The Prognosis and Predictors of Sports Function and Activity at Minimum 6 Years After Anterior Cruciate Ligament Reconstruction: A Population Cohort Study
Background: The predictors of anterior cruciate ligament reconstruction (ACLR) outcome at 6 years as measured by validated patient-based outcome instruments are unknown. Hypothesis: Certain variables evaluated at the time of ACLR will predict return to sports function (as measured by the Internation...
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| Veröffentlicht in: | The American journal of sports medicine 2011-02, Vol.39 (2), p.348-359 |
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| creator | Spindler, Kurt P. Huston, Laura J. Wright, Rick W. Kaeding, Christopher C. Marx, Robert G. Amendola, Annunziato Parker, Richard D. Andrish, Jack T. Reinke, Emily K. Harrell, Frank E. Dunn, Warren R. Pedroza, Angela An, Angel Q. Schmitz, Leah McCarty, Eric C. Wolf, Brian R. Jones, Morgan H. Matava, Matthew J. Flanigan, David C. Brophy, Robert H. Vidal, Armando F. |
| description | Background: The predictors of anterior cruciate ligament reconstruction
(ACLR) outcome at 6 years as measured by validated patient-based outcome instruments
are unknown.
Hypothesis: Certain variables evaluated at the time of ACLR will predict
return to sports function (as measured by the International Knee Documentation
Committee [IKDC] questionnaire and the Knee injury and Osteoarthritis Outcome Score
[KOOS] Sports and Recreation subscale), knee-related quality of life (KOOS Knee
Related Quality of Life subscale), and activity level (Marx Activity Scale).
Potential predictor variables include demographic factors, surgical technique and
graft choice for ACLR, and intra-articular injuries and treatment.
Study Design: Cohort study; Level of evidence, 2.
Methods: All patients with unilateral ACLRs from 2002 currently enrolled
in the MOON (Multicenter Orthopaedic Outcomes Network) cohort were evaluated.
Patients completed the validated outcome instruments preoperatively. Physicians
documented intra-articular pathologic abnormalities, treatment, and surgical
techniques used at the time of surgery. At 2 and 6 years postoperatively, patients
completed the same validated outcome instruments.
Results: Follow-up was obtained at 2 years (88%) and at 6 years (84%).
The cohort was 57% male with a median age of 23 years at enrollment. The ability to
perform sports function was maintained at 6 years, but the Marx activity level
continued to decline from baseline. Revision ACLR and use of allograft predicted
worse outcomes on the IKDC and both KOOS subscales. Lateral meniscus treatment,
smoking status, and body mass index at baseline were each predictors on 2 of 3
scales. The predictors of lower activity level were revision ACLR and female sex.
Conclusion: Six years after ACLR, patients could perform sports-related
functions and maintain a high knee-related quality of life similar to their 2-year
level, although their physical activity level (Marx) dropped over time. Choosing
autograft rather than allograft, not smoking, and having normal body mass index are
advised to improve long-term outcomes. |
| doi_str_mv | 10.1177/0363546510383481 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_904464426</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0363546510383481</sage_id><sourcerecordid>850564856</sourcerecordid><originalsourceid>FETCH-LOGICAL-c379t-9d11c16759e4c71c51178c9d8637f802c4d39b90604f70193b26ee3b8ef9bd353</originalsourceid><addsrcrecordid>eNqFkc9rFDEUx4Modrt69yQBEU9Tk8nPOS5La4UtitaDpyGTebOm7CRrkhF68l9vxl2tFMRLXl7e5_vyHl-EXlByRqlSbwmTTHApKGGacU0foQUVoq4Yk-IxWszlaq6foNOUbgghVEn9FJ3UlGguJVmgn9ffAH-MYetDcgkb35cMemdziAmHAX_eh5gTvpi8zS74X8SqXH-4fItNxlfOu3EascRfwRTJasgQ8cqX04WI13GyzmTAG7c1I_iMP4ENPuXyPvd7hp4MZpfg-TEu0ZeL8-v1ZbX58O79erWpLFNNrpqeUkulEg1wq6gVZX1tm15LpgZNast71nQNkYQPitCGdbUEYJ2Goel6JtgSvTn03cfwfYKU29ElC7ud8RCm1DaEc8l5Lf9LakGE5FrM5KsH5E2Yoi9rtGUCRlVNSlgicqBsDClFGNp9dKOJty0l7exi-9DFInl5bDx1I_R_BL9tK8DrI2CSNbshGm9duueY1kzRmasOXDJb-Gu6f318B2V5sBY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1933172093</pqid></control><display><type>article</type><title>The Prognosis and Predictors of Sports Function and Activity at Minimum 6 Years After Anterior Cruciate Ligament Reconstruction: A Population Cohort Study</title><source>MEDLINE</source><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><creator>Spindler, Kurt P. ; Huston, Laura J. ; Wright, Rick W. ; Kaeding, Christopher C. ; Marx, Robert G. ; Amendola, Annunziato ; Parker, Richard D. ; Andrish, Jack T. ; Reinke, Emily K. ; Harrell, Frank E. ; Dunn, Warren R. ; Pedroza, Angela ; An, Angel Q. ; Schmitz, Leah ; McCarty, Eric C. ; Wolf, Brian R. ; Jones, Morgan H. ; Matava, Matthew J. ; Flanigan, David C. ; Brophy, Robert H. ; Vidal, Armando F.</creator><creatorcontrib>Spindler, Kurt P. ; Huston, Laura J. ; Wright, Rick W. ; Kaeding, Christopher C. ; Marx, Robert G. ; Amendola, Annunziato ; Parker, Richard D. ; Andrish, Jack T. ; Reinke, Emily K. ; Harrell, Frank E. ; Dunn, Warren R. ; Pedroza, Angela ; An, Angel Q. ; Schmitz, Leah ; McCarty, Eric C. ; Wolf, Brian R. ; Jones, Morgan H. ; Matava, Matthew J. ; Flanigan, David C. ; Brophy, Robert H. ; Vidal, Armando F. ; MOON Group</creatorcontrib><description>Background: The predictors of anterior cruciate ligament reconstruction
(ACLR) outcome at 6 years as measured by validated patient-based outcome instruments
are unknown.
Hypothesis: Certain variables evaluated at the time of ACLR will predict
return to sports function (as measured by the International Knee Documentation
Committee [IKDC] questionnaire and the Knee injury and Osteoarthritis Outcome Score
[KOOS] Sports and Recreation subscale), knee-related quality of life (KOOS Knee
Related Quality of Life subscale), and activity level (Marx Activity Scale).
Potential predictor variables include demographic factors, surgical technique and
graft choice for ACLR, and intra-articular injuries and treatment.
Study Design: Cohort study; Level of evidence, 2.
Methods: All patients with unilateral ACLRs from 2002 currently enrolled
in the MOON (Multicenter Orthopaedic Outcomes Network) cohort were evaluated.
Patients completed the validated outcome instruments preoperatively. Physicians
documented intra-articular pathologic abnormalities, treatment, and surgical
techniques used at the time of surgery. At 2 and 6 years postoperatively, patients
completed the same validated outcome instruments.
Results: Follow-up was obtained at 2 years (88%) and at 6 years (84%).
The cohort was 57% male with a median age of 23 years at enrollment. The ability to
perform sports function was maintained at 6 years, but the Marx activity level
continued to decline from baseline. Revision ACLR and use of allograft predicted
worse outcomes on the IKDC and both KOOS subscales. Lateral meniscus treatment,
smoking status, and body mass index at baseline were each predictors on 2 of 3
scales. The predictors of lower activity level were revision ACLR and female sex.
Conclusion: Six years after ACLR, patients could perform sports-related
functions and maintain a high knee-related quality of life similar to their 2-year
level, although their physical activity level (Marx) dropped over time. Choosing
autograft rather than allograft, not smoking, and having normal body mass index are
advised to improve long-term outcomes.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546510383481</identifier><identifier>PMID: 21084660</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Anterior Cruciate Ligament - surgery ; Athletes ; Biological and medical sciences ; Body mass index ; Cohort Studies ; Diseases of the osteoarticular system ; Female ; Follow-Up Studies ; Humans ; Knee ; Male ; Medical prognosis ; Medical sciences ; Miscellaneous. Osteoarticular involvement in other diseases ; Orthopedic Procedures - methods ; Osteoarthritis ; Prognosis ; Quality of Life ; Recovery of Function ; Skin & tissue grafts ; Sports medicine ; Studies ; Surveys and Questionnaires ; Young Adult</subject><ispartof>The American journal of sports medicine, 2011-02, Vol.39 (2), p.348-359</ispartof><rights>2011 The Author(s)</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c379t-9d11c16759e4c71c51178c9d8637f802c4d39b90604f70193b26ee3b8ef9bd353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0363546510383481$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0363546510383481$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23883710$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21084660$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spindler, Kurt P.</creatorcontrib><creatorcontrib>Huston, Laura J.</creatorcontrib><creatorcontrib>Wright, Rick W.</creatorcontrib><creatorcontrib>Kaeding, Christopher C.</creatorcontrib><creatorcontrib>Marx, Robert G.</creatorcontrib><creatorcontrib>Amendola, Annunziato</creatorcontrib><creatorcontrib>Parker, Richard D.</creatorcontrib><creatorcontrib>Andrish, Jack T.</creatorcontrib><creatorcontrib>Reinke, Emily K.</creatorcontrib><creatorcontrib>Harrell, Frank E.</creatorcontrib><creatorcontrib>Dunn, Warren R.</creatorcontrib><creatorcontrib>Pedroza, Angela</creatorcontrib><creatorcontrib>An, Angel Q.</creatorcontrib><creatorcontrib>Schmitz, Leah</creatorcontrib><creatorcontrib>McCarty, Eric C.</creatorcontrib><creatorcontrib>Wolf, Brian R.</creatorcontrib><creatorcontrib>Jones, Morgan H.</creatorcontrib><creatorcontrib>Matava, Matthew J.</creatorcontrib><creatorcontrib>Flanigan, David C.</creatorcontrib><creatorcontrib>Brophy, Robert H.</creatorcontrib><creatorcontrib>Vidal, Armando F.</creatorcontrib><creatorcontrib>MOON Group</creatorcontrib><title>The Prognosis and Predictors of Sports Function and Activity at Minimum 6 Years After Anterior Cruciate Ligament Reconstruction: A Population Cohort Study</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background: The predictors of anterior cruciate ligament reconstruction
(ACLR) outcome at 6 years as measured by validated patient-based outcome instruments
are unknown.
Hypothesis: Certain variables evaluated at the time of ACLR will predict
return to sports function (as measured by the International Knee Documentation
Committee [IKDC] questionnaire and the Knee injury and Osteoarthritis Outcome Score
[KOOS] Sports and Recreation subscale), knee-related quality of life (KOOS Knee
Related Quality of Life subscale), and activity level (Marx Activity Scale).
Potential predictor variables include demographic factors, surgical technique and
graft choice for ACLR, and intra-articular injuries and treatment.
Study Design: Cohort study; Level of evidence, 2.
Methods: All patients with unilateral ACLRs from 2002 currently enrolled
in the MOON (Multicenter Orthopaedic Outcomes Network) cohort were evaluated.
Patients completed the validated outcome instruments preoperatively. Physicians
documented intra-articular pathologic abnormalities, treatment, and surgical
techniques used at the time of surgery. At 2 and 6 years postoperatively, patients
completed the same validated outcome instruments.
Results: Follow-up was obtained at 2 years (88%) and at 6 years (84%).
The cohort was 57% male with a median age of 23 years at enrollment. The ability to
perform sports function was maintained at 6 years, but the Marx activity level
continued to decline from baseline. Revision ACLR and use of allograft predicted
worse outcomes on the IKDC and both KOOS subscales. Lateral meniscus treatment,
smoking status, and body mass index at baseline were each predictors on 2 of 3
scales. The predictors of lower activity level were revision ACLR and female sex.
Conclusion: Six years after ACLR, patients could perform sports-related
functions and maintain a high knee-related quality of life similar to their 2-year
level, although their physical activity level (Marx) dropped over time. Choosing
autograft rather than allograft, not smoking, and having normal body mass index are
advised to improve long-term outcomes.</description><subject>Anterior Cruciate Ligament - surgery</subject><subject>Athletes</subject><subject>Biological and medical sciences</subject><subject>Body mass index</subject><subject>Cohort Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Knee</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medical sciences</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Orthopedic Procedures - methods</subject><subject>Osteoarthritis</subject><subject>Prognosis</subject><subject>Quality of Life</subject><subject>Recovery of Function</subject><subject>Skin & tissue grafts</subject><subject>Sports medicine</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9rFDEUx4Modrt69yQBEU9Tk8nPOS5La4UtitaDpyGTebOm7CRrkhF68l9vxl2tFMRLXl7e5_vyHl-EXlByRqlSbwmTTHApKGGacU0foQUVoq4Yk-IxWszlaq6foNOUbgghVEn9FJ3UlGguJVmgn9ffAH-MYetDcgkb35cMemdziAmHAX_eh5gTvpi8zS74X8SqXH-4fItNxlfOu3EascRfwRTJasgQ8cqX04WI13GyzmTAG7c1I_iMP4ENPuXyPvd7hp4MZpfg-TEu0ZeL8-v1ZbX58O79erWpLFNNrpqeUkulEg1wq6gVZX1tm15LpgZNast71nQNkYQPitCGdbUEYJ2Goel6JtgSvTn03cfwfYKU29ElC7ud8RCm1DaEc8l5Lf9LakGE5FrM5KsH5E2Yoi9rtGUCRlVNSlgicqBsDClFGNp9dKOJty0l7exi-9DFInl5bDx1I_R_BL9tK8DrI2CSNbshGm9duueY1kzRmasOXDJb-Gu6f318B2V5sBY</recordid><startdate>20110201</startdate><enddate>20110201</enddate><creator>Spindler, Kurt P.</creator><creator>Huston, Laura J.</creator><creator>Wright, Rick W.</creator><creator>Kaeding, Christopher C.</creator><creator>Marx, Robert G.</creator><creator>Amendola, Annunziato</creator><creator>Parker, Richard D.</creator><creator>Andrish, Jack T.</creator><creator>Reinke, Emily K.</creator><creator>Harrell, Frank E.</creator><creator>Dunn, Warren R.</creator><creator>Pedroza, Angela</creator><creator>An, Angel Q.</creator><creator>Schmitz, Leah</creator><creator>McCarty, Eric C.</creator><creator>Wolf, Brian R.</creator><creator>Jones, Morgan H.</creator><creator>Matava, Matthew J.</creator><creator>Flanigan, David C.</creator><creator>Brophy, Robert H.</creator><creator>Vidal, Armando F.</creator><general>SAGE Publications</general><general>Sage Publications</general><general>Sage Publications Ltd</general><scope>IQODW</scope><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>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20110201</creationdate><title>The Prognosis and Predictors of Sports Function and Activity at Minimum 6 Years After Anterior Cruciate Ligament Reconstruction</title><author>Spindler, Kurt P. ; Huston, Laura J. ; Wright, Rick W. ; Kaeding, Christopher C. ; Marx, Robert G. ; Amendola, Annunziato ; Parker, Richard D. ; Andrish, Jack T. ; Reinke, Emily K. ; Harrell, Frank E. ; Dunn, Warren R. ; Pedroza, Angela ; An, Angel Q. ; Schmitz, Leah ; McCarty, Eric C. ; Wolf, Brian R. ; Jones, Morgan H. ; Matava, Matthew J. ; Flanigan, David C. ; Brophy, Robert H. ; Vidal, Armando F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-9d11c16759e4c71c51178c9d8637f802c4d39b90604f70193b26ee3b8ef9bd353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Anterior Cruciate Ligament - surgery</topic><topic>Athletes</topic><topic>Biological and medical sciences</topic><topic>Body mass index</topic><topic>Cohort Studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Knee</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medical sciences</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Orthopedic Procedures - methods</topic><topic>Osteoarthritis</topic><topic>Prognosis</topic><topic>Quality of Life</topic><topic>Recovery of Function</topic><topic>Skin & tissue grafts</topic><topic>Sports medicine</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spindler, Kurt P.</creatorcontrib><creatorcontrib>Huston, Laura J.</creatorcontrib><creatorcontrib>Wright, Rick W.</creatorcontrib><creatorcontrib>Kaeding, Christopher C.</creatorcontrib><creatorcontrib>Marx, Robert G.</creatorcontrib><creatorcontrib>Amendola, Annunziato</creatorcontrib><creatorcontrib>Parker, Richard D.</creatorcontrib><creatorcontrib>Andrish, Jack T.</creatorcontrib><creatorcontrib>Reinke, Emily K.</creatorcontrib><creatorcontrib>Harrell, Frank E.</creatorcontrib><creatorcontrib>Dunn, Warren R.</creatorcontrib><creatorcontrib>Pedroza, Angela</creatorcontrib><creatorcontrib>An, Angel Q.</creatorcontrib><creatorcontrib>Schmitz, Leah</creatorcontrib><creatorcontrib>McCarty, Eric C.</creatorcontrib><creatorcontrib>Wolf, Brian R.</creatorcontrib><creatorcontrib>Jones, Morgan H.</creatorcontrib><creatorcontrib>Matava, Matthew J.</creatorcontrib><creatorcontrib>Flanigan, David C.</creatorcontrib><creatorcontrib>Brophy, Robert H.</creatorcontrib><creatorcontrib>Vidal, Armando F.</creatorcontrib><creatorcontrib>MOON Group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spindler, Kurt P.</au><au>Huston, Laura J.</au><au>Wright, Rick W.</au><au>Kaeding, Christopher C.</au><au>Marx, Robert G.</au><au>Amendola, Annunziato</au><au>Parker, Richard D.</au><au>Andrish, Jack T.</au><au>Reinke, Emily K.</au><au>Harrell, Frank E.</au><au>Dunn, Warren R.</au><au>Pedroza, Angela</au><au>An, Angel Q.</au><au>Schmitz, Leah</au><au>McCarty, Eric C.</au><au>Wolf, Brian R.</au><au>Jones, Morgan H.</au><au>Matava, Matthew J.</au><au>Flanigan, David C.</au><au>Brophy, Robert H.</au><au>Vidal, Armando F.</au><aucorp>MOON Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Prognosis and Predictors of Sports Function and Activity at Minimum 6 Years After Anterior Cruciate Ligament Reconstruction: A Population Cohort Study</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>39</volume><issue>2</issue><spage>348</spage><epage>359</epage><pages>348-359</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background: The predictors of anterior cruciate ligament reconstruction
(ACLR) outcome at 6 years as measured by validated patient-based outcome instruments
are unknown.
Hypothesis: Certain variables evaluated at the time of ACLR will predict
return to sports function (as measured by the International Knee Documentation
Committee [IKDC] questionnaire and the Knee injury and Osteoarthritis Outcome Score
[KOOS] Sports and Recreation subscale), knee-related quality of life (KOOS Knee
Related Quality of Life subscale), and activity level (Marx Activity Scale).
Potential predictor variables include demographic factors, surgical technique and
graft choice for ACLR, and intra-articular injuries and treatment.
Study Design: Cohort study; Level of evidence, 2.
Methods: All patients with unilateral ACLRs from 2002 currently enrolled
in the MOON (Multicenter Orthopaedic Outcomes Network) cohort were evaluated.
Patients completed the validated outcome instruments preoperatively. Physicians
documented intra-articular pathologic abnormalities, treatment, and surgical
techniques used at the time of surgery. At 2 and 6 years postoperatively, patients
completed the same validated outcome instruments.
Results: Follow-up was obtained at 2 years (88%) and at 6 years (84%).
The cohort was 57% male with a median age of 23 years at enrollment. The ability to
perform sports function was maintained at 6 years, but the Marx activity level
continued to decline from baseline. Revision ACLR and use of allograft predicted
worse outcomes on the IKDC and both KOOS subscales. Lateral meniscus treatment,
smoking status, and body mass index at baseline were each predictors on 2 of 3
scales. The predictors of lower activity level were revision ACLR and female sex.
Conclusion: Six years after ACLR, patients could perform sports-related
functions and maintain a high knee-related quality of life similar to their 2-year
level, although their physical activity level (Marx) dropped over time. Choosing
autograft rather than allograft, not smoking, and having normal body mass index are
advised to improve long-term outcomes.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>21084660</pmid><doi>10.1177/0363546510383481</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-5465 |
| ispartof | The American journal of sports medicine, 2011-02, Vol.39 (2), p.348-359 |
| issn | 0363-5465 1552-3365 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_904464426 |
| source | MEDLINE; SAGE Complete; Alma/SFX Local Collection |
| subjects | Anterior Cruciate Ligament - surgery Athletes Biological and medical sciences Body mass index Cohort Studies Diseases of the osteoarticular system Female Follow-Up Studies Humans Knee Male Medical prognosis Medical sciences Miscellaneous. Osteoarticular involvement in other diseases Orthopedic Procedures - methods Osteoarthritis Prognosis Quality of Life Recovery of Function Skin & tissue grafts Sports medicine Studies Surveys and Questionnaires Young Adult |
| title | The Prognosis and Predictors of Sports Function and Activity at Minimum 6 Years After Anterior Cruciate Ligament Reconstruction: A Population Cohort Study |
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