Relationship Between Sports Participation After Revision Anterior Cruciate Ligament Reconstruction and 2-Year Patient-Reported Outcome Measures.

Autor:	Bigouette JP; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Owen EC; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Lantz BBA; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Hoellrich RG; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Huston LJ; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Haas AK; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Allen CR; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Anderson AF; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Cooper DE; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., DeBerardino TM; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Dunn WR; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Mann B; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Spindler KP; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Stuart MJ; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Wright RW; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Albright JP; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Amendola AN; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Andrish JT; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Annunziata CC; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Arciero RA; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Bach BR Jr; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Baker CL 3rd; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Bartolozzi AR; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Baumgarten KM; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Bechler JR; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Berg JH; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Bernas GA; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Brockmeier SF; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Brophy RH; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Bush-Joseph CA; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Butler JB; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Campbell JD; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Carey JL; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Carpenter JE; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Cole BJ; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Cooper JM; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Cox CL; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Creighton RA; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Dahm DL; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., David TS; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Flanigan DC; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Frederick RW; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Ganley TJ; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Garofoli EA; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Gatt CJ Jr; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Gecha SR; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Giffin JR; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Hame SL; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Hannafin JA; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Harner CD; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Harris NL Jr; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Hechtman KS; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Hershman EB; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Hosea TM; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Johnson DC; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Johnson TS; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Jones MH; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Kaeding CC; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Kamath GV; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Klootwyk TE; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Levy BA; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Ma CB; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Maiers GP 2nd; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Marx RG; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Matava MJ; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Mathien GM; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., McAllister DR; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., McCarty EC; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., McCormack RG; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Miller BS; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Nissen CW; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., O'Neill DF; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Owens BD; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Parker RD; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Purnell ML; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Ramappa AJ; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Rauh MA; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Rettig AC; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Sekiya JK; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Shea KG; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Sherman OH; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Slauterbeck JR; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Smith MV; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Spang JT; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Svoboda SJ LTC; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Taft TN; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Tenuta JJ; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Tingstad EM; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Vidal AF; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Viskontas DG; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., White RA; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Williams JS Jr; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Wolcott ML; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., Wolf BR; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA., York JJ; Investigation performed at Slocum Research and Education Foundation, Eugene, Oregon, USA.
Jazyk:	angličtina
Zdroj:	The American journal of sports medicine [Am J Sports Med] 2019 Jul; Vol. 47 (9), pp. 2056-2066. Date of Electronic Publication: 2019 Jun 21.
DOI:	10.1177/0363546519856348
Abstrakt:	Background: Anterior cruciate ligament (ACL) revision cohorts continually report lower outcome scores on validated knee questionnaires than primary ACL cohorts at similar time points after surgery. It is unclear how these outcomes are associated with physical activity after physician clearance for return to recreational or competitive sports after ACL revision surgery. Hypotheses: Participants who return to either multiple sports or a singular sport after revision ACL surgery will report decreased knee symptoms, increased activity level, and improved knee function as measured by validated patient-reported outcome measures (PROMs) and compared with no sports participation. Multisport participation as compared with singular sport participation will result in similar increased PROMs and activity level. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 1205 patients who underwent revision ACL reconstruction were enrolled by 83 surgeons at 52 clinical sites. At the time of revision, baseline data collected included the following: demographics, surgical characteristics, previous knee treatment and PROMs, the International Knee Documentation Committee (IKDC) questionnaire, Marx activity score, Knee injury and Osteoarthritis Outcome Score (KOOS), and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). A series of multivariate regression models were used to evaluate the association of IKDC, KOOS, WOMAC, and Marx Activity Rating Scale scores at 2 years after revision surgery by sports participation category, controlling for known significant covariates. Results: Two-year follow-up was obtained on 82% (986 of 1205) of the original cohort. Patients who reported not participating in sports after revision surgery had lower median PROMs both at baseline and at 2 years as compared with patients who participated in either a single sport or multiple sports. Significant differences were found in the change of scores among groups on the IKDC ( P < .0001), KOOS-Symptoms ( P = .01), KOOS-Sports and Recreation ( P = .04), and KOOS-Quality of Life ( P < .0001). Patients with no sports participation were 2.0 to 5.7 times more likely than multiple-sport participants to report significantly lower PROMs, depending on the specific outcome measure assessed, and 1.8 to 3.8 times more likely than single-sport participants (except for WOMAC-Stiffness, P = .18), after controlling for known covariates. Conclusion: Participation in either a single sport or multiple sports in the 2 years after ACL revision surgery was found to be significantly associated with higher PROMs across multiple validated self-reported assessment tools. During follow-up appointments, surgeons should continue to expect that patients who report returning to physical activity after surgery will self-report better functional outcomes, regardless of baseline activity levels.
Databáze:	MEDLINE
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