities experienced a significant decline, while a significant increase in participation in low-impact activities was recorded.
Conclusion
The majority of patients with symptomatic instability regained their pre-injury recreational activity level with excellent clinical and functional outcomes after arthroscopic ACL reconstruction. Nevertheless, a change from high-to low-impact activities has been observed.
Level of evidence
Level IV.</description><subject>Aged</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament Injuries - surgery</subject><subject>Anterior Cruciate Ligament Reconstruction</subject><subject>Data collection</subject><subject>Evaluation</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Injuries</subject><subject>Injury analysis</subject><subject>Knee</subject><subject>Knee Joint - surgery</subject><subject>Ligaments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Pain</subject><subject>Recreation</subject><subject>Retrospective Studies</subject><subject>Sports</subject><subject>Sports Medicine</subject><subject>Sports Traumatology</subject><subject>Treatment Outcome</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1uFDEQRi0EIkPgAiyQJTZsGsp_bfcSRSFBigQLWFtut3viqMcebDdKLsA5OAsno4YJILFgZav86pXKHyHPGbxmAPpNBWC97oDzDjRjfXf7gGyYFKLTQuqHZAOD5B0H1Z-QJ7XeAOBVDo_JiVCDMYypDfn20bUYUqs0L1MotF27RJX68f0uuFJpCVsXE637XFpMW-rShDVfAnbl5BbqfItfIyoqdXNDgSvtuuTq8z56xLEUc6G-rD66FugSt26H8w6WnGrD-sH0lDya3VLDs_vzlHx-d_7p7LK7-nDx_uztVecFqNaNXrhghn5mMOpJgRnGMBoOcnCzlGPwfNKh741nWhgGeh575400XCmpJ-fFKXl19O5L_rKG2uwuVh-WxaWQ12q5Bmm0YEoh-vIf9CavBXc-UJozg58rkeJHyuPStYTZ7kvcuXJnGdhDSvaYksWU7K-U7C02vbhXr-MuTH9afseCgDgCFZ_SNpS_s_-j_QlFcaGT</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Ogunleye, Philips</creator><creator>Jäger, Hannah</creator><creator>Zimmermann, Felix</creator><creator>Balcarek, Peter</creator><creator>Sobau, Christian</creator><creator>Ellermann, Andree</creator><creator>Zimmerer, Alexander</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20230201</creationdate><title>Patients older than 55 years regain sporting and recreational activities after arthroscopic anterior cruciate ligament reconstruction</title><author>Ogunleye, Philips ; Jäger, Hannah ; Zimmermann, Felix ; Balcarek, Peter ; Sobau, Christian ; Ellermann, Andree ; Zimmerer, Alexander</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-bc3ae896f10b7d5089beb82049af44bec2d7e668c1738107fb6ac84825547dac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament Injuries - surgery</topic><topic>Anterior Cruciate Ligament Reconstruction</topic><topic>Data collection</topic><topic>Evaluation</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Injuries</topic><topic>Injury analysis</topic><topic>Knee</topic><topic>Knee Joint - surgery</topic><topic>Ligaments</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Pain</topic><topic>Recreation</topic><topic>Retrospective Studies</topic><topic>Sports</topic><topic>Sports Medicine</topic><topic>Sports Traumatology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ogunleye, Philips</creatorcontrib><creatorcontrib>Jäger, Hannah</creatorcontrib><creatorcontrib>Zimmermann, Felix</creatorcontrib><creatorcontrib>Balcarek, Peter</creatorcontrib><creatorcontrib>Sobau, Christian</creatorcontrib><creatorcontrib>Ellermann, Andree</creatorcontrib><creatorcontrib>Zimmerer, Alexander</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing and Allied Health Source</collection><collection>Physical Education Index</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ogunleye, Philips</au><au>Jäger, Hannah</au><au>Zimmermann, Felix</au><au>Balcarek, Peter</au><au>Sobau, Christian</au><au>Ellermann, Andree</au><au>Zimmerer, Alexander</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patients older than 55 years regain sporting and recreational activities after arthroscopic anterior cruciate ligament reconstruction</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>31</volume><issue>2</issue><spage>632</spage><epage>640</epage><pages>632-640</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
(1) To compare sporting and recreational activity levels before and at a minimum 6 year follow-up, and (2) to assess the clinical and functional outcomes after anterior cruciate ligament (ACL) reconstruction in patients older than 55 years.
Methods
A retrospective evaluation of prospectively collected data of 150 patients with a mean age of 64 ± 4.5 (57–74) years was evaluated 8.6 ± 1.4 (6–11) years after primary ACL reconstruction using hamstring autograft. All patients were assessed using the International Knee Documentation Committee scoring system (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), Tegner activity level, and visual analog scale (VAS) for pain. The level of recreational activities was assessed using a sport-specific questionnaire. All patients were categorized according to Isolated and Combined ACL injury groups.
Results
The data of 125 patients were analyzed at the last follow-up. While 25 patients were lost to follow-up, 117 of 125 patients were active before their injury in at least one sports discipline compared to 121 of 125 patients after ACL reconstruction. One hundred and two (82%) patients had returned to their recreational activities at the final follow-up. The mean IKDC subjective score increased from 49.5 ± 23.2 (11.5–100) to 76.2 ± 14.8 (33.3–100) (
p
< 0.0001). The mean KOOS sport increased significantly from 36 ± 36.2 (0–100) to 74.1 ± 25.5 (0–100) (
p
< 0.0001). The mean VAS score improved from 6.0 ± 2.6 (0–10) to 1.0 ± 1.4 (0–6) (
p
< 0.0001). There was no significant difference in the median Tegner activity level (preoperative 5 (2–8) vs. follow-up 5 (2–8) (n.s). There was no significant difference in the number of sports disciplines and duration when comparing pre-injury and mid-term follow-up activity after ACL reconstruction. High-impact activities experienced a significant decline, while a significant increase in participation in low-impact activities was recorded.
Conclusion
The majority of patients with symptomatic instability regained their pre-injury recreational activity level with excellent clinical and functional outcomes after arthroscopic ACL reconstruction. Nevertheless, a change from high-to low-impact activities has been observed.
Level of evidence
Level IV.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35988115</pmid><doi>10.1007/s00167-022-07116-x</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023-02, Vol.31 (2), p.632-640 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2704873155 |
| source | Wiley-Blackwell Journals; MEDLINE; SpringerLink (Online service) |
| subjects | Aged Anterior cruciate ligament Anterior Cruciate Ligament Injuries - surgery Anterior Cruciate Ligament Reconstruction Data collection Evaluation Follow-Up Studies Humans Injuries Injury analysis Knee Knee Joint - surgery Ligaments Medicine Medicine & Public Health Middle Aged Orthopedics Osteoarthritis Pain Recreation Retrospective Studies Sports Sports Medicine Sports Traumatology Treatment Outcome |
| title | Patients older than 55 years regain sporting and recreational activities after arthroscopic anterior cruciate ligament reconstruction |
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