Sports activity and quality of life improve after isolated ACL, isolated PCL, and combined ACL/PCL reconstruction

Abstract

Purpose To compare patient-reported outcomes following isolated anterior cruciate ligament reconstruction (ACL-R), isolated posterior cruciate ligament reconstruction (PCL-R), and combined ACL-R and PCL-R (ACL/PCL-R), at a minimum follow-up of 2 years. Methods This was a prospective observational registry cohort study based on the Swedish National Knee Ligament Registry. Patients undergoing isolated ACL-R, isolated PCL-R, and combined ACL/PCL-R between 2005 and 2019 were eligible for inclusion. Demographic characteristics as well as injury- and surgery-related data were queried from the SNKLR. To evaluate functional outcomes, the Knee Injury and Osteoarthritis Outcome Score (KOOS) was collected preoperatively and at 1- and 2-year follow-ups and compared between the treatment groups. Results In total, 45,169 patients underwent isolated ACL-R, 192 patients isolated PCL-R, and 203 patients combined ACL/PCL-R. Preoperatively, and at the 1- and 2-year follow-ups, KOOS subscales were highest for the isolated ACL-R group, followed by the isolated PCL-R, and lowest for the combined ACL/PCL-R groups. Significant improvements were observed across all treatment groups in the majority of KOOS subscales between the preoperative, and 1- and 2-year follow-ups. All treatment groups showed the greatest improvements between the preoperative and 2-year follow-ups in the knee-related quality of life (mean improvement: isolated ACL-R, + 28 points; isolated PCL-R, + 23 points; combined ACL/PCL-R, + 21 points) and the function in sport and recreation (mean improvement: isolated ACL-R, + 26 points; isolated PCL-R, + 20 points; combined ACL/PCL-R, + 19 points) subscales. Conclusion Clinically relevant improvements in knee function can be expected after isolated ACL-R, isolated PCL-R, and combined ACL/PCL-R. Functional improvements were particularly pronounced in the KOOS function in sport and recreation subscale, indicating the importance of knee stability for sports activity. This study facilitates more comprehensive patient education about functional expectations after surgical treatment of isolated and combined ACL and PCL injuries. Level of evidence Level 2.

Different patient and activity-related characteristics result in different injury profiles for patients with anterior cruciate ligament and posterior cruciate ligament injuries

“…Differences with regard to activity at the time of injury were identified among the specific injury profiles for ACL and PCL injuries and are in partial agreement with previous studies [ 14 , 32 , 35 ]. While pivoting sport was the most prevalent activity at the time of injury in patients with isolated ACL injuries, an isolated PCL injury was the result of either pivoting sports, non-pivoting or traffic-related activity.…”

Supine Lobenhoffer Approach Optimizes PCL Reconstruction with Tibial Inlay in Knee Dislocations

“…PCL reconstruction is a crucial step in the successful management of MLKIs, with most recent literature supporting its incorporation into surgical management 5,[7][8][9] . PCL reconstruction, both in isolation and in the context of MLKIs, has almost identical subjective and objective stability and knee function scores at 6-year follow-up, suggesting that MLKI reconstruction outcomes closely parallel or hinge on PCL reconstruction [10][11][12][13] .…”

Khảo Sát Kích Thước Mảnh Ghép Gân Cơ Bán Gân Và Gân Cơ Thon Chập 5 Dải Ở Bệnh Nhân Phẫu Thuật Nội Soi Tái Tạo Dây Chằng Khớp Gối

“…Trong nghiên cứu của chúng tôi ghi nhận 43 bệnh nhân (100%) tổn thương DCCT và 4 bệnh nhân có kèm theo tổn thương DCCS (9,3%). Điều này cho thấy rằng đa số tổn thương dây chằng khớp gối nằm ở DCCT và tổn thương DCCS thường đi kèm với tổn thương DCCT, điều này tương tự với nghiên cứu của Winkler (2022) với 99,13% bệnh nhân tổn thương DCCT đơn thuần, 0,42% tổn thương DCCS đơn thuần và 0,45% tổn thương cả hai dây chằng [7].…”